I have successfully heeled the boat in the slip using a bridle on the main halyard and a line to a piling two slips away, run a line up to a snatch block on the bridle and down to a snatch block on the rail , then back to a primary winch. With the boat heeled 15 degrees or so, the thru hull was exposed and held inplace with a slotted piece of copper pipe that fit the inside diameter of the thru hull.
then using a wrench to hold the backing nut and a wrench on the lower part of the OEM gate valve, I was able to remove the valve, clean the threads and install a bronze ball valve with sealant on the thru hull threads. Make sure you match up the thread type (NPS does not work with NPT).