We had this issue with Pau Hana, which was a 54' ED. While the midships head was run thru the port engine room, and easy access, the master or aft head was a different story. I responded to a similar thread a while back. Our aft head pump was in the aft of 2 closets in the midships passageway between the midships head and the aft stateroom. When I pulled the original hose, I had a lot of resistance and felt something come loose. However, running the replacement was the bigger challenge. I stuck a fish tape thru from the closet end, and ran it under the deck to the access plate. What I didn't realize was that if I veered just a hair from the original hose track, the fish tape went under/over a stringer, not thru the hose cutout in the stringer. Once I figured this out, with a flashlight and a mirror, I restuck the fish tape, made sure it was in the cutout, and put it inside the end of the new hose. I then wrapped duct tape around the tape forming a cone on the hose and while the Admiral gently fed the hose from the tank end, I eased the fish tape thru until the hose came thru. I cut the first 6 inches off because of tape residue, connected it at the pump end, and then at the tank end. It took us about an hour. Lesson learned from this- Put the fish tape on the old hose before pulling it.