This is where I’m at as well. If it needs to change too much to do what I want, I take that as a sign to either (1) ask for a change that is easier to review, or barring that (2) pivot to refactoring the codebase until it becomes a change that is easy to review.

Ironically, even in this era of cheap and instant code, what works best (for me) is still to write as little code as possible.