In peri-urban towns, households manage their sanitation waste locally through soak pits and septic tanks. However, in administrative planning, the long-term solution to manage household sewage is through a network of underground drainage systems feeding to a centralised sewage treatment system. The shift from local, decentralised systems to a centralised one is uneven and costly. This case study of Doddaballapur, a town on the outskirts of Bengaluru examines the barriers to making this shift.