Macerating toilets goes one step further than the regular toilet. In fact, the working of both of them is the exact same from the toilet bowl, to the toilet cistern, and the drain. The difference starts after the waste leaves the P-Trap. In a macerator toilet, the waste goes into the macerator pump. This pump will have powerful rotating blades that break down solid waste into a fine slurry. This makes it possible for the waste to move through a narrower pipe. The macerator will also have a pump that moves the waste upward in case the main sewage pipe is higher than the toilet drain.