Oh yes, specially with a non clearanced rod big end. You'll need to trench them as well.
Now if the rod would have been one of the Pro-x clearanced rods from ESR, you could get away with just a lite clean up on the trenching, but work would still need to be done in the upper part of the cases to clear the top part of the rod.
Even a + 4 ESR crank with the clearanced rod, the top part of the cases need clearanced.
Easy way to see how much, take the crank & a right side case & slip the crank in, then put an old piston on & old cylinder just so the rod will run up & down the center, then you can see how much needs to be removed.
You might not be able to do this though with the + 5 & unclearanced rod.
Looking at those two pics, I'm guessing you cant rotate the crank ??.
Neil