Worldwide coliform bacteria are used as indicators of fecal contamination and hence, the possible presence of disease causing organisms. Therefore, it is important to understand the potential and limitations of these indicator organisms before realistically implementing guidelines and regulations to safeguard our water resources and public health. This review addresses the limitations of current faecal indicator microorganisms and proposed significant alternative microbial indicators of water and wastewater quality. The relevant literature brings out four such significant microbial water pollution indicators and the study of these indicators will reveal the total spectrum of water borne pathogens. As E.coli and enterococci indicates the presence of bacterial pathogens, Coliphages indicate the presence of enteric viruses, and Clostridium perfringens, an obligate anaerobe, indicates presence of parasitic protozoan and enteric viruses. Therefore, monitoring a suite of indicator organisms in reclaimed effluent is more likely to be predictive of the presence of certain pathogens in order to protect public health, as no single indicator is most highly predictive of membership in the presence or absence category for pathogens.