I've used quite a few products in the past to design databases, from large tools like ERWin to smaller tools like those inside SQL Server itself.
I'll be honest - I don't like the Database Diagram tool in SQL Server Management Studio. For one thing, it doesn't conform to any standards, and it is "active", which means that if you make a change you're in danger of saving the changes directly to the database.
What tools are you using for design?
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