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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.

Garbage disposals are durable appliances that usually last at least eight years as long as you clean and maintain them. It’s relatively rare for a garbage disposal to break on its own, as most malfunctions happen due to user errors, like overstuffing the grinding compartment or damaging the blades by trying to dispose of metal or bone. Eventually, cracks or leaks could develop in the unit, which requires a full replacement. 

Your garbage disposal will only affect the health of your septic tank if you’re using it too frequently, or filling it with organic waste that doesn’t fully break down. If the tank fills up with too many solids, the bacteria won’t have enough time to consume it before more is added, which can lead to an overflow in the drain field. Your tank will need to be pumped more frequently with excessive or improper garbage disposal use.

You may be able to install a garbage disposal on your own, especially if you're handy or have some experience with plumbing. However, if you have any concerns or want to make absolutely sure that the connections are installed correctly, you may be better off hiring a local garbage disposal installer to do the job.