When you click on links to various merchants on this site and make a purchase, this can result in this site earning a commission. Affiliate programs and affiliations include, but are not limited to, the eBay Partner Network.
The manifolds themselves are a near direct bolt on. They bind a little bit with the stock intake, so some grinding may be required. If you have a good hand-held or bench grinder, it'll take about 5 - 10 minutes is all. Mock them up on the engine before you install them and you'll see where they bind.
The EFI manifolds have 3 extra bolt holes on them for ease of installation (you won't be able to use them since you won't have the 3 extra bolt holes in your head). One of them had to be ground off on mine since it was binding with the intake.
Also, some extra material on one of the runners had to be ground off because it was binding with the intake.
(You can also see one of the extra bolt holes on the manifolds in that picture).
Secondly, ALL of the emissions components tie in with the stock exhaust manifold. If your truck has an EGR valve, AIR pump, etc., you'll have to remove all of it because it won't work anymore unless you want to get really creative.
Lastly, you'll need to keep in mind that the stock exhaust manifold has a provision to provide heat to the intake. This heat helps with fuel atomization and eliminates bogs and lean spots. The EFI manifolds have no such provision.
A common way to fix this is to apply coolant heat to the bottom of the intake. A lot use a plate like this that bolts in place of the exhaust manifold.
You can make your own, or get them here: Home Page
You CAN run without it, but you may notice some performance loss under certain conditions, especially when its cold outside.