Other than general maintenance this truck has been pretty reliable. Many of the things that I have had to replace were simply due to the fact that it is almost a 20 year old truck.
I replaced the front brake pads shortly after purchasing it. With only 50K miles they may have been original.
Rear wheel cylinder leak and needed replaced at 55K. Also replaced rear break lines due to rust. Window weather stripping at same time due to dry rot.
Driver side door handle broke at 57K. Less than $10 to fix. Around the same time the head light switch went. Around $15 Part.
This truck has the typical drive shaft ping or clunk. A little grease on the yoke where the the drive shaft goes into the transmission every 10-12K miles fixes it. At worst it is just annoying.
For being as old as it is it does not leak any fluids.
Strangely the only area of rust on the whole truck is in the driver side cab corner.
This truck is fairly easy to work on. Even though it is fuel injected the system is fairly simple and everything is easily accessible.
This truck has done everything I have asked of it and more. The 350 with the throttle body fuel injection is no hot rod motor, but the truck still has plenty of power. On several occasions I have pulled a small car on a trailer totaling around 5000 lbs. The truck handled it easily. I have also had close to 3000 lbs in the bed and the truck did not do bad.
Truck starts easy even in the winter after setting for a few weeks.
I average 15-18 mpg depending on the driving conditions. For a 4000 pound vehicle that is not bad. Having 3.42:1 gears helps.
Comfort wise I have always preferred a bench seat. I like the truck for long rides because of the big seat and the leg room.
There are few things I do not like about the truck.
The paint is poor quality and the interior seams cheap in the dash area.
Due to having a 34 gallon gas tank on the driver side the truck sags slightly that way due to the weight over the years. This is mainly when the tank is full.
Truck did not come with air conditioning.
I have been very happy and will likely keep this truck for many years due to its low mileage and the fact that it would cost nearly $30k to replace it. With a little maintenance these trucks will run for a long time.