Meh.
My '91 passed that milestone 6 years ago. Driving back from Alaska after getting laid off when my employer went under. This was about 3 miles from home, at 2AM. I stopped in the middle of the highway and snapped some pics...
199K.
Turning over...
200K.
Now the truck has a 2LT-E and some slightly oxidized paint on the roof, but other than that it looks as good as when I bought it (at least when it gets its twice yearly wash and wax).
I'm glad everyday that I don't have a back seat, the standard cab is all I need 99% of the time, and it's silly to haul around the extra steel for that 1% of the time I might want to pack stuff back there.
Dan