Hummm… I will try to be a little clearer. It is my understanding sags are areas of a sewer line that (e.g. in a video inspection, after water has been introduced into the line) have the appearance (i.e. from depth of ponded water) that an area of pipe has settled. I believe ponding can be due to the line simply being installed by the contractor to the undulated grade, subsequent settlement of the area after installation (as is probably/frequently assumed) , or arguably less obvious relative flotation of the pipe in wet or otherwise liquefied soils on each side adjacent the apparent “sag”.
At some degree of severity, I believe some sag “defects” have been implicated in eventual sedimentation/formation of slimes, accompanying generation of hydrogen sulfide, various blockages, and maybe even some subsequent overflows with potentially now quite serious contemporary ramifications (at least in some areas). As a consequence, I also believe that for whatever reasons at least some jurisdictions/authorities are attempting to enforce quite stringent sag inspection criteria, at least for new construction and even on gravity sewers laid to slight/quite flat grades, e.g. in some cases ostensibly allowing no more than ½”-5/8” of standing water.
I suspect those (at least those carefully studying the issue) who advocate installation of plastic (very lightweight, slick on at least the outside) gravity pipes by HDD, or maybe even by other means in deep wet, high-ground water areas are doing so by suggesting relaxation of the sag criteria, a substantial increase of design sewer grade, or both. While I am not knowledgeable enough to gauge the long term effects (if any) of the former practice, I know the effect of the latter increase of the design grade can be that one gets quite deep in the ground quite fast on the way to the plant (I believe not generally helpful when trying to serve a large area with gravity pipes!)
I have incidentally been a proponent of trenchless construction, as another tool in the toolbox, for about 25 years. I have therefore watched the rapidly developing “technology” as closely as I could. While I have great respect for the ingenuity/value of some “contractors” and developments of “technology”, I have even more respect for the laws of physics/geo-physics and I believe some caution is in order lest over-selling without detailed education set the industry back some in this area.