I don't think anyone will argue that the quality of Bilstein parts far surpass Monroe, KYB, Gabriel, or any of the other run of the mill manufacturers. I have heard some complaints about their truck shocks and struts being a little on the stiff side for some people's liking but that's obviously subjective. That being said, my truck is a pavement queen and is lucky to see 5K miles a year. That makes it difficult to justify paying twice as much or more for "premium" shocks. I would liken it to buying Michelins instead of Firestones. If you have the budget to do it and intend to keep the vehicle long enough to get the use out of your expense, I say go for it. If not, there are other brands out there that are more than acceptable.