If you have full-length Prorunner Coilovers, then these UCAs should fit without issues. If you're using stock-replacement coilovers in conjunction with the kit's strut spacer, then you will likely have issues, due to the spacer pushing the coilover's upper mount down far enough to interferes with the travel of the arms. As for alignment, these UCAs do not offer any additional camber or caster adjustment to help with your truck's alignments.