What I can say while we are on the subject, is that I have seen C code (most often C code that started its life in the 1990s, to be fair) that instead of showing an abstract struct in the public interface, showed a different struct definition.

Please don't do this. Yes, when compiling nowadays, eventually every compilation unit ends up as object files passed to a linker that doesn't know about types, but this is undefined behavior. It makes it difficult to find undefined behavior in the rest of the code because there is a big undefined behavior right in the middle of it.