The invention relates to a method to process sewage by using catalyst that includes the following process: adsorbent of oil refining spent catalyst fully contacting the sewage to take organic adsorbing in the sewage; the oil refining spent catalyst contains molecular sieve, clay, and adhesive agent, ratio surface is 100-300m2g, hole volume is 0.01-0.4ml/g; using the gross weight of catalyst as benchmark, the content of Al2O3 is 45-70%, the content of SiO2 is 25-50%, the content of P2 O5 is 0.2-4%, the content of Fe2O3 is 0-0.5%, and the total content of Na2O, MgO, K2O, CaO, TiO 2, and Re2O3 is 3-8%. The invention has widely application range and has mild using condition. It could have good effect to process the sewage that the pH value is 2-10, and water temperature is 0-60 degree centigrade.