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abbeyvet - 5:40 pm on Mar 27, 2007 (gmt 0)
I suppose I throw an eye over the account every 6-8 weeks, just to make sure nothing untoward is happening but I have not edited ANYTHING in 2 years. The client is completely happy, the quality of traffic from the ads has improved over time and the spend delivers a really excellent ROI. From his point of view (and mine to be honest, given the results) there seems little point in messing with it when it's working so well.
I have a client with a campaign I set up over 2 years ago, like netmeg's client the budget was pretty low for advertising spend, lower for ongoing maintenance. I set up about 10-12 ad groups, search network only, and turned on Budget Optimizer. It isn't a hugely competitive subject, and ROI is easy to measure.