Cusser
+1y
If you haven't yet replaced the thermostat and cap, I'd do that first. After that, would look like a radiator (as long as you haven't overheated yours yet a blew out a head gasket).
Many of us have installed replacement radiators as these trucks age and deposits lessen their capacity to shed heat. Quite a few of us have installed 2-row radiators as well, even on our manual shift trucks.
That's what I have, and I don't overheat in Arizona summers, Cab Plus, AC on full time, going up mountains.