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Just get the right transmission from the same model / year MDX and call it a day. There are a host of differences between the Pilot and MDX, and it doesn't look like anyone's ever done a documented transmission swap from one to the other. Swapping a tranny is hard enough if you're replacing it with exactly the same one - add in the potential for little complications from trying to swap in a tranny from another vehicle, and it could turn into a real nightmare.
 
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