Comes with all required gaskets and silicone, easy to fit. Be sure to watch the video to learn how not to damage the seals during removal and installation. I used a lot more silicone and lubricated the inside of the valve body to ensure the seals were not damaged during installation (as I have done before by damaging the cartridge during removal and installation). In no case do not put the pliers on the bushings, only on the cartridge body. I skipped a page and that damaged the edge and caused more problems. This new cartridge fixed everything. For your health!
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