Stop by your authorized Acura dealership to have your tow hitch installed. We recommend leaving installations like this to the pros, as equipping your Acura MDX with a tow hitch involves laying underneath the vehicle and moving around heavy metal parts by hand if you don't have a proper four-post car lift and the right tools. That said, the installation process begins with removing the spare tire. We then carefully maneuver the tow hitch into place with a mechanical lift, position it in line with holes on the vehicle frame, and secure the bolts through those lined-up holes to a manufacturer-designated torque spec.