In Solution Explorer:
1. If I right-click on a default item type folder (Constraints, Indexes, Keys, etc.) and select Add, I have to select "New item..." from a list that includes standard item types like Table and Stored Procedure even though I will NEVER add those types of items to such a folder, and the type I ALWAYS want to add is not on that list.
2. If I right-click on an item in a default type folder (Constraints, Indexes, Keys, etc.), I have to scroll all the way up to the containing folder and then select Add and then have to pick the type of item. I spend a lot of time scrolling around in Solution Explorer because there is no Add option on the context menu for the items.