I typically have two needs:
Scenario A. Change a single PDF page.
In this case I have a PDF but not the original source file used to create the PDF. I don't want to try to recreate the document from scratch. I'd like to open the PDF and change a few things. A good example of this scenario: I was responsible for planning a big event at a campground site, I had a PDF of the site. I wanted to start with that document, highlight some parts, add some labels, remove some parts that weren't relevant.
Scenario B. Combine PDFs or extract page(s) from a PDF
This scenario usually arises because I want a single PDF deliverable that is made up of parts that are best created in different programs. In this case I have the source files for all the documents but they don't play well enough together to easily create a single PDF deliverable. For part of it, I may want to use Libre Office Writer. For another page I may want to use Gimp. Still another page I may use Libre Office Calc. I could use Writer as the master document and embed images or the Calc object into that, but for ultimate control, you can't beat separate PDF documents that are then combined.
What are the best tools / processes for editing PDFs in Ubuntu?