Five real ones: the cost, a genuinely disruptive install that breaks the slab, a pump that is audible when it runs, a discharge line that needs thought in freezing weather, and the fact that an interior system manages water rather than excluding it.
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Every one of these is knowable before you sign, which is the point of listing them. Cost. Interior drain tile runs roughly $60 to $120 per linear foot installed in Greater Cincinnati and Northern Kentucky. Most homes do not need the full perimeter, so the common project lands in the low thousands rather than the tens of thousands, but it is real money for something that will be invisible when finished. Disruption. Interior installation means cutting and removing a strip of the basement slab around the affected walls, hauling the debris out through the house, and re-pouring concrete. There is concrete dust, there is noise, and stored belongings have to move away from the walls. Typical residential jobs run one to three days. Noise. A working sump pump is audible, and in a quiet house at night you will hear it cycle. A basin with a sealed lid and a pump correctly sized for the inflow is much quieter than one that is undersized and running constantly. Discharge routing. The water has to go somewhere, far enough from the foundation that it does not return to the footing, not across a walkway where it will freeze, and not onto a neighbor's property. In Greater Cincinnati and Northern Kentucky winters a poorly terminated line can ice closed, which stops the pump exactly when it is needed. The conceptual one. An interior system manages water rather than keeping it out of the ground next to the wall. If a wall is failing structurally, waterproofing does not address that and the structural repair will disturb what was installed. Get that evaluated first. What to weigh it against. A single event in a finished basement routinely exceeds the cost of the system, and the work is done once. Most owners who have been through both describe the install week as the easiest part of the whole experience.