Looking at the OPs pic there, looks like a Reg cab. I am on team OldTime here. On my 08 Ext, I lifted the bed. I have a small electric winch wired up in the rafters of my garage that I used. I had to cut 2 of the bed mounting bolts due to broken loose nuts.
The locking ring was a pain in the butt, due to corrosion. The proper tools would have made it better. I ended up cutting that off too. Just get a new one while you are at it, most likely not worth saving. Also had a heck of a fight with the fuel line connectors, even with the proper tools for that.
I took Cart's advice and purchased an OEM pump. Aftermarket pumps have been hit or miss in my experience.
Being able to fully test the system while you still have access is a great advantage.
I dont dislike the idea of making the access door. If you go that route, have the new pump in hand so you know exactly what you have to get through the hole, and size the hole accordingly. If the truck is a southern vehicle than maybe, but with the rust wrestling that I had to do, the access hole would not have been sufficient.