I had to put in a new radiator because it was leaking, but that's expected at 176,000 miles. The keys wore out and the overhead light in the cabin isn't bright enough.
I love this truck, it is very reliable and I've added a few things to make it look very nice. Tinted windows, roll cage and a lift kit make it look very nice. It isn't a super fast truck, but its nice for a 4 cylinder. My only complaints are that the key wore out and that the overhead light isn't exactly bright. Amazingly the clutch is almost good as new after all these miles and the engine runs well after all these miles. I expect to still be able to put at least another 50,000 miles on it without any major repairs.
I have the same truck. And I have had no major problems with it. Like you said, the only problem I have with it is the light in the inside not being bright enough. I have a 4 inch suspension lift and a 4 inch body on my truck now. But I only have 33 inch tires on it, so I am looking to put on 36 super swampers.