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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.

If you don’t replace a toilet flapper, your toilet tank will continue to empty and fill repeatedly, wasting water and running up your utility bills. Checking the flapper is a good first guess when dealing with a constantly running toilet. However, if these problems continue after replacing the flapper, you may need to hire a plumber to check and fix any bigger problems. 

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.

No, the pink ring in your toilet bowl isn’t a hard water stain but a type of bacteria called Serratia marcescens. This bacteria can also cause pinkish stains in other areas of your bathroom, like around your tub, shower curtains, and faucets. Thankfully, it’s considered to be harmless. However, if you or anyone in your household is immunocompromised, it can cause issues like urinary tract infections. You can clean the pink ring with bleach and a plastic brush. Wear gloves and goggles when using bleach, and always work in a well-ventilated room.