Does this mean that most of the proofs in Lean and LeanQ would look exactly the same, it's just that the proofs of some technical low-level lemmas around quotient types (which I guess mathematicians are not really interested in anyway) look different?

For example, if I want to prove that a+b=b+a, I wouldn't care if I'm directly in peano arithmetic or just have a construction of the peano axioms in ZFC, as in both cases the proofs would be identical (some axioms in PA would be lemmas in ZFC).

If that's the case with quotients, I wonder why it's such a big deal for some.