Is your truck currently stock, or do you already have a few performance upgrades? If you are stock, then I would look into a programmer first. From there, a set of 4.10/4.56 gears and/or a new tq converter, and you will have a tq monster.
For the tuner, I would go with the Superchips Flashpaq if you are looking to keep things simple, or a custom tune from Hemifever if you are looking to pull every last HP out of the motor.
As for gears, this will depend on your current gear ratio, current tire size, and how you use the truck. Give us some more info about your truck, and we can help figure these out.
On the converter, this will be custom built for your truck based on your needs and current mods. Raising the stall speed is going to give you an instant kick in low end tq, and the increased efficiency will show an increase in power all across the rpm band. These 3 mods will completely transform your truck.