This work shows that the main photochemical pathways of acetaminophen (APAP) transformation in surface waters would be direct photolysis (with quantum yield of (4.57 ± 0.17)⋅10−2), reaction with View the MathML sourceCO3−· (most significant at pH > 7, with second-order rate constant of (3.8 ± 1.1)⋅108 M−1 s−1) and possibly, for dissolved organic carbon higher than 5 mg C L−1, reaction with the triplet states of chromophoric dissolved organic matter (3CDOM*). The modelled photochemical half-life time of APAP in environmental waters would range from days to few weeks in summertime, which suggests that the importance of phototransformation might be comparable to biodegradation. APAP transformation by the main photochemical pathways yields hydroxylated derivatives, ring-opening compounds as well as dimers and trimers (at elevated concentration levels). In the case of 3CDOM* (for which the triplet state of anthraquinone-2-sulphonate was used as proxy), ring rearrangement is also hypothesised. Photochemistry would produce different transformation products (TPs) of APAP than microbial biodegradation or human metabolism, thus the relevant TPs might be used as markers of APAP photochemical reaction pathways in environmental waters.