I had to replace mine when the truck only had 31,000 miles. I got the P0216, dead pedal, and some surging. This all happened on one trip coming back from Oregon. The truck made it home towing the 5ver with no problems. This truck has always had stanadyne fuel additive in every tank and I had an AIRDOG on it before it failed and it never saw less than 13 psi. of fuel pressure. The truck still ran fine except for the dead pedal a couple times and the CEL light on. I didn't mess around waiting for it to die so I changed out the VP44 with an exchange unit from Diamond Diesel in West Sac. I asked them first to rebuild my pump and they said there we too many updates to be done on my pump and it would of cost me $1400 to rebuild mine. I bought one of their exchanges off the shelf for $1093. I asked how the current pumps were doing and they said the current pumps with updated: electronics, diaphram, main pump shaft & bearing, and the steel advance piston sleeve, were doing good with very few failures. I asked them to let me know what caused the failure in mine and a couple weeks later, after their main rebuild facility in Hayward tore the pump down, they found that the brass advance piston sleeve that was used in that vintage pump, was badly worn and causing my problems. Regards, Mike.