In the Visual Studio (VB, C++,etc) IDE the hardest part is figuring out how to use it the first time. The simplest program in a Windows environment is still a "console" application, but to create one you need to start a project with some settings that are different from the defaults. I can't remember them offhand, but if I booted to Windows and fired up VS I'm sure I could walk through them again.
Once someone finally gets a project set up that can do console apps, "Hello World" in C++ is pretty much the same under VS as anywhere else, though a common mistake is to not notice the console pop up with output, and disappear in the blink of an eye.
If you don't blink, you'll see it. Or compile and run it in debug mode so the console stays open, or just get out of the IDE and run it from a console window.
Of course doing that as a "windows" app (native MFC, or managed/.NET) is much, much more intimidating. :)
In reply to Re^3: Where does the new generation of programmers begin?