Recently, the synthesis of boron-doped diamond electrodes on different substrates and shapes have reached a promising development stage. Now, these electrodes can also be effectively used to destroy toxic or biorefractory organics in real effluents, such as municipal wastewaters effluents, hospital wastewaters, groundwater, petrochemical effluent, wastewaters from agri-food activities, and so on. The results of this mini-review show that BDD is effectively even for such real effluents, allowing the removal of pollutants under several different conditions. Nevertheless, further efforts are necessary to reach a wider market; in particular, the next stages must face the optimization of cell design and the integration of the electrochemical system with other water treatment and renewable energy sources.