Measure the fixture location in relationship to the tile that would surround it. Take a measurement from each of the four edges of the tile to the point where the fixture sits.
Transfer these measurements to the tile. Make a mark on the tile accordingly. If you are setting the tile over a 1-inch pipe, you will need a tungsten carbide bit slightly larger than the pipe. Tungsten carbide bits are available up to 4 inches in diameter for below $50, at the time of publication.
Place a piece of masking tape on the measurement, and transfer the mark from the tile to the masking tape.
Put the tungsten carbide bit onto a variable drill – a standard tool available in most home shops.
Set the pilot bit of the hole saw onto the masking tape on the tile to start the hole. Complete the hole using the carbide bit to drill through the tile. When drilling the tile, set it on a sacrificial piece of wood as you drill to protect the surface below the wood.