Powdered activated carbon (PAC) is increasingly used as tertiary treatment for the removal of trace organic contaminants (TrOCs) from wastewater (WW). To enhance the sorption kinetics and capacity, the PAC particles can be milled down to super fine powdered activated carbon (SPAC). However, the small-grained SPAC particles are prone to aggregation, which may impact their treatment performance. In this study we examined the effect of SPAC dispersion and aggregation on TrOCs removal kinetics and sorption capacity. Specifically, we assessed how two interventions that modulate the apparent size of SPAC - ultrasonication and coagulation - affect the uptake of TrOCs in secondary WW effluent. We quantified the removal of fourteen TrOCs, of which twelve are indicator substances for micropollutant removal in WWTPs as designated by the Swiss Water Protection Ordinance. We determined that at high SPAC doses (> 1.6 mgSPAC/mg Dissolved Organic Carbon [DOC]), the TrOC removal kinetics were fast even for aggregated SPAC, such that SPAC dispersal by ultrasonication yielded no benefit. At low SPAC doses (< 1.6 mgSPAC/mgDOC) and contact times (< 2 minutes) ultrasonication was beneficial, in particular if the SPAC particles reached complete dispersion prior to exposure to TrOCs. However, the energy consumption of such an ultrasonication step should be carefully weighed against the additional energy requirement associated with using a higher SPAC dose. Finally, a coagulant to mitigate membrane fouling can be added simultaneously with the SPAC without compromising the TrOC removal efficiency. We conclude that under realistic SPAC application scenarios in WWTPs, interventions that disperse SPAC during TrOC sorption are not necessary, and processes that aggregate SPAC are acceptable.