Convert PDF to something editable without losing all formatting

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I am aware of solutions that allow one to extract text from a pdf file. Are there any practical solutions on the Mac to extract rich text and layout from a PDF, or somehow convert a PDF into some editable format without losing all formatting, and without multi-column layouts ending up with the text from each column interwoven?

Best Answer

If you just want to edit the content of the PDF, Adobe Acrobat (full version) can do that. It can change/add/delete text, images, objects, etc.