Removal efficiency of As(III) was investigated with a pilot-scale filtration system packed with an equal amount(each 21.5 kg) of manganese-coated sand(MCS) in the bottom and iron-coated sand(ICS) in the top. Height and diameter of the used column was 200 cm and 15 cm, respectively. The As(III) solution was introduced into the bottom of the filtration system with a peristaltic pump at a speed of $5{ imes}10^{-3}$ cm/s over 148 days. Breakthrough of total arsenic in the mid-sampling position(end of the MCS bed) and final-sampling position(end of the ICS bed) was started after 18 and 44 days, respectively, and then showed a complete breakthrough after 148 days. Although the breakthrough of total arsenic in the mid-sampling position was started after 18 days, the concentration of As(III) in this effluent was below 50 ppb up to 61 days. This result indicates that MCS has a sufficient oxidizing capacity to As(III) and can oxidize 92 mg of As(III) with 1 kg of MCS up to 61 days. When a complete breakthrough of total arsenic occurred, the removed total arsenic by MCS was calculated as 79.0 mg with 1 kg MCS. As variation of head loss is small at each sampling position over the entire reaction time, it was possible to operate the filtration system with ICS and MCS for a long time without a significant head loss.