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Yes, pressure-assist toilets leak, but less often than regular toilets. You might experience leaks from your toilet due to worn-out parts, water pressure in your plumbing that’s too high or low, poor installation, or cracks in your tank. These toilets are harder to fix on your own than gravity-fed ones, so it’s best to call a plumber if you can’t figure out what’s wrong, 

Yes, you should screw your flange to the subfloor, including cement. The best way to get this done is to predrill holes into the concrete using a hammer drill and a ¼-inch concrete bit. Be careful when you’re ready to bolt your flange down, as you can accidentally crack it. You can avoid this issue by not installing the screws too deep. Or, you can opt for a flange with a stainless steel ring so you don’t have to worry about cracking the plastic.

Yes, you can install a basement bathroom without breaking concrete by using an upflush toilet system, which includes a macerator pump. These systems sit on top of the concrete floor, so you don't have to drill into it to install plumbing. The macerator pump breaks up waste until it is soft enough to pass through a discharge pipe to the main sewage line. This method saves you time and money by bypassing the need to break concrete to connect drain pipes.

After flushing the toilet, you should have about half a tank full of water. While the exact amount of water you’ll have will vary, you want to make sure you have enough to cover the bottom of the bowl and enough to sit above the P-trap drain. While low water in your toilet bowl can indicate a problem, too much water can also be cause for concern.