The aim of this paper is to present the current state and the need for development of sanitary infrastructure in the communes of Parczew District, in Lublin Voivodeship. Parczew District encompasses seven communes: Parczew, Dębowa Kłoda, Jabłoń, Milanów, Podedwórze, Siemień, and Sosnowica. The present paper uses data from surveys conducted in these communes in 2016. On average, 88% of the population used the water supply system in the communes surveyed, while 48% of the inhabitants were connected to a sewerage system. Parczew District had 12 collective mechanical and biological wastewater treatment plants with a capacity exceeding 5 m3/d. The households which were not connected to the sewerage network discharged wastewater mainly to non-return tanks. In the communes surveyed, 1,115 households had domestic wastewater treatment plants. All of them were systems with infiltration drainage, which do not ensure high efficiency of removing pollutions and may even contribute to the degradation of the quality of groundwater. In order to solve the existing problems of sewage and water management in the communes of Parczew District, it is necessary to further develop collective sewerage systems and equip the areas which have a dispersed development layout with highly efficient domestic treatment plants, such as constructed wetlands.