There could be several options a water treatment plant (WTP) can select from, if an improvement in treated water quality (WQ) is desired. This paper outlines a methodology to test a variety of approaches to accomplish pre-set goals as regards WQ, while adopting a triple bottom line approach. This approach, in a nutshell, takes into consideration economic, environmental and social aspects in decision-making. The methodology has been applied to the Stangasen WTP in the town of Oppegård in south-eastern Norway. Among the seven alternative approaches compared were the use, as coagulant, of five different dosages of granulated aluminium sulphate, liquid aluminium sulphate (48%) and liquid ferric chloride (40%). Using the set of weighting factors obtained from experts, it was determined that increasing the dosage of granulated aluminium sulphate by 20% over the current one would be the most sustainable option from a triple bottom line point of view.