If you are wondering what all the fuss is about refactoring tools then check out these short videos from Carl Franklin of DotNetRocks and Mark Miller from DevExpress (the company who created the free add-in for vb.net 2005)
http://weblogs.asp.net/cfranklin/archive/2005/04/21/403765.aspx
This looks a lot better than the standard c# refactoring in vs 2005 to me. Most impressive is the avoidance of any modal dialogs in the ui - meaning you can keep you hands on the keyboard, and keep coding without "dialog interference" (my phrase)
I recommend you check it out.
Ian