It's a pain in the rear of the engine all right! I changed it at 50K last year, it's like 3 times as hard as compared to Lexus's. Good luck.
2003 sage brush pearl MDX touring, OEM DVD, "Bak Industries" lighted & color-match running board, full wood trims, color matched rear wind deflector, billet grilles. Custom pedals, PIAA plasma blue low beam, PIAA xtreme white plus high beam and PIAA interior lights, kenwood Excelon KFC-XR601 front speakers, Excelon X168 rear speakers, Polk GNX104 subwoofer.