I didn't do headers but I did swap out the y pipe. If you take a look at the factory one the crossover pipe from the drivers side of the motor is significantly squished, I am assuming for clearance. I am not worried about clearance so I went with a y pipe with high flow cats from AFE. Nice piece, but if you do go this route I would recommend ordering an extra set of exhaust manifold studs as the OEMs on the 19s strip ridiculously easy. Get the studs for an 18 from autozone or something. I haven't tuned the truck, I did however disconnect the battery so it would re-learn, and I haven't replaced the muffler yet but feels smoother and much more responsive off the line and down low. It will smoke the tires off the line into 2nd all day long. I plan to replace the muffler with a borla and then get the GM cold air setup so I can get the GM performance tune.