Finally got around to doing the install on my 21 Sierra.
Install: I'm not a mechanic but am pretty damn handy. I'd say the install was a bit more difficult than I expected after watching the S&B install video. Lots of tight spaces to get things (including my huge hands) in and out of. It's difficult, but if I can do it, it's not impossible by any means. Took me about 4 hours total.
Sound: It's a bit quieter than I expected but on deceleration you know it's there.
Responsiveness: I noticed a little quicker throttle response at the low end from a start. I haven't really put it through it's paces yet but overall I'd say there is a slight performance gain.
MPG: I have only driven it about a 100 miles since install. Thus far I'm getting maybe .5-1 MPG better but I've been pretty easy on the right pedal maybe more so than in the past.
Net Net: I'd say it's a good value if for no other reason than the bottom end acceleration I have experienced so far.
Feel free to ask questions.