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No, you don’t need a garbage disposal for a dishwasher. A dishwasher will work without a garbage disposal. However, the two appliances pair well and are often installed together. It is rare to see a home with a dishwasher that doesn’t have a garbage disposal, but that doesn’t mean it's not possible. Each appliance serves its own purpose. 

You can pour boiling water down the garbage disposal only when cleaning it. Use hot water to flush baking soda and vinegar down the drain for a quick clean-up. For running food down the disposal, always use cold water.

The main issue with garbage disposals is clogging. This can mean a clogging of the pipes that expel the food along with water, or a clogging of the mechanical parts themselves. The problem lies in the solution because you can’t easily see clogs if they’re inside the system, and reaching in to dislodge stuck items is a risky proposal. Call a pro and ask what they would do, but if you can’t see the clog easily, and running the unit won’t free it, you need to let a professional handle the fix. 

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.