I just recently installed the b&w under bed gooseneck hitch in my 22 ram. I am somewhat handy and had no issues it took a few hours. I need the gooseneck and the 5th wheel hitch both. Had the same in my previous truck so already had the b&w 5th hitch didn't want to have to buy a new base for the hitch to fit pucks and pay for the puck system both. Cheaper for me to just install the B&W underbed. Also putting the wiring connector in the bed was very easy. A variety of manufacturers make a harness that is plug and play. Just need to drill the hole in the side of the bed. Took me about 30 minutes to install that.