There's a nasty little checkbox selected by default in SQL Server Management Studio 2008 that prevents table changes from being committed. It's not permissions, it is an installation and user specific checkbox hidden under tools > options > designers. Uncheck "Prevent saving changes that require table re-creation".
Source and more info: http://pragmaticworks.com/community/blogs/brianknight/archive/2008/06/04/sql-server-2008-designer-behavior-change-saving-changes-not-permitted.aspx
Source and more info: http://pragmaticworks.com/community/blogs/brianknight/archive/2008/06/04/sql-server-2008-designer-behavior-change-saving-changes-not-permitted.aspx
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