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Korba aquifer is one of the most typical examples of overexploited coastal aquifer in the Mediterranean countries. In fact, from 1985, a considerable piezometric level drop, water salinization, and seawater intrusion were registered in the aquifer. In December 2008, Tunisian authorities initiated a general plan to groundwater management in order to augment groundwater resources, restore the piezometric levels, and improve water quality. The plan consists of artificial recharge of groundwater used treated wastewater through three infiltration basins. During the first 4 years (from December 2008 to December 2012), 1.41 Mm(3) of treated wastewater was injected to the Korba aquifer. This study presents a hydrogeological assessment of groundwater evolution during the recharge processes. In this study, 32 piezometric and chemical surveys of 70 piezometers and observed wells are used to present hydrogeological investigation and water quality evolution of wastewater reuse through artificial recharge in Korba coastal aquifer. The piezometric evolution maps are used to specify the positive effect in groundwater level that exceeding 1.5 m in some regions. The interpretation of salinity evolution maps are used to indicate the improving of groundwater quality.