Former Installer who worked with aluminum.
As a former installer who worked with aluminum skinned vehicles as well, I will concur with the others that have posted here about ambulances and fire trucks. (I did installs on fire trucks, ambulances, aircraft, aluminum vessels and steel ships as well as a few things now in orbit.)
Minimizing galvanic corrosion is the main point to consider. If you keep corrosion in check, the ground plane can be improved. Aluminum usually doesn't harden or age as quickly as people think. Unless an aluminum trunk lid has several 1/2 wave whips bouncing along for a decade or more of use, I doubt it is going to crack or weaken the mounting area.
Ground plane issues are minimal, and can be helped in many cases by adding a highly conductive plate. I recommend copper, but then again you must mitigate galvanic corrosion. When the military started adding the "turtle" and "helmet" tops the HMMWV's, I interjected and had the vendor add a copper mesh ground plane to the roof for antenna propagation. These were for Combat Controller and TACP rigs that would be running multiband antennas on the roof. (Before the vendor became a sole source of supply for the entire DoD HMMWV fleet.)
The only change I made on installation, going from steel to aluminum, besides using a thick NMO mount, was to use a step bit for the additional metal thickness.