Luke Sampson’s put up a nice little site that’s all about custom color styles for Visual Studio (looks like most schemes support VS2005/2008 AND 2010!)
For example, the high rated scheme right now is WekeRoad:
Pick one and you can download the scheme right there. Very easy to get a custom scheme (or a good base for your own scheme) going quickly.
I tend to prefer something with a few less colors (I’m not keen on the circus look, no matter how muted), but some of these schemes look quite nice.
Finally, check out my post about programming fonts here for a good font comparison.