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If your bathtub is in overall good shape with minor scratches, discoloration, or just general wear and tear, it's best (and less expensive) to refinish it. 

If your tub has large cracks, is leaking, or is otherwise severely damaged, we recommend replacing it with a new bathtub. Refinishing a bathtub can only fix superficial problems, so these issues will still be present or reappear after a refinishing.

The plumbing industry has standardized the sizes for bathtub drains. They are 1 1/2 inches wide to fit all standard bathtubs from 14 to 26 inches deep. The standard sizing is to ensure that the drain fits into the P trap, a special part of your piping that prevents sewer water from bubbling up into your home (yuck).

Resurfacing a bathtub is less expensive than replacing one. Resurfacing a tub costs about $330 to $630, depending on the material, while replacing a tub costs an average of $4,150. But remember that resurfacing is a temporary solution for a worn-out tub, and you may need to refinish a tub every few years to keep it looking new.

While Medicare will pay for some bathroom modifications, it won’t pay for all modifications done to help make the room more accessible for older adults. Plus, the improvements must be approved in advance, or they won’t cover the upgrade. Check well in advance of construction if you have coverage for grab bars, walk-in tubs, wider doorways, higher toilets, and more.