After reading the (current) 21 posts, I have to agree this is the best truck ever. I bought it new in 1990 and have never done anything other than periodic service checks (every now and then). By comparison, my 2004 Chevy Avalanche has been in for repairs at least 4 times in the past year (window motor, fuse box, tailgate lock!, front end axle wear); my Toyota has never had a problem with these or any other item (that I didn't directly cause myself, that is).
Interior design and comfort for 6'3" me.
More galvanization in the body panels (still not bad for a 19 year old truck).