I've personally never really tried to "smoke the tires" on a 7000 pound truck, really didnt' see the point, maybe I'm getting old,, I dunno,,,
I did have the engine in my '89 rebuilt about 2 years ago, completely, cleaned up the crank, new pistons, bored over alittle, completely rebuilt heads including new valve springs and they did the roller cam mods to it.
Don't need roller rockers, but there is some sort of kit that installs on the block for the different lifters, stock grind cam and I immediately noticed a difference in the feel of the engine at idle mainly. A lot smoother, still has that Chevy shake at times, but I believe thats due to high mileage electronics, wiring & distributor.
I didn't opt for anything high performance, I was maily looking for reliability & long lasting. They did an awseome job, engine ran great, when it did (electrical gremlins now) and I'm glad I went with the rollercam setup.
If you're not looking for high performance and just want the motor rebuilt to freshen it up, I would highly suggest at least having the roller cam & lifter stuff installed.
Here in Phoenix, I paid like $1200 for the complete rebuild, including the added on roller setup, dropped off all the parts, they did the work and reassembled 90% of the motor. They leave the oil pan and intake off for customer inspection and they said usually most people recheck the torques on the mains and rod caps anyways.
Now I just need to buy a new distributor and wiring harness so I can get it back here to me..