The fact is if they are dirty why not clean them. As for the Dr’s comment about if it is not disrupted it is fine. As a pet owner sometimes un disrupted pet hair will sit in the corner of a room or under a counter un disrupted but I still clean it when I notice it. Just because you cant see it doesn’t mean you should leave it there to collect more and more. The people that don’t want there air ducts clean either simply cant afford it but would like it done. OR! the crowd that are to cheap.. You should Clean all portions of your house.
Indoor Coil -- The indoor coil is a heat transfer device. It absorbs the heat from the inside of the house and passes it on to the refrigerant and is pumped outside. Dust that builds up on the coil can hamper its ability to absorb heat. High heat transference coils use very thin metal. Airborne chemicals can cause corrosion which leads to leaks. The constant vibration of the compressor can also cause solder joints to weaken and leak. An indoor coil may operate for weeks with a tiny leak, and you may not notice the loss in performance right away. As soon as a leak is made known, it should be replaced or repaired immediately.

Many homes have a forced-air HVAC system. Both the heating and the central air conditioning units share a ductwork system where they either push in or pull out warm or cooled air. There are also heating and cooling systems that don’t require ductwork — such as ductless mini-splits — but work on the same principles of heat exchange. The national average to hire an HVAC specialist is $2,920-$3,670, with costs varying depending on the work you need done and the equipment you are installing.
A do-it-yourself approach will only scratch the surface because it is hard to reach some of the ventilation running underneath the floor or into the wall. Although it may help in clearing some of the dust and debris, you really need a professional to guarantee your system is truly spotless. The proper procedure involves the use of a powerful vacuum system with multi-brush attachments designed to loosen debris and feed into the suction. Particles are then blown outside of the house or passed through a HEPA filter inside.
The cooling coils the air comes into contact with appear to need UV-C lights on them in humid climates. That's the biggest thing. If the ducts have never been cleaned, then getting that done goes without saying. But those coils need to be cleaned, disinfected, and then UV-C light(s) installed to prevent mold & bacteria build-up in the future on them. That appears to be chiefly responsible for the dirty laundry and/or sour milk smell coming from forced-air AC systems in humid regions.
It’s 11 years plus in the industry I have only had to sanitize two systems both were slab systems that were in concrete and could be cleaned with a different method than normal duct cleaning. We were able to use water to rinse out the disinfectant. Would you use a chemical on anything else you use to eat or drink with and not rinse it off? The ducts in your home should be thought of as your homes heart and lungs and breathe the same air that you do. And just like us we wouldn’t use bad chemicals in our lungs and heart.
A little simple math can help determine the size system you need. A rule of thumb is 20 BTUs per square foot. So, a 500 square foot room would need 10,000 BTUs to cool or warm it efficiently. This assumes that you live in a temperate region and have adequate insulation with no energy loss. In the real world, all units have some degree of energy loss. This is reflected in an HVAC system's SEER rating for cooling and AFUE rating for heating.
I just bought a home, and the sellers clearly never had the air ducts cleaned. This is, unfortunately, typical of their neglect of the home, so I am not surprised. I was cleaning around the wooden floor registers, and I took the registers off. I found nests of some sort...all kinds of really gross stuff!! I am calling now to schedule duct cleaning for my new home. Anyway, it is very easy to check to see if you really need duct cleaning. Remove the floor registers and use a flashlight if necessary to see if there is dust or debris in the ducting. If these look bad, I'd definitely have the system cleaned. I would also do it after a construction project, after installing a new furnace, etc. I have found that once I had my previous system cleaned, it seemed to remain spotless for 3 years. So it seems that if you just change your filters on time (I have an iPhone alert set for every 3 months), the system will stay clean for years. Hope this helps!
Installation: Replacement is quite easy, especially when an old refrigerant line set can be used. If the set is worn, it’s much better to pay the extra $400-$600 to replace it rather than risking it leaking later. When your AC loses refrigerant, you lose your cool air and the compressor is at risk of failing. A new installation means installing a coil in your furnace or air handler, running the line set between it and the coil in the condensing unit and adding refrigerant, if needed. Most ACs come pre-charged for 20-30 feet of line. If the line set is longer, a small amount of refrigerant is added.

Fuses -- Anyone who has worked with electrical systems knows all about fuses and how they fail. They can burn out over time, may just be loose, or can blow out during an electrical storm or due to overload from another failed component. Of course, that's what they're supposed to do; they stop surges from going through and damaging the rest of the system. When a fuse fails, whatever system it was protecting will stop working.

Free cooling systems can have very high efficiencies, and are sometimes combined with seasonal thermal energy storage so that the cold of winter can be used for summer air conditioning. Common storage mediums are deep aquifers or a natural underground rock mass accessed via a cluster of small-diameter, heat-exchanger-equipped boreholes. Some systems with small storages are hybrids, using free cooling early in the cooling season, and later employing a heat pump to chill the circulation coming from the storage. The heat pump is added-in because the storage acts as a heat sink when the system is in cooling (as opposed to charging) mode, causing the temperature to gradually increase during the cooling season.

Multiple inventions within this time frame preceded the beginnings of first comfort air conditioning system, which was designed in 1902 by Alfred Wolff (Cooper, 2003) for the New York Stock Exchange, while Willis Carrier equipped the Sacketts-Wilhems Printing Company with the process AC unit the same year. Coyne College was the first school to offer HVAC training in 1899.[12]
2. If air quality is so important and duct cleaniliness is so uncertain, why not adopt doubling filtering; that is, in addition to the existing main furnace filter, add a filter at each air outlet. I understand replacing so many filters would be a burden, but air outlets can be designed for easy filter replacement. The builders and home design engineers should bear responsibility to provide good and low maintenance homes, rather than prioritizing on fancy or costly featuers for homes.
HVAC professionals in the US can receive training through formal training institutions, where most earn associate degrees. Training for HVAC technicians includes classroom lectures and hands-on tasks, and can be followed by an apprenticeship wherein the recent graduate works alongside a professional HVAC technician for a temporary period.[33] HVAC techs who have been trained can also be certified in areas such as air conditioning, heat pumps, gas heating, and commercial refrigeration.[34]

I can’t believe I got ripped off by this Air Duct Cleaners. I called them for this $63 coupon per furnace unlimited vents then when they came after he checked it all I hear is I have molds and leak all is worth $499, $799, $899 per furnace but I told him to just clean the duct and patch the single leak per furnace worth $38 each. Still eanding $899 total. All the work he done is in less than an hour he didnt even go to each vent to clean it. All he did is to path the air leak on that entry pipe to the furnace and open the main venting system, vacuum it, and wash the floor of the vent with a solution. Overall time is about 20 mins talking with me discussing all the option which thinking they made me think I don’t really have an option and 40 mins wash and vacuum he took pictures of before and after of only one furnace. He gave me a receipt without the details on what he has done in the house just the name and price. I think we may need a strict law to punish and control all this companies who do this so other company who do good will despise them.
I know it has to have a new concentric venting system installed, I believe it needs new plenums ( mine are rusty but both of these require extra work , so someHVAC persons are saying I do not need either!! RED FLAG THERE. Also, it will need a new drain using PVCP ?? Piping run maybe two, depending on where my evep coil drain is conected (here in TN they use to run them in with the septic lines, now they cannot be run through that way), Lastly I am not where or what these things do beides hold water but I was told It needs a filter rack and new filter base safety pan. THATSSS it that is all I know about this stuff aside from the fact that nothing up there is to code thus far LOL. !!

The most recognized standards for HVAC design are based on ASHRAE data. The most general of four volumes of the ASHRAE Handbook is Fundamentals; it includes heating and cooling calculations. Each volume of the ASHRAE Handbook is updated every four years. The design professional must consult ASHRAE data for the standards of design and care as the typical building codes provide little to no information on HVAC design practices; codes such as the UMC and IMC do include much detail on installation requirements, however. Other useful reference materials include items from SMACNA, ACGIH, and technical trade journals.
One of the best ways to know if your ducts or vents need to be cleaned is to just check them. Your eyes will be able to check for indications of mold, dust or pollen buildup. You might also be able to smell the presence of mold, which would be a clear indicator. Ductwork will have some buildup of dust, since the return registrars pull air back in. However, this doesn't mean your ducts have too much debris, and you can easily clean them with a duster or vacuum.
EPA does not recommend that air ducts be cleaned except on an as-needed basis because of the continuing uncertainty about the benefits of duct cleaning under most circumstances. EPA does, however, recommend that if you have a fuel burning furnace, stove, or fireplace, they be inspected for proper functioning and serviced before each heating season to protect against carbon monoxide poisoning. Some research also suggests that cleaning dirty cooling coils, fans and heat exchangers can improve the efficiency of heating and cooling systems. However, little evidence exists to indicate that simply cleaning the duct system will increase your system's efficiency.