I have the Ford TPMS system (without the camera—more on that in a bit) on a 2019 F-250 that I took delivery on last November.
First, your truck needs to have Ford’s Ultimate Trailer Tow Camera System. If it doesn’t and all you need is TPMS, consider just getting an aftermarket TPMS system because it will be expensive to add.
The install of the TPMS system is pretty straightforward...replace the tire valves with the TPMS stems (I had the Airstream dealer do this since they had the wheels off for a lift kit anyway, but it’s a straightforward job), pop out the 7-way plug on the back of the truck and replace it with a new plug that has both 7 and 12 way connectors, attach the TPMS sensor box to the Airstream (I drilled and bolted onto the back of the battery box) and route the cable. Other than stems the install took me maybe 45m.
The stems are bluetooth. I do not know about aftermarket systems but they “wake up” by driving on them for a minute or so. This is slightly inconvenient because I’d love to top off tires at the campsite before taking off, but the system’s main advantage—using the dash and not needing another monitor/display in the cab—far outweighs any drawbacks in the stem activation routine (which may in fact be required for other systems too, not sure). The dash display is great and based on tests with a gauge, the system is accurate.
I originally bought the camera as well but ended up selling it for two reasons—first, my Airstream already has a camera, and second, the Airstream camera works all the time like a rear view mirror (i.e. not just when backing up). The Ford camera is wired, which wasn’t an issue for me (and in fact would perform better) but as cool as the trailer backup camera system is, I decided I didn’t need that as well as the Airstream camera.
You can purchase at a Ford dealership or through a webstore place called
Nichols Manufacturing (they are great, by the way, and very helpful). Consider getting a TPMS stem for your spare as well in case you need it (the system supports up to 6 or 8 tires, I think).