Does this require drilling or modification to install?

These are a direct fit for manual lock trucks — no drilling needed. They mount using factory attachment points on your door handles.

Will this work if I don't have a bed camera?

Yes. The camera hole is pre-cut, but it won't affect function if your truck doesn't have a camera. The covers install normally.

Do these come primed or ready to paint?

They ship as raw ABS. If you want color-matched covers, light surface prep with fine grit sandpaper and your choice of trim-appropriate paint will bond properly.