Like what LuSea said - often outboard transom coring does not even go full width and height on the inside - you can basically see where the core starts, cut right around, tear the skin off, and expose what's in there. Rip the bad stuff off, prep, get your new core in there, laminate and tab it back onto the hull. Yes you will need to cut some deck back to get to it completely, but it's not that complicated. And on the inside the cosmetics are partly buried and a lot less work to get to an acceptable level.
Generally, talking just a transom without complicating factors, isn't really that big of a job. It's easier than say replacing a deck.