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The engine and transmission has to be removed together as a complete assembly to access the head gasket. This is done by lowering the engine and transmission from under the vehicle. You will have to lift the van up on a hoist to accomplish this. To add to the previous reply, it is possible to change the head gasket without removing the engine & gearbox (I know because I've done it). However you do need to undo the two main engine mounts and lower the engine slightly using a trolley jack under the sump. This is to enable you to get to the inlet manifold bolts that are hidden under the fixed section of floor between the front seats. Before I started the job I got the car up off the ground (rear wheels on ramps, front end on axle stands), which made it easier and a better height for working.

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Q: How do you remove Toyota Previa head gasket?
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