Are lagers much more difficult to brew - that depends on what you are doing now. You certainly do need to pay good attention to what you are doing. If you are already doing that with your ales, it will be a smooth change. If you are a little lazy and sloppy, well, lagers are less forgiving. The only equipment you do need is a well regulated fermentation chamber - which is good for ales too!
Making an OK lager is not to difficult. Make a great lager requires some attention and possibly some extra steps. One does not have to be anal retentive about everything in the process though. At certain times yes, but not always. I'm a pretty laid back brewer, and have a pretty streamlined, and relaxed process. Attention to sanitation goes without saying.
I am particular about pitch temp, and never pitch above 50 F. I currently do not use 02. I use a homemade venturi and shake. I also always minimize any kind of foaming. The protein that makes foam, also provides body - in my eye, a very important feature of lagers. I use anti foam agents when I'm shaking after cooling.
Speaking of cooling, I also like to cool the whole wort at once and quickly. I recirculate until all the wort is cool enough and then drain to a carboy.
I'm actually a bit lazy when it comes to yeast. I often reuse yeast as I brew a constant stream of lagers and will simply use approx 1/3 of a yeast cake. When I start a new culture, I pitch two 500 ml starters.
I do not do decoctions, BUT I do use a multistep mash regime with a direct fired mash tun, so I believe I get some melanodins during the process.
I'm lucky that for ~3 months of the year, my basement is at 50F. After that, I have a fermentation chamber that will hold two carboys, and then often will brew a batch on a Sat, and then on Sun. This minimizes the amount of time the chamber is occupied - and maximizes beer output. In the Summer I need the chamber for my ales too. I'll do the two lagers and when they ferment out, I'll do several ales while the lagers, lager. It does take a little more advanced planning. I used to get by without a dedicated lagering fridge. The lagers would just sit in kegs at room temp. (72F max) for a couple months, and then as space opened in the kegerator, I would give them two weeks in there before tapping. I now have a lagering fridge that will hold 4 kegs, but somehow still manage to have lagers sitting at room temp......
This is what works for me. Everyone is different though. Use a process YOU are comfortable with and you will make better beer