If you've got a basement bathroom, laundry room, or any fixture below the main sewer line, you need an ejector pump to push waste uphill to the sewer. This isn't the same as a sump pump -- ejector pumps handle solid waste and need a sealed, vented basin. It's a more involved install, and honestly, it's one of the plumbing jobs where most homeowners are better off hiring a pro. But if you've got the skills and the stomach for it, here's how it works.