Subsurface flow constructed wetlands (SFCWs) are becoming increasingly common in on-site treatment of wastewater. Gravel is the most popular form of wetland fill medium, but tire chips provide more porosity, are less dense, and less expensive. This study determines the treatment efficiency of SFCWs filled with gravel or tire chip media to treat domestic wastewater. The influent and effluent of six SFCWs filled with tire chip medium and six SFCWs filled with gravel were monitored for 5 to 16 consecutive months. Parameters measured included pH, biochemical oxygen demand (BOD5), total and volatile suspended solids, NH4, P, and fecal and total coliforms. The only clear difference between medium types in wetland performance was for P. Soluble P in the effluent averaged 1.6 +/- 1.0 mg l(-1) in the tire chip-filled wetlands and 4.8 +/- 3.2 mg l(-1) in the gravel-filled wetlands. Most likely, Fe from exposed wires in shredded steel-belted tires complexed with P to create an insoluble compound. Tire chips may be a better fill medium for SFCWs than gravel because of higher porosity, lower cost, and greater reduction of P in effluent.