Agree with mrgold35. Drain and refill only; flushing is not good for Honda/Acura ATs. Also agree with using Acura/Honda AT fluid. It's synthetic and from my experience works best. Best to do a drain and refill every 30K miles. By the time you do 3 of them, 99% of the fluid has been changed. If you really want to be extra cautious or drive under severe conditions, do a 3X drain and refill after driving some between drain/refills. Ouch, on not doing anything for 150K miles. Needs to be done more often than that in Acuras.