Will this bolt directly into my truck without modification?

Yes—this radiator uses factory mounting points. Install is straightforward if you're comfortable draining coolant and unbolting the old unit. You'll need to disconnect the transmission cooler lines carefully to avoid spillage.

Does this include hoses and clamps?

The radiator assembly comes as shown. Hoses and clamps are not included—you may reuse your existing hoses if they're in good shape, or pick up replacements separately.

Can I use this on a manual transmission Tacoma?

No—this radiator is built specifically for automatic transmission models. The integrated transmission cooler won't function on a manual. Check your transmission type before ordering.