The 3.3L pistons (as all aftermarket pistons do) require modification to the connecting rods. Nothing else is needed. The most crucial part of the puzzle is the sleeving of the block. The factory liners are pressed out, and new liners are pressed in. The installation and tolerances are crucial for durability. The crank is unmodified (however, we do micropolish the journals and balance the rotating mass in our stage 3 package). Let me know if you have any questions.
By the way, here's a picture of our engine dolley we use for engine removal (it needs a type-R decal)
Cheers,
-- Chris