Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations supply the safety profile (destructiveHint=true, idempotentHint=true, readOnlyHint=false), and the description adds real value on top: the non-obvious guarantee that removing a layout item does NOT delete the underlying sheet attribute, and the asymmetry that removing a title-level field drops it from the layout entirely. The remaining gap is the return shape, which is covered by the output schema.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.