Yes, I replaced it and I would rate it as a pretty easy repair for anyone with reasonable mechanical skills. I was replacing the oil pan gasket which required dropping the front differential and unbolting the rack from the frame so I was already in there. There is good access and room under the front with the truck on stands and the forward plastic shield/skid plate off. The procedure is pretty straightforward: disconnect the outer tie rods (which may be a little frozen or rusty), disconnect your fluid lines, disconnect lower steering shaft and unbolt from the frame. To make sure you install with a centered steering wheel, count the number of rotations from full stop to full stop, divide in half and turn that many rotations to get the rack in a straight forward position. Lock your steering wheel with the seat belt looped through to ensure it doesn't move during the repair.
I bought new pressure and return lines which is recommended to avoid contaminating the new rack. It's recommended that you get an alignment afterwards but you can mark your inner tie rod nut and get the new rack on pretty close to the same position, assuming it was aligned when you started. Fill up the fluid, bleed the system, and your set.