Trucchio was born in Ocean Hill, Brooklyn in 1951 and raised in Ozone Park, Queens. As as a child, Trucchio was hit by an automobile and sustained severe damage to the scapula and ulna in the humerus from a severe fracture in the forelimb, leaving his arm partially paralyzed. This injury led to his nickname of "One-Armed Ronnie". Trucchio is the father of reputed Gambino soldier Alphonse Trucchio. He lived in South Richmond Hill, Queens as an adult. In 1988 Trucchio, a protegee of Gambino boss John Gotti became a made man.