I'm probably the only, or perhaps one of a handful of guys on this thread with a manual gearbox 200. Mine is a LHD TTD 4.5 sourced from Toyota Gibraltar for use in Angola southern Africa. I had the option of the 4.0 V6 with an autobox, or a 4.5 TTD with an auto or manual gearbox. I chose the manual because I work primarily in remote regions. My previous 24v 4.2 TD 80 series with a manual once let me down deep in the bush of Zambia. The alternator was starting to go, and wasn't charging the battery sufficiently at the slow speeds I was traveling. I had to have a donkey pull start to get her going in the sand. Had it been an autobox, I would've been stuffed. I've never known anyone to have problems with the Toyota autoboxes, but alternators, batteries and starter motors are a different thing. I suppose in N. America, if any of those goes bad, you can call your buddy, AAA or make a plan to get towed and get a replacement part or battery to sort you out. Out in remote Africa, the insurance of being able to push/pull start your vehicle is important. So, IMO, the manual gearbox has its place. I don't think that place is in N. America.
All that being said, I'm now looking at getting a 79 series double cab with the 4.5 V8 TD. If I had that cruiser first, and my 200 second, I'd have purchased the 200 with an autobox. My manual 200 didn't even come with cruise control...