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Your press release will run in your target media, in full, exactly as you supplied it, with no changes.
Whilst a well-written news release will require minimal editing, more often than not a journalist will change the headline (often to fit the available space in a printed publication – there is more freedom online), edit the story down (again, this can be down to space availability), add their viewpoint to the story, or simply not run it at all.
Once your press release has gone to a journalist, what they run is completely out of your control. As long as the writer doesn’t alter the facts of the story, they can edit it in any way they see fit. There is no such thing as ‘guaranteed coverage’, without booking and paying for advertising space, but a good PR agency will have an eye for a story angle, great writing skills and strong relationships with journalists, which will enable them to ‘sell’ the story to journalists in a way that will minimise editing.