All of the different features used in both the standard “Web Development” profile and the “Web Development (code optimized)” profile are exposed via Visual Studio’s Tools->Options configuration dialog.  This means that you can start with any of the VS profiles (including the General, VB and C# profiles) and turn on or off individual features to customize the IDE layout and editing experience however you want it to be.

For example: below you can see the Tools->Options dialog checkbox to enable or disable the HTML designer (which will configure whether the Design/Split/Source tabs are shown at the bottom of each page):

This gives you the flexibility to customize your development experience however you want and create a personalized tooling experience optimized for you and your preferred way of doing development.

The two web development profiles that ship in the box provide two good preconfigured starting points that we think offer a nice set of defaults for a large set of the web developers out there.  You can easily choose to start with whichever one feels best to you, and optionally configure them further however you want.