A through-floor combination tub and surface drain includes an exterior tube having a top end and a bottom end. The bottom end of the exterior tube is to connect to a sewer pipe. The top end of the exterior tube has one or more openings to provide a floor drain. The drain also includes an interior tube situated within the exterior tube. The interior tube has a top end to receive a drain pipe and a bottom end that opens into a cavity within the exterior tube that extends from the top end of the exterior tube to the bottom end of the exterior tube. The drain further includes a flange, extending outward radially from the exterior tube, to connect to a substrate of a floor.