Editing PDFs contents

Hi guys! I'm considering some tool to edit the texts and images within a PDF. What would be some decent recommendations? So far I think the only with a semblance of working has been Libreoffice Draw, but it messed the formatting quite a lot (the arrangement is very much off in many pages, the text splits incorrectly, some images pop up duplicated and so on). But so far it's the only one I've seen actually allowing me to play with the PDF contents. Are there any other/better options?

Thanks!