You can use a dremel if you have one, or a jigsaw if you have one. It's not hard, just mark your hole and cut it. If you do have a dremel you can use an attachment to smooth the rough edges. If not, use a small file, or else just be careful when installing your fans.
Then use the fan grill to mark your screw holes. Drill them using the same size (or preferably very slightly larger) drill bit as the screws. If the holes are too big, obviously the screws won't have anything to grab onto.
Bam, you're done.
I could see your temps dropping 5 degrees or so, maybe a little more. Also, you can cut away the grid covering your fanhole(s) in the rear and use a fan grill instead. The grid restricts airflow (only a little but every little bit helps)
Honestly, I didn't have a jigsaw or dremel when modding my wife's case for fanholes. Instead, I used a pair of tinsnips. Not recommended. Was a big pain in the ass, and looks like hell. Luckily my wife didn't care how it looks, she just wanted her pc to stop crashing all the time. Mission accomplished
