I think that either transmission is a good choice; however, I can only share my personal experience with the NV5600. I have currently logged 380,000 miles on the truck. The transmission is original with a rear seal replacement being the only repair through its life. One replacement clutch at 297,000 miles - replaced with stock clutch - 355:1 gears.
I don't tow all of the time, but there are times when I tow a lot. Since July, I have towed a load of pavers for seven 220 mile one-way trips across five 5,000 ft mountain passes each trip. Each load is 20,000 lbs combined weight (scaled). I use sixth gear all of the time, if sixth gear will easily hold the hill, I use it. I have made many local trips with the dump trailer, as well this summer. Shifting gears on hills (up or down) is smooth, but I do make a point of matching engine rpms to road speed during shifts.
As of yet, I have not heard or felt anything abnormal with the transmission. All synchronizers are working as they should.
As far as your question about bucking in reverse, I have never had that issue. I don't think bucking in reverse would be a transmission related issue - maybe contaminated clutch facing, or a ceramic disc, or possibly extremely worn rear suspension could cause the issue.
- John