I bought this truck with 135,000 miles on it and it now has over 220,000. It is still going strong and is completely reliable. Mine has the 5- speed manual. Besides normal maintenance items (brakes, clutch, tires, etc.) I have had to replace both cylinder heads (they cracked - a very common known defect in this particular Ford engine) and the A/C condenser ($450). Besides that, no other repairs. I have off-roaded it many times and it has always done well. It doesn't have much pickup off the line at all. Mileage is crappy, at 14 city/20 hwy. With the new heads, it does not use a drop of oil, which is unusual at this mileage, so the bottom end of the engine is bulletproof.
Good interior fit and finish. Still looks great after 18 years and no busted parts, like on a GM or Asian car.
Improve the horrible cylinder head design. Brakes stink.