Microsoft Visual Studio 2019 moved all extension menus, including the VAssistX menu of Visual Assist, to a new, top-level Extensions menu. According to Mads Kristensen, a Senior Program Manager at Microsoft, the menus were moved to “give the ecosystem more prominence and declutter the top-level menu when you have a lot of extensions installed“. That reasoning might be solid, but it does require an extra keystroke or click to reach extension commands.
In prior versions of Visual Studio, the VAssistX menu is opened via a single Alt+X. That shortcut, fortuitously, now opens the Extensions menu. In Visual Studio 2019, a subsequent X opens the VAssistX menu within the Extensions menu.
If you are a keyboard user of Visual Studio 2019, use Alt+X, X to reach any VAssistX command previously reached with Alt+X. And when you in the documentation for Visual Assist, know that you must use Alt+X, X every time you read Alt+X.
Those looking to restore old behavior in Visual Studio 2019 might find Extensions in Main menu useful. If you try the extension and want a single Alt+X to open VAssistX, use ‘Tools | Customize |Commands’ to change the accelerator key for Extensions, e.g. from &x to &i.