Zidovudine wastewater is difficult to biodegradation due to high COD and toxicity. The synergetic treatment of Zidovudine wastewater by Ultrasonic and iron-carbon micro-electrolysis technology was studied. The influence of initial pH, reaction time, mass ratio of iron and carbon and mass ratio of iron and water on degradation rate of COD was researched. The result showed that the COD removal rate was only about 54.3% and the degradation speed is very slow when iron-carbon micro-electrolysis treated Zidovudine wastewater separately. However, when ultrasonic synergy micro-electrolysis to treat Zidovudine wastewater, the COD removal rate could was up to 85% and the reaction time was also decreased. Moreover, the BOD5 / COD rose from 0.15 to 0.35, which meant the wastewater became easily biodegradable.