I keep going back and forth on this. Most of us agree that big changes like new campaigns, budget jumps or pausing a top campaign should always be reviewed first. The harder question is the small stuff: adding a batch of negative keywords 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 stop using it.
My current 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 changes spend or conversion tracking should always show a diff first.
Where do you draw the line in your own accounts, and has an assistant ever made a change you wish it had asked about first?