Bathroom guide

Macerating (upflush) toilet systems explained

How upflush toilets let you add a bathroom anywhere without breaking the floor, how far they can pump, and what living with one is like.

By Pumpendium Editorial · Updated October 2026

The short answer

A macerating toilet sends waste into a box behind or beside the toilet where blades liquefy it, then pumps it through a small-diameter pipe (usually 3/4 to 1 inch) up and across to your existing drain. That lets you add a bathroom in a basement or extension without cutting the slab. Typical systems lift about 9 to 15 ft vertically or push more than 100 ft horizontally, and many accept a sink and shower too. They are noisier than a gravity toilet, cannot take anything but waste and toilet paper, and need occasional descaling.

How they work

The toilet flushes into a sealed macerator unit. A float or pressure switch starts a motor that spins cutting blades, reducing waste to a slurry, and a pump pushes it through narrow pipe to a drain stack or sewer line. Because the discharge pipe is small and pressurized, it can run up through a wall or ceiling to reach a drain that is higher than the toilet.

Upflush vs other options
OptionHandlesBreaking the floorTypical use
Macerating toilet systemToilet plus sink and shower on many modelsNoAdding a half or full bath where there is no drain
Sewage ejector pitA whole basement bathroomYes, for the basinFull basement bathroom on new construction
Gray-water pumpSink, shower, washer onlyNoLaundry or wet bar

How far and how high they pump

Makers publish a combined chart: the higher the lift, the shorter the horizontal run. A common rule from macerator makers is that every foot of vertical lift reduces the allowable horizontal run by about 10 ft. Lift first, straight up, then run horizontally with a slight downward slope toward the drain.

Pumpendium mathExample using the 1-for-10 rule: a unit rated for 15 ft of lift or 150 ft horizontal. With a 6 ft lift, the remaining horizontal allowance is roughly 150 − (6 × 10) = 90 ft. Always check the specific model's chart.
  • Fixtures: many units have extra inlets for a sink and shower; tubs and floor-level showers may need a raised base or a separate gray-water pump.
  • Vent: most systems require a vent connection.
  • Electrical: a GFCI-protected outlet near the unit.

Living with one

  • Noise: expect a 10 to 20 second whir after each flush, louder than a normal toilet. Insulating the wall helps.
  • What goes in: human waste and toilet paper only. Wipes, sanitary products, cotton swabs and hair clog or damage the blades, even 'flushable' wipes.
  • Descaling: in hard-water areas, run the maker's descaler through the unit once or twice a year.
  • Power cuts: the toilet cannot be used during an outage.
Check local codeApproval varies: some local codes allow macerating toilets only where a gravity drain is impractical, or require specific listed units. Check with your building department before buying.

Choosing a system

  1. Measure the vertical lift and horizontal run to the drain you will tie into.
  2. List every fixture you want to connect: toilet, sink, shower.
  3. Pick a unit whose published chart covers your lift and run with margin, and that accepts your fixtures.
  4. Prefer brands with replacement parts and descaler readily available.

For shower and sink water only, a gray-water drain pump costs less. For a full basement bathroom in a new build, compare a sewage ejector.

Products mentioned

Questions readers ask

Are macerating toilets reliable?
Yes, when used for waste and toilet paper only and descaled in hard-water areas. Most failures come from wipes, sanitary products or other items that jam the blades.
How far can an upflush toilet pump?
Typically 9 to 15 ft vertically or more than 100 ft horizontally, but the two trade off; each foot of lift reduces the horizontal run. Use the model's chart.
Can you connect a shower to a macerating toilet?
Many systems accept a sink and shower through extra inlets. Low showers may need a raised base so the water can drain into the unit.
Do macerating toilets smell?
Not when installed with the required vent and sealed correctly. A smell usually points to a missing vent, a failed seal or a buildup that needs cleaning.