I've had two different regular fifth wheel hitches and hated them both. There are some newer hitches that incorporate shocks and airbags which make the towing experience much better. However, I'm not getting any younger, and have lower back issues so I didn't want another heavy fifth wheel hitch to take in and out of my truck.
Then I found the Reese Goosebox. Problem solved. B&W turnover ball in the truck, and a Goosebox on the 5er. Pulls like a dream as compared to previous hitches. I'm very happy with this setup. Plus, I have more room in the bed of the truck when towing, and when not towing, the ball flips over and I have the whole bed....even at the campground.
For me, the pluses outweigh a couple of minuses many times over.
1. Have to add a little air to the Goosebox on occasion, but I carry a small compressor with me, so that's not a problem.
2. I cannot see the ball, so hitching up is a little more trouble, but usually my wife guides me back so I'm dead on when ready to hitch up.
Good luck with whichever choice you make.
2016 Ford F-350 Lariat CC, 4x4 SRW. B&W turnover with extender. 2015 CC Silverback 29RE, fitted with Reese Goose Box. Amateur Extra Class K5TS, 2016 nights camped 16