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Some PDF can be edited. Whether you can or not depends on a number of things, such as security, the context (e.g., is the text real text, or an image of text?), and a number of other things.

Acrobat (not Reader) is capable of editing a PDF, but it is not desinged to make significant edits to the content. For example, the TouchUp text tool in Acrobat is intended to be used to make small corrections, not as a general purpose text editor. For significant edits, it is best to go back to the source document, make the changes, and create a new PDF.

There are many different ways to create PDFs. Acrobat is probably one of the most common, but others are quite capable, and many are free.

You can create your source document in anything you choose. A word processor, page layout application, image editor, anything. You'd then use software to convert the source document to PDF. You do this in Acrobat by printing the source document to the PDF printer that gets installed by Acrobat. Other applications have built-in conversion to PDF capabilities, such as OpenOffice applications.

Which method you choose depends a lot on your needs.

George