What trannie depends on what year the truck is and if the previous owner swapped an OEM trannie in. These trucks came with a Torqueflite 727 3-speed auto from '88-'90 and the A518 4-speed auto with OD and non-lockup converter from '91-'93. The A518 is a 4-speed version of the TF727. The 46RH found in early 2nd Gen trucks was a direct swap fro the A518 and is a common upgrade.
Personally the person who swapped in the auto was a fool. The autos are notoriously inefficient and weak without major upgrades. The 'Rag was a much better transmission.