I have that same truck and it has just turned over 206,000 miles...starts and runs like new, shifts like new, 85mph on the freeway, and the A/C will freeze you to death. I just keep it maintained per the book, and most of it is a breeze to do..changing out tranny fluid and diff fluid and so forth.
About the only things thus far that bugged me about it was changing out the thermostat and the PCV valve.
Tune-up, belts, etc. are fairly easy to do, I think it has a timing chain instead of a belt internally. I've had no suspension problems yet and it gets used like a truck should. Everyone I've ever known that had one really liked it.
In my experience, little things here and there but nothing major yet. It's been a great truck and one of the best vehicles I've ever owned.
