I have a new F350 with the hitch prep. I should pick up the truck this week. I've have made plans for the b&W. I will use the 5th hitch as I don't have a trailer with ball. However; if I need to pull one this hitch will allow it. We go to a RV park in Colorado that has 400 parking spots. Many of the people come from Texas, Oklahoma, and etc. Thus many are in need of both. Some have the 5th wheel adapters to a ball. It seems to work, but I don't like the looks of it. Again if you don't want the B&W turn over ball hitch and go to the goose neck adapter, check with trailer manufacture.