Short answer
Warning signs of sewer line trouble include multiple drains backing up at once, gurgling sounds from toilets or drains, sewage smells indoors or in the yard, soggy patches or extra-green grass over the line, and repeated clogs that keep coming back. A camera inspection pinpoints the cause — roots, cracks, or collapse — before you pay for the wrong fix.

The early warnings inside your home
A single slow drain is usually a local clog. The sewer line announces itself through patterns: several fixtures slowing at once, the tub filling when the toilet flushes, or water backing up in a basement floor drain or shower. These mean the blockage is downstream where all the branches join — the main line.
Gurgling is the line's distress signal. Air trapped by a partial blockage bubbles back through traps, so toilets gurgle when the washer drains or sinks gurgle after a flush. Sewage odors from drains or cleanouts point the same direction. Any one of these deserves attention; two or more together mean the main line is the prime suspect.
Clues in your yard
The lateral — the pipe from your house to the street main — runs under your yard, and it leaves evidence. Soggy patches that never dry, strips of grass that grow conspicuously greener and faster than the rest (sewage is fertilizer), sunken or settled soil along the pipe's path, and foundation cracks near where the line exits all suggest a leaking or broken lateral.
Note where your large trees stand relative to the line's path. Roots do not need an invitation: they find the moisture and nutrients seeping from tiny cracks or loose joints in older pipe, then grow into the opening and expand it. A big tree uphill of an old clay or cast-iron lateral is the classic setup.
Common causes, from roots to collapse
Tree root intrusion tops the list for older lines — roots enter through joints and cracks, then form mats that catch everything flowing past. Aging materials fail differently: clay pipe cracks and shifts at its many joints, cast iron corrodes and scales until flow chokes, and Orangeburg (a fiber pipe used mid-century) can deform and collapse outright.
Then there are the structural issues: bellies (sagging sections where waste settles instead of flowing), offset joints from soil movement, and grease buildup that narrows the pipe over years. Heavy rain can also expose a marginal line — municipal systems surcharge and push back against a lateral that was barely coping.
What a camera inspection shows
A sewer camera inspection feeds a camera on a flexible cable through a cleanout and records the line's interior in real time. The technician sees exactly what is wrong and where: root masses, cracks, offsets, bellies, scale, or collapse — located by footage markers so the repair targets the right spot.
This matters because the fix depends entirely on the diagnosis. Roots in one joint need a different solution than a collapsed section or a bellied run. Never authorize a dig or a lining job without seeing camera footage of the actual problem; guessing at sewer work is how homeowners pay for the wrong fix twice.
Repair options at a glance
Spot repairs excavate and replace just the failed section — sensible for isolated damage with an otherwise sound line. Trenchless methods rehabilitate longer runs with minimal digging: pipe lining (curing a new pipe inside the old one) and pipe bursting (pulling a new pipe through while fracturing the old). Traditional full excavation replaces everything but tears up the yard, driveway, or landscaping above it.
The right choice depends on the pipe's material and condition, the damage type, depth, and what sits above the line. Lining cannot fix a collapsed or badly bellied pipe; excavation is overkill for a single root-intruded joint. A camera diagnosis plus two repair quotes is the responsible path.
Prevention that actually works
Treat your drains like the line depends on them, because it does: no grease, no 'flushable' wipes, no feminine products, no coffee grounds — the main line has no garbage disposal to save it. In the yard, think before planting thirsty trees near the lateral's path, and consider root barriers if large trees already stand over it.
For lines with a root history, scheduled cleaning keeps regrowth from becoming a blockage, and a backwater valve on the main line protects the house when municipal systems surcharge during heavy rain. If you are buying an older home, a sewer camera inspection before closing is among the cheapest insurance in real estate.