Since I work an urban commute, I like to go with flat bar setup along with it's rapid fire thumb shifters and hand brake position. Drops would be nice for an even more aero position( I have my bar currently set at 1 inch below the saddle) but I don't like the brake and shifter setups when working in traffic since they would be too slow in stop and start conditions. I endured the hand pain/numbness for some time, even after trying various grips and bar ends, but finally found some relief after installing a pair of Ergo grips, and now pain/numbness is almost a non issue.