I keep going back and forth on this one. Most of us agree that big changes like new campaigns, budget jumps or pausing a top campaign should be reviewed first. The harder question is the small stuff, like adding a batch of negatives from a search term report or nudging a target CPA by 5%.
One side says any write access without a confirmation step is asking for trouble, because a model can misread a column or act on stale data, and the damage shows up on the invoice before anyone notices. The other side says a preview on every trivial change turns the assistant into a slow approval queue, and people just stop using it.
My view is that the line should depend on reversibility and blast radius, not on how confident the model sounds. Negatives are easy to remove, so they can go through with a log. Anything that touches spend or conversion tracking should always show a diff first.
Where do you draw the line in your own accounts?