The last several vehicles I have bought (Trucks & Cars) have been fully optioned. To be perfectly honest I very rarely use many of these options. On a regular basis I will use the air conditioning/heater, radio (not CD player or sat only am/fm), handsfree cellphone feature, Power door locks, Auto head light control, exhaust brake, rear suspension air dump for loading/unloading and hitching...and for the other features on the trucks and cars like power seats, mirrors, mood lights, sun roof, Seat heater/cooler I rarely use these and would not miss them.
Unfortunately the way the manufacturers build vehicles now days it is tough to eliminate some options due to the packages (trim levels). So you end up with extras that are unneeded.