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Basement toilets don’t always need a pump. However, it is the most common setup because plumbing systems use gravity to move waste away from the home. Basement toilets often sit below the home’s main sewage system, and installing a sewage ejector pump pushes the wastewater and sewage up to the main sewer line. Alternatively, you can use an upflush or macerator toilet that breaks down the waste and pushes it straight to the main sewer line rather than via a sewer line from the bathroom.

Some of the problems with in-wall toilets include the complex installation, which might need extra framing. It is also more difficult to access the toilet tank for maintenance or troubleshooting because it’s behind the flush button panel and in the wall. Over time, you’ll spend more on maintenance because you’ll need a plumber to work on hidden plumbing.

A wax ring can often last the entire lifespan of a toilet, which is typically 20 to 30 years. However, it may need to be replaced sooner if it becomes damaged. Signs that your wax ring needs replacement include bad odors or leaks coming from the base of the toilet. The wax can also dry out, flake, or crumble if the toilet was not secured correctly upon installation or has become loose over time. If you notice your toilet wobbles, it's a good indication that the wax ring may be compromised and should be inspected to prevent leaks.

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.