I have owned this truck since 1997 and it has 140,000 miles on it. I think that this is the best truck Toyota has ever made and the improvements in recent Toyota trucks have not driven me to want to replace it. The size and mileage are great for the year and power (avg. 16 w/ 18 highway) for a 2 mpg improvement on recent models why shell out the extra 30 grand. This truck has spent its time in heavy snow, off road (really sketchy stuff) hunting, hauling wood and driving cross country multiple times. It is a great truck.
Reliability. Oil/fluid changes, timing belts, and scheduled mantainence have kept this truck running flawlessly. I overloaded it and had to replace a wheel bearing once.
The seat belt retractors and cup holders should (and have been) improved. I would get a new truck if Toyota would improve the back seats in the regular cab trucks and improve the gas mileage. The double cab long bed is a really long truck.