I'm a small car kind of guy myself and generally consider trucks in the city to be silly. my last roommate had an f150 though and there are a couple of advantages. some of the roads in my area are simply awful, so jarring to drive on in my car that I have to go 10mph under the speed limit sometimes. there are also poorly designed intersections where you can easily hop the curb if you're not careful. driving a big truck means you don't have to care about this stuff. you don't feel the bumps at speed and you can just drive right over the curb with no problem. people don't cut you off or pull other aggressive moves on you nearly as often. my roommate has driven away (after exchanging info!) from two accidents where the other car was totaled.

I don't want one myself, but I can understand the appeal.