Used to be a visual studio + visual assist person, but a stint working remotely on linux cell processor based machines has caused me to rethink my IDE. I now use Visual Slick Edit since it’s the grand daddy of all things visual assist (autocompetion / refactoring etc) and editing wise (vim / visual studio / emacs emulation), is very extensible and the clincher for me, supports remote editing via ssh. I don’t use visual debuggers any more though, which I sort of miss.