Originally posted by magnificent moose:

If you play through Big Picture you can define your own controller config and remap your buttons from there I think. Might take some tinkering if you want to fine tune button mappings for every possible situation, but basic changes should be easy enough to do.

As a former console peasant who plays on a controller exclusively I personally don't have problems with the defaults however. I find them fairly intuitive and reasonably well thought out in this game.

My husband plays VH using his controller this way and he confirms this works well for him too.