You are talking about a Moen cartridge. You have to loosen the cartridge by turning it 90 degrees left and right. For more info, check www.moen.com. Shut off the water supply remove the clip Rotate the cartridge then pull it out get the same replacement cartridge grease the new cartridge slide it into place install the clip turn the water back on if the hot and cold are reversed turn the stem 180 degrees Its that simple