How are you handling SME revisions for larger content changes?

Managing SME feedback can be tricky -- but I never go back to the source PPT, if I can avoid it.  FYI: We archive all SME feedback in Review 360 as our change log.  So, I rely 100% on Review 360 comments with a little SME coaching. 😉 (Once you show them how to use all their feedback options, they tend to handle most edits very well.) For example....

• Adding or changing images in a course is easy if the SME will attach new/replacement images with the paper clip option in their comment when looking at the section of the course needing the visual update as I can see what they see when they enter that comment.
• Moving sections around is a little more tricky for the developer rather than the SME (e.g. They request that I move from this heading to this heading to beginning/end of the lesson.) As the developer instead of moving one block at a time, I simply create a new block of the content I'm moving, then add it to the desired section of the course. Finally, I remove it from the old location and then republish -- nothing lost or accidently deleted that way.
• For new SME's when all else fails or their directions are too vague, then a quick 15 minute zoom meeting where I'm sharing my screen and making changes live usually does the job. 
• Plus I love the screen annotation option too!