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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.

The two main negatives of garbage disposals are they are a safety hazard in homes with children, and they frequently encounter blockage issues. While they might be annoying to fix and monitor, garbage disposals can significantly lower your trash use and are a great way to dispose of organic waste. While there are negatives, the vast majority of homeowners acknowledge the positives are enough to install a disposal in their home. 

While the drain connection for a garbage disposal is nearly universal and fits standard sink drain holes of 3 1/2 to 4 inches, the size of the disposal unit itself is not. You must have enough space in the cabinet underneath your sink to accommodate the disposal's housing. A larger model may not fit in a compact cabinet or if the existing plumbing is arranged in an unusual way. Before buying a new garbage disposal, measure the available space under your sink. If you are replacing an old unit, it's often easiest to choose a new model of a similar size.

Whether it's worth repairing your garbage disposal depends on its age and the specific problem. Generally, if the unit is eight years old or younger, repair is a good option. For minor issues like a bad seal or a simple jam, a repair can be inexpensive, sometimes under $10. However, if the motor is broken (a repair that can cost $150 or more) or the unit is getting old, it's often more cost-effective to replace the entire disposal.