Disappointed when towing
My EX has the same 2 valve motor and 4R100 trans that your '03 has and the Ex might be little bit heavier. I'm sure it outweighs yours with 5 adult sized teens and all of their gear along with my wife and I aboard, that is the passenger load on some of our towing trips.
Our Ex started with factory 3.73 and then we started pulling a 9.5k 31' toyhauler, it wasn't much fun on any kind of grade, a lot of downshifting, revving and crappy MPGs. On a couple of trips from Philly to/from NC, SC and GA we were seeing from 6.5 to 7.5 MPG and I wasn't happy with how gutless it felt pulling any sort of hill. During this time period I was running a set of 275/65R18Es that were 32" tall, almost the same as the EX's factory 31.5 tires.
I then found a set of axle housings already setup with 4.88s for a decent price, so they got swapped in. WOW! Totally different truck with these gears. Pulled the same trailer on a trip to/from VA, WV, TN and KY, plenty of decent mountain pulls in the Blue Ridge and Smokey Mountains, nothing quite as big as the Rockies but big hills for we East coasters! It just ate the hills up, much much less downshifting and all around better performance while towing. And it felt kind of like a hotrod running solo.

Before we made a repeat trip over the same route as we had done with the stock setup I also installed a set of Banks headers. With the Banks headers and the 4.88 gears we made the same trip to GA as before, same route, same trailer, same weight and same speed (60-63ish MPH) and we got 9.0 MPG! The trans didn't drop out of OD the entire highway portion of that trip, fairly flat drive along I-95 but in the past the rolling hills in MD and VA would have it dropping down frequently. This was the combo on that trip.

Since then I have added an SCT tuner from 5 Star Tuning and have played around a little to find what works best for my style of driving/towing, I'm not racing anyone and am willing to give up a little speed on a hill to hold OD and keep the MPGs up. I have found that the 87 Octane Performance tune is a pretty good match with how I tow. My EX now has 35" tires so my effective ratio is now 4.39. And we have traded up to a new 11k 41' Travel Trailer. On a trip in April from Philly to Blacksburg VA to Bedford PA then back home again (870 towing miles) with a lot of miles on I-81 up and down the Blue Ridge Mountains we again saw 9.0 MPG. (All mileage was based off of my GPS that matched up with Google's route miles due to my odometer being off with the taller tires). It still holds OD very well and only drops down when really needed and has plenty of usable power in the 2000-2200 RPM range that it lives in at 60-65 MPH. The tuner makes a huge improvement in the trans operation and I feel that it adds a nice seat of the pants engine power bump. I am super happy with the gear, tire, header, tuner combination that we now have, I think my V-10 is doing everything I could ask of it.

This is the new combo.
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The SPD y-pipe is pretty annoying with the stock manifolds due to the exhaust flutter. My dad has it on his 03'. The best bet is to go with a set of headers which come with a new y-pipe, I went hat route on mine. No flutter and more power from the headers/y-pipe, just some extra header noise from the thinner tubes.
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In the end, it struggled too much towing a 8k TT, and when I moved up to a 11k TT with a much larger frontal area, the truck proved to be inadequate. It didn't matter if it was screaming, lugging or whatever (which it seemed was either one or the other, it was never happy), I was tired of 25 MPH climbs up 4% grades and 2-3mpg jaunts to the rv parks.... I happily sold it for $8k and used that money to buy a one owner '95 F250 7.3 PSD 4x4 for $4k, made some transmission updates and other upgrades all myself with $2k and have a much more capable tow rig that returns 12+ mpg while towing and 18+ mpg unloaded. Included in that $2K upgrade price was a suncoast rebuild with triple disk converter, a tuner with six custom tunes, 4" exhaust that I fabricated for under $100 and a full air suspension, in addition to the modifications made in my signature.
Really, the only things I miss about the v10 truck was how quiet it was, the inability of the engine to produce enough power to damage the transmission and the comfort of the Super Duty Crew Cab body. Other than that, the new truck has been a blessing in disguise. It's had a couple of hiccups, don't get me wrong, but nothing to the tune of the $3k supercharger, $1500 exhaust and $800 worth of gearing upgrades that didn't do a whole lot for an engine that can't breathe. I can assure you, the V10 would have been a much better engine had they put some actual thought into the cylinder head design. The exhaust ports are way too small to be efficient and the intake ports look like they were sized for the old Bronco II 2.9.
FYI; I'm seriously not bashing the V10. I owned it from 2001 to 2012 and put 186k miles on it. In the end, I just became sick with the operating costs. When I bought it, gas was $1.08/gal., I could put up with the low mpg then and with the lighter camper in a flat area such as southern AZ, it was ok. Later, when a move to the east coast came and a new RV was purchased, it just seemed to be too much overall. I mean, just to go the 180 miles to VA Beach costs $250 in fuel, it became a problem. So yes, I think that efficiency should be your first concern when considering a work/tow vehicle. Also, cost effectiveness as a close second. I used both of these as basis for my purchase of an 19 year old diesel.
My EX has the same 2 valve motor and 4R100 trans that your '03 has and the Ex might be little bit heavier. I'm sure it outweighs yours with 5 adult sized teens and all of their gear along with my wife and I aboard, that is the passenger load on some of our towing trips.
Our Ex started with factory 3.73 and then we started pulling a 9.5k 31' toyhauler, it wasn't much fun on any kind of grade, a lot of downshifting, revving and crappy MPGs. On a couple of trips from Philly to/from NC, SC and GA we were seeing from 6.5 to 7.5 MPG and I wasn't happy with how gutless it felt pulling any sort of hill. During this time period I was running a set of 275/65R18Es that were 32" tall, almost the same as the EX's factory 31.5 tires.
I then found a set of axle housings already setup with 4.88s for a decent price, so they got swapped in. WOW! Totally different truck with these gears. Pulled the same trailer on a trip to/from VA, WV, TN and KY, plenty of decent mountain pulls in the Blue Ridge and Smokey Mountains, nothing quite as big as the Rockies but big hills for we East coasters! It just ate the hills up, much much less downshifting and all around better performance while towing. And it felt kind of like a hotrod running solo.

Before we made a repeat trip over the same route as we had done with the stock setup I also installed a set of Banks headers. With the Banks headers and the 4.88 gears we made the same trip to GA as before, same route, same trailer, same weight and same speed (60-63ish MPH) and we got 9.0 MPG! The trans didn't drop out of OD the entire highway portion of that trip, fairly flat drive along I-95 but in the past the rolling hills in MD and VA would have it dropping down frequently. This was the combo on that trip.

Since then I have added an SCT tuner from 5 Star Tuning and have played around a little to find what works best for my style of driving/towing, I'm not racing anyone and am willing to give up a little speed on a hill to hold OD and keep the MPGs up. I have found that the 87 Octane Performance tune is a pretty good match with how I tow. My EX now has 35" tires so my effective ratio is now 4.39. And we have traded up to a new 11k 41' Travel Trailer. On a trip in April from Philly to Blacksburg VA to Bedford PA then back home again (870 towing miles) with a lot of miles on I-81 up and down the Blue Ridge Mountains we again saw 9.0 MPG. (All mileage was based off of my GPS that matched up with Google's route miles due to my odometer being off with the taller tires). It still holds OD very well and only drops down when really needed and has plenty of usable power in the 2000-2200 RPM range that it lives in at 60-65 MPH. The tuner makes a huge improvement in the trans operation and I feel that it adds a nice seat of the pants engine power bump. I am super happy with the gear, tire, header, tuner combination that we now have, I think my V-10 is doing everything I could ask of it.

This is the new combo.

WOW, that is a huge trailer... you would have a hard time fitting just the trailer into some state parks here in OR.
Denny
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In the end, it struggled too much towing a 8k TT, and when I moved up to a 11k TT with a much larger frontal area, the truck proved to be inadequate. It didn't matter if it was screaming, lugging or whatever (which it seemed was either one or the other, it was never happy), I was tired of 25 MPH climbs up 4% grades and 2-3mpg jaunts to the rv parks.... I happily sold it for $8k and used that money to buy a one owner '95 F250 7.3 PSD 4x4 for $4k, made some transmission updates and other upgrades all myself with $2k and have a much more capable tow rig that returns 12+ mpg while towing and 18+ mpg unloaded. Included in that $2K upgrade price was a suncoast rebuild with triple disk converter, a tuner with six custom tunes, 4" exhaust that I fabricated for under $100 and a full air suspension, in addition to the modifications made in my signature.
Really, the only things I miss about the v10 truck was how quiet it was, the inability of the engine to produce enough power to damage the transmission and the comfort of the Super Duty Crew Cab body. Other than that, the new truck has been a blessing in disguise. It's had a couple of hiccups, don't get me wrong, but nothing to the tune of the $3k supercharger, $1500 exhaust and $800 worth of gearing upgrades that didn't do a whole lot for an engine that can't breathe. I can assure you, the V10 would have been a much better engine had they put some actual thought into the cylinder head design. The exhaust ports are way too small to be efficient and the intake ports look like they were sized for the old Bronco II 2.9.
FYI; I'm seriously not bashing the V10. I owned it from 2001 to 2012 and put 186k miles on it. In the end, I just became sick with the operating costs. When I bought it, gas was $1.08/gal., I could put up with the low mpg then and with the lighter camper in a flat area such as southern AZ, it was ok. Later, when a move to the east coast came and a new RV was purchased, it just seemed to be too much overall. I mean, just to go the 180 miles to VA Beach costs $250 in fuel, it became a problem. So yes, I think that efficiency should be your first concern when considering a work/tow vehicle. Also, cost effectiveness as a close second. I used both of these as basis for my purchase of an 19 year old diesel.
The quick fix is, yes, get a diesel. It might be cheaper (or just a lot easier) to do, then to massage your V10 into the towing machine it can be. With 3.73's and larger tires, you started out on the crappy-end of the stick.
Just remember, there are trade-offs when it comes to mileage, and power. Many here, at least in years past when the 7.3L was a viable option new, found that the "diesel is better" motto was not always true. Sometimes it is.
If it works out for you, more power to you
I currently have a 2010 V-10 (4.30) pulling an even larger fifth wheel, weighing about 15,000 pounds. I've pulled a great many 6% - 8% grades with no issues. But again, you're going to be spinning going up those grades, at over 4000 rpm. The engine will do that all day long. Doesn't heat up, doesn't slow down, does use gas. But you make it up going down the other side, right...
If you want an engine that will pull anything and not exceed 2500 rpm, you've absolutely got the wrong truck. But the truck you have should pull your trailer easily. Just let it run.













