How do you get to your spare tire with the camper on?

With a 28" SuperTruss, I was still able to reach the spare using the crank and extension that came with my Ford without any modifications. My Ram carries the spare on top of a 42" SuperTruss and is secured by four bolts. I found once the tire is dropped to the ground, it is easier to pull the truck forward rather than trying to reach underneath and drag the tire out. I also carry a heavier bottle jack that has no trouble lifting the truck with the the camper loaded.