Probably cheapest to get a tailgate off Kijiji and get it painted.
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That was my first thought. Price is about $1-1.3k going that route. Thought I'd check into repair options.
Based on the look of that truck I'd say the hole adds character.
Edit. Any bodyshop should be able to weld in a new spot and repaint.
Definitely better getting a replacement and getting it painted.
I picked up a new (used) tailgate for $350. Am going to get it painted (blue) (approx $250) and then wrapped (green).
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He should probably get rid of that bumper and those lights before he even thinks of getting a new tailgate.