This is a job I've been reluctant to tackle, as there is just something about laying on my back UNDERNEATH a sewer line. Finally got up the motivation to tackle it. After removing my "access hatch" (this was one my better ideas), I was able to get enough light up in the compartment to determine that I had enough room to rotate the valve 180 degrees, but if I did then there were so many barriers in the way that it wouldn't really give me any better cable routing. When I removed the cable from the valve, I taped a rope to the end. Then went back to the compartment and removed the nut from the back of the cable, which allowed me to pull the cable with rope attached out. I was able to manipulate the rope by reaching through from the basement into a larger arch without sharp bends. Once I had the routing the way I wanted it, I taped the rope to the new cable and pulled it back into position. I should mention that before I installed the new cable, I pulled the handle out far enough that I could spray silicon lube in, making sure it went all the way through. I had to use a 4" grinder to remove about a 1/4" of the outer covering at the valve end to get the valve adjusted properly. Should also note that the dealer replaced this valve less than a year ago under warranty, and did a shoddy job. Two of the bottom bolts holding the valve together were overly tight, and the two on top were really loose, and they left out entirely one of the bolts that clamps the outer cable. Once I corrected this, I lubricated the push rod on the valve with white grease, and sealed everything back up. Valve works great, and best of all NO LEAKS!!!!