When you install SewerGEMS after you install AutoCAD, integration between the two is automatically configured.

If you install AutoCAD after you install SewerGEMS , you must manually integrate the two by selecting Start > All Programs > Bentley > SewerGEMS > Integrate SewerGEMS with AutoCAD-ArcGIS-Microstation. The integration utility runs automatically. You can then run SewerGEMS in AutoCAD mode.