An integrated support structure apparatus is provided for attaching either a fifth wheel trailer hitch or a gooseneck trailer hitch to a truck bed. The integrated support structure comprises an H-shaped body that is attached to at least one truck frame rail below the truck bed. A gooseneck ball receiver is attached to a central portion of the body and aligned with a gooseneck opening in the truck bed. A plurality of receptacles are attached to the body in an array and are aligned with a corresponding plurality of pedestal access openings in the truck bed.