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Do you take a motor out to change head gasket?

It depends on the engine and vehicle.

In some engines, the cylinder heads are located at the top of the engine, and are easily accessible once the upper manifold is removed. As a result, it is not necessary to remove the engine from the vehicle to change a head gasket.

In other engines, the cylinder heads are located at the side or bottom of the engine, and are not easily accessible. As a result, it is necessary to remove the engine from the vehicle to change a head gasket.