Not too bad, other than the packaging. Existing rust on your vehicle will make the install more difficult.

Go ahead and spray some Liquid Wrench in the mounting holes on your vehicle now. Then spray some more the day before you try to install this hitch, and clean the threads out with a small wire brush as well. I installed this on our 2008 MDX in about 90 minutes, but it would have been half that if the mounting holes had been clean. I honestly thought the bolts were the wrong size for a while because I could not get them started in any of the 8 holes, due to the rust. Finally after spraying a ton of Liquid Wrench and cleaning with a brush, I was able to get them started. I applied some copper anti-size, and still had to really torque on some of them to run them all the way down. Other than that, the install wasn't too bad. I lowered the spare tire, removed the 4 rubber exhaust hanger mounts so it could be lowered and moved side to side a bit, then remove the exhaust heat shield from one side. This left me just enough room to get the hitch in place. It fit pretty snug and the holes lined up. It didn't have to be forced into place or anything. One bolt on each side will most likely require a socket extension to access; the other 3 were pretty easy to get to. The finish hitch looked pretty good. We'll see how it holds up. The rust on my MDX obviously isn't the fault of the hitch manufacturer, but I deducted one star because the packaging was pretty bad. It was just thrown in a cardboard box with almost no padding. One of the mounting plates was actually sticking out of the box when it arrive. But there was no visible damage, so I wasn't too concerned.

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