For 2009 or later Honda Pilot, it is very easy - a 5 minute job - and no tools required. The filters are around $25 from Honda (80292-SHJ-A41) but much cheaper after market.
I changed mine at 19K and it was VERY dirty. I would recommend changing every year - especially if you have Allergies.
For 2008 and older - you need to cut the plastic tab and take out screws.
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