Ive owned this for 10 years and have ran up 56000 miles. I use it mostly for towing and it works incredibly well for that purpose. The only problems I have every had with this truck were self inflicted. With a lift and bid tires one of the hubs went out at 45k mi. Washing out the engine compartment lead to a shorting COP (coil on plug). Its been a great truck.
Plenty of power and comfortable. Super reliable. What a workhorse!
Gas mileage is bad, but thats what you get with a V-10.