Thanks for the good picture. I agree that it it tight there, but the cam bolt is the hardest I believe, and I was able to R&R it okay. The special tool kit gives you the proper socket and wrench to rach the cam bolt, seeing it is the hard part.
If you have the tools and ability to remove either the engine or trans, I'd call it a toss up. It's about the same amount of labor either way. Concentrate on existing symptoms, if something is amiss now, then begine the repairs now. Don't put it off, a whole engine rebuild or replace is a much more expensive job. Good luck,