My wife is only about 4'11' and she bought a new 05 CTD shortie 4x4 without the adjustable pedals and an auto. She didn't have too much problem. Well after we drove the truck home I found that it actually has the adjustable peddals so it did help her out even more. It was her truck and she paid cash for about 70% of the truck cost. I think the adjustable peddals come with the premium stereo and I think the window sticker was $42,9. We bought it when they were doing the employee pricing and paid some where in the 34K area. Well I think she finally became tired of crawling in and out of it and bought herself a Grand cherokee Overland. She had no trouble getting up in it or back out because she is very athletic and very strong. I really think she became tired of getting stuff from the middle of the truck when she was standing on the ground. Long story made short. It is now MY TRUCK with only a $200 a month payment and she is very happy with her Overland. The adjustable peddals can be added for about $300. I think they did make a big difference on the long trips and would make a huge difference with a six speed.