In this study, Chemical Oxygen Demand (COD) from a pharmaceutical wastewater (PhW) was reduced by several techniques such as electro-Fenton (EF), photo electro-Fenton (PEF) and activated sludge (AS) processes and the obtained data were compared with each other. The effects of several parameters such as pH, current density, H2O2/Fe2+ molar ratio, volume ratio of H2O2/PhW, reaction time and UVA light were studied on the COD reduction through the EF and PEF processes. The Box-Behnken Design (BBD) under Response Surface Methodology (RSM) was applied to design and then optimize these processes. The optimal conditions for 87% of COD removal through the EF process were at pH of 3.27, current density of 57 mA/cm(2), H2O2/Fe(2+)molar ratio of 3.5, volume ratio of H2O2/PhW of 1.34 ml/l and reaction time of 56.32 min while the optimal conditions for 91.6% of COD removal through PEF process were at pH of 3.5, current density of 57.5 mA/cm(2) , H2O2/Fe2+ molar ratio of 3.81, volume ratio of H2O2/PhW of 1.5 ml/l, reaction time of 10.12 min and 6 W UVA light while 77.70% of COD removal was obtained by the AS process with residence time of 1020 min. According to the kinetic study, the second order reaction (with high R-2 data) could properly model the EF and PEF processes.