Abstract: The gooseneck or fifth wheel trailer hitch alignment and safety system includes a reverse camera and at least one proximity sensor to provide alignment of a hitch to a hitch ball located inside of a truck bed. The reverse camera is positioned on or around a third brake light, and is aimed at the truck bed so as to provide visualization inside of the truck bed. The proximity sensor(s) detects the presence of a respective hitch located inside of the truck bed, and emits different colored alarms that in concert with the visualization of the reverse camera provide alignment means to a respective driver of said truck.