I guess the answer is "it depends". It depends on whether you're buying new or used.
I just sent my 51 back to Precision to have the housing replaced. My THDP wasn't lined up right - it covered the turbine hole a bit and the puck was off a bit, too. They told me that they're only machining the housings with stock-sized holes now due to variations in aftermarket elbows/DPs. So, if you get a new one it will work. If you get a used one, you may wind up with one built for a THDP or other "big puck" elbow.
HTH,
Jim