It is becoming more common with fifth wheels. I actually cannot hitch up at all with the TG down, so I would be forced to do the half-hitch shuffle, if I didn't have a fiver tailgate.
Very common topic here, so I will just point you to this recent one.
Fifth Wheel Tailgate
2006 F250 Diesel
2011 Keystone Cougar 278RKSWE Fiver