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No, you can’t convert a gravity-flush toilet to a pressure-assist toilet. Pressure-assist toilets include a tank-within-the-tank, and a standard gravity-flush toilet doesn’t have a capability to include the additional tank. If you want the benefits of a pressure-assist toilet, you’ll have to make the investment in a new one. 

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, 

You can DIY your toilet flapper replacement if you’re up for a small plumbing project. Turn off the water to the toilet, open the tank lid, remove the chain from the lever, and unhook the flapper. For a new, adjustable flapper, adjust it to the right setting according to your toilet's gallons per flush rating. Hook the flapper in place and install the chain with 1/2 inch of slack.

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.