IT Pros don’t usually use Visual Studio. Why is Visual Studio the only tool?
For creating the actual VM role image, IT Professionals don’t use Visual Studio. IT Professionals can use Hyper-V or the Automated Installation Kit to build and upload their Windows Server 08 R2 applications to the Windows Azure VM role. For packaging their application so that it runs in Windows Azure in the VM role, the Windows Azure SDK also includes command line tools.