The paper presents the impact of different methods of sewage sludge conditioning on the improvement of sludge dewatering during pressure filtration processes. The following conditioning methods were tested for sludge preparation: sonication, addition of organic and inorganic chemicals (Zetag 8180, PIX 113 and the combined action of both substances). The research covered: physical and chemical analysis of sewage sludge, measurement of capillary suction time as an indicator of sludge dewaterability, some technical parameters of sludge pressure filtration process and the analysis of filtrate to assess the degree of contamination. The results of the research showed that the final water content of the prepared sludge decreased, while the specific filtration resistance increased. Among the tested methods the best results of sludge dewatering effects were obtained for sonicated sludge and its preparation with inorganic coagulant PIX 113. The combined effect of sonication with the addition of chemicals Zetag 8180 and PIX113 to sludge allowed for the reduction of organic substances, ammonium nitrogen and phosphates in filtrate after sludge dewatering.