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Scored across 81 tools
The bulk of the surface is cleanly partitioned by resource (campaigns, ad_groups, ads, keywords, audiences, catalogs, product_groups) with matching list/create/update/archive verbs, so misselection is unlikely. The main overlaps are the metrics path (get_analytics vs. the create/get/download/run_report family) and run_report as a wrapper around create_report, which the descriptions do address but still leave two ways to accomplish the same read.
Nearly all tools follow a consistent pinterest_ads_ verb_noun pattern (list_, get_, create_, update_, archive_, delete_, set_, adjust_, estimate_, suggest_). Minor deviations exist in pinterest_ads_request / pinterest_ads_read_request (no verb_noun) and the bulk/batch utilities (bulk_upsert, bulk_export, batch_catalog_items), but overall it is predictable.
81 tools is far past the point where an agent can scan the set comfortably, and several tools are thin wrappers or conveniences (run_report vs create_report, read_request vs request). The domain is genuinely broad, but the surface is heavy enough that batching/consolidation would materially help.
CRUD/lifecycle coverage is strong across campaigns, ad groups, ads, keywords, audiences, customer lists, catalogs and product groups, plus reporting and escape-hatch raw endpoints. Minor gaps remain, e.g. targeting templates are list-only and conversion tags are read-only, but these are workable via the generic request tools.