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If a toilet is not properly vented, you could experience issues like poor drainage, slow flushing, frequent clogs, malfunctioning traps, gurgling noises, and the release of sewer gasses. If left untreated, all of these issues could lead to longer term structural damage or (in the case of sewer gasses) harmful health side effects.

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.

Most toilets have a 12-inch rough-in or hole, but some have 10- or 14-inch holes, which means that not all toilets fit all setups. Knowing how to measure the rough-in is essential, so you purchase a toilet that fits the existing drain hole. It can be costly to have the rough-in moved, and most stores don’t accept toilet returns.

In most cases, it’s better to repair a toilet than to replace it. Fixing issues like low water levels, running water, and flushing problems is less expensive than buying a new unit. Start thinking about replacement if the toilet is cracked, using excessive amounts of water, or is over 15 years old. Newer models are more water-efficient and clog less often than older models.