Every load-bearing modification we touch goes through a structural engineer before we cut anything. We've worked with the same PEng for five years — long enough that she knows what we'll ask for and how we build, and we know what shapes of fix she'll sign off on before we propose them.
She reviews the existing framing in person on jobs over a certain scope, marks up our beam and post specs, and stamps the drawings before we pull the permit.
On smaller fixes — a header to size, a window opening to enlarge, a beam to replace — we send her photos and existing dimensions and get a marked-up sketch back inside two days. The cost of an engineer review is small enough on most jobs that it's never the reason a homeowner says no.
The cost of skipping one is finding out three years later that the floor above is sagging.
On site we use a laser distance measurer for spans and bearing locations, a moisture meter on every sill plate before sistering, and screw jacks under every temporary wall stud so we can dial out any deflection before we cut.