REMOVE THE TIMING BELT IS NUMBER 1.
If it had a cam belt I would recommend you change it at the same time as the cam belt. However the 4 cylinder 2003 has a cam chain, so no maintenance is required. Replace the water pump when it fails or starts leaking. Or as preventive maintenance you can just replace it at 100,000 miles. Your choice.
You fail to list the year and engine size which would really have helped. WARNING: The Honda Accord 4 cylinder up to year 2002 is an interference engine and if the belt breaks serious engine damage will occur. It is critical to replace the belt. Also the timing belt drives the water pump so replace the water pump at the same time to save labor costs later on when the pump fails. The life of the pump is about the same as the belt. 2003 and up Honda Accord 4 cylinders do not have a timing belt but instead have a chain. No maintenance is required on 2003 -2009 Accord 4 cylinders. Below is the mileage to replace the belt. 1976-89 Accord 4 cyl. 60,000 miles 1990-96 Accord 4 cyl. 90,000 miles 1997-02 Accord 4 cyl. 105,000 miles
The 2002 Honda 4 cylinder has a belt that must be replaced every 110,000 miles. Warning: This is an interference engine and as such if the belt breaks you will have serious internal engine damage. Also replace the water pump at the same time you replace the belt as it is driven by the belt and will not last 220,000 miles when the belt is due to be changed again. This will save you labor costs down the road. In 2003 Honda switched to a chain on the 4 cylinder but the V6 still has a belt.
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