Island bathrooms range from original vintage to full renovation, and their toilets show the same warning signs either way. If the tank refills on its own in an empty room, a flapper is letting water through, a small leak that shows up on every bill. If it keeps running after a flush, the fill valve is often wearing out. If the toilet rocks at the base, the mounting may have gone loose, and the wax seal below may fail next. In Coronado, a failed seal can send water into vintage floors or, in a shared building, toward the unit below, so it's worth catching early.
Repair handles most of the work. Tank parts can be replaced one at a time, and sound porcelain can stay in service with modest upkeep. Replacement makes sense when the porcelain is cracked, when a worn out toilet keeps needing repairs, or, often in Coronado, as an upgrade during a renovation, since modern units use less water per flush and a bidet can be added at the same time. The right option depends on the toilet's actual condition, and it's explained plainly so you can decide.
It helps to know that a toilet that backs up usually has a problem in the drain line, and drains are their own service with their own page. Running, rocking, leaks, seals and replacements are the toilet's own work, and that work is performed by or under a licensed contractor. The toilet is set level, sealed properly and finished neatly, everything is explained in plain English, and the decision is yours.