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No, you do not need a garbage disposal to have a dishwasher. A dishwasher will work without one, and while it's rare to see a home with a dishwasher that doesn't have a disposal, it is possible. The two appliances pair well and are often installed together because a disposal simplifies meal cleanup.

However, your dishwasher should not be used as a replacement for a garbage disposal. Subjecting it to continuous food leftovers can lead to major clogs. If you choose not to install a garbage disposal, you should thoroughly rinse your plates or scrape excess food into the trash or a compost pile before loading them into the dishwasher to prevent plumbing issues.

To clean an old dishwasher without a filter, start by removing the bottom rack to access the drain area. Use a damp cloth or sponge to wipe down the interior, paying special attention to the corners and crevices where food particles and debris can build up. Pour a cup of white vinegar into a dishwasher-safe bowl and place it on the top rack, then run a hot water cycle to help break down grease and grime. After the cycle, sprinkle a cup of baking soda across the bottom of the dishwasher and run a short hot water cycle to deodorize and further clean the interior. 

It’s not worth fixing a 20-year-old dishwasher or any 20-year-old appliance. Twenty years is beyond the useful life span of nearly every major household appliance. Once the appliance nears the end of its useful life span, repairs will become more frequent. A replacement often becomes more cost-effective at that point.

Yes, a dishwasher needs an air gap to prevent backflow. Additionally, in many locations, air gaps or another measure to prevent backflow are required for building code compliance. There are alternatives to an air gap, like a Studor vent or a loop and trap design, but an air gap is the simplest and most popular solution.