Efficient infrastructure planning is essential to achieve a more sustainable future. This includes aiming for optimal and economically more efficient infrastructures in the field of urban water management (UWM). Especially network-based infrastructures need special attention as they are generally very cost intensive and have distinctly demanding planning characteristics. Today’s historically evolved UWM practices tend to be network-based as in the last century enormous investments have been made to build-up vast sewer networks and large central wastewater treatment plants which centrally connect very high population percentages in many countries. The construction of large network infrastructures has resulted in a dominant centralised planning paradigm and heavily centralised wastewater management systems (WMS). However, this strong central planning paradigm is increasingly being questioned with respect to sustainability challenges and the call is becoming louder for innovative and radical approaches to address future challenges in the field of UWM. One such innovative approach is the decentralised treatment of wastewater by decentralised WMS, although in countries with high central connection rates this has so far been seen mainly as a stopgap solution. Today, connection rates differ significantly across countries: Great differences exist not only between high-income and low-income countries but also within OECD countries. It is unclear to what degree centralised or decentralised WMS should be installed in a region from the point of view of economic efficiency. Whereas the UWM literature presents specific cost assessments, there is a paucity of tools and methods to assess the costs of WMS consisting of centralised and decentralised systems (hybrid WMS). There are also few cost assessments of decentralised WMS with respect to their operation and maintenance costs. This dissertation uses an economic geospatial model-based approach to address the challenging research question of the optimal degree of centralisation. Conceptually, especially the spatially explicit full-cost modelling and the socio-technical conceptualisation of WMS are of special relevance. The basic trade-off between wastewater transportation and treatment is modelled in a geographically explicit way, economies of density for decentralised systems are assessed and a framework is presented to assess different optimal connection rates for hybrid systems. This framework is then used to assess economically sustainable connection rates in order to promote the economic argumentation for a possible sustainability transition in UWM. [...]