In SSMS, close the designer and specify a table name to save your changes. In Azure Data Studio, ensure the table name is updated in the Table name field, then select the Publish Changes icon, or close the designer and save the changes to create the table.
Update a table
Right-click the table under the Tables node of your database and select Design.
Update the desired table settings.
Close the designer and save your changes, or use the Publish Changes icon in Azure Data Studio.
Permissions
In order to create a table, you must have CREATE TABLE permissions in the database and ALTER permission on the schema in which the table is being created. For more information, see CREATE TABLE (Transact-SQL).
To alter a table, you must have ALTER permissions on the table. For more information, see ALTER TABLE (Transact-SQL).
Administer an SQL Server database infrastructure for cloud, on-premises and hybrid relational databases using the Microsoft PaaS relational database offerings.