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"... convert pdf to word and remain the format?"

Retaining "format" upon export of PDF page content is often a 'no-start' if the PDF is not, at a minimum, a workable "Tagged PDF". After all, one of Tagged PDFs 'design criteria' is to support effective export.

With that said Acrobat, in particular Acrobat X,  or other products can provide a relatively 'ok' export to Word / RTF from an untagged PDF.

The determining variable is, as daisymina8912 stated:

"... the output quality depends on much about how it was created."

The "created" refering to how the PDF's source authoring file was mastered by its author.

Sometimes you get what you want but not what you expect. Why? Well, that's in the details, eh?

Be well..

I am using Adobe Acrobat X Pro. I just downloaded the free trial and then paid for the upgrade yesterday. I need to be able to edit PDF's and/or save them as Word files. I am able to Save the PDF as a Word docx but when I open the word docx file, I am not able to edit or change anything. It basicly seems to have saved the PDF as an image within a Word docx file. Can anyone help? I would like to be able to edit the document, hence why I bought the program.

Also when I open the Word docx file, I recieve the following pop up box message:

"This error usually occurs because of macro security settings. If you know that the macro comes from a source that you trust, you can change your macro security settings to allow you to enable the macro. The way that you change your macro security settings depends on the Microsoft Office System program that you are using.

• Microsoft Office Access, Microsoft Office Excel, Microsoft Office PowerPoint, or Microsoft Office Word --
  
  To check your macro security settings, click the Microsoft Office Button, click <program name> Options, click Trust Center, and then click Trust Center Settings.
  • If macro security is set to Disable all macros without notification, all macros are automatically disabled. Use the following procedure to enable the macro.
    1. In the Trust Center dialog box, click Macro Settings, and then click Disable all macros with notification.
    2. Click OK in the Trust Center dialog box to apply the new setting. Click OK to close the program options dialog box.
    3. Close the file and the Microsoft Office program that you are using.
    4. Open the file again. A Security Alert appears in the Document Information Bar just below the ribbon. Click Enable Content to allow the macro to run.
    5. When you have enabled the macro, it is recommended that you return the macro security setting to Disable all macros without notification.
  • If macro security is set to Disable all macros with notification, but you selected Disable when prompted by the macro warning dialog when you opened the file, use the following procedure to enable the macro.
    1. In the Trust Center dialog box, click Cancel. Click Cancel to close the program options dialog box.
    2. Close the file and the Microsoft Office program that you are using.
    3. Open the file again. A Security Alert appears in the Document Information Bar just below the ribbon. Click Enable Content to allow the macro to run.
  • If macro security is set to Disable all macros except digitally signed macros, the macro may not have been digitally signed. Verify that you can trust the macro before using the following procedure to allow it to run.
    1. In the Trust Center dialog box, click Cancel. Click Cancel to close the program options dialog box.
    2. Close the file and the Microsoft Office program that you are using.
    3. Open the file again. A Security Alert appears in the Document Information Bar just below the ribbon. Click Enable Content to allow the macro to run.
• Microsoft Office Outlook, Microsoft Office Visio, or Microsoft Office Publisher --
  
  To check your macro security settings, on the Tools menu, click Trust Center, and then click Macro Security.
  • If macro security is set to No warnings and disable all macros, all macros are automatically disabled. Use the following procedure to enable the macro.
    1. In the Trust Center dialog box, click Warnings for signed macros; all unsigned macros are disabled, and then click OK.
    2. Close the file and the Microsoft Office program that you are using.
    3. Open the file again. When prompted, click Enable Content to allow the macro to run. If you are using Visio, the Enable Content button appears as part of a Security Alert in the Document Information Bar. If you are not prompted to enable the macro, or if you receive this error again, the macro may not be digitally signed. Verify that you can trust the macro. If you are certain that you can trust the macro, use the next procedure below to enable the macro.
    4. When you have enabled the macro, it is recommended that you return the macro security setting to No warnings and disable all macros.
  • If macro security is set to Warnings for signed macros; all unsigned macros are disabled, the macro may not be digitally signed. If you are certain that you can trust the macro, use the following procedure to enable the macro.
    1. In the Trust Center dialog box, click Warnings for all macros, and then click OK.
    2. Close the file and the Microsoft Office program that you are using.
    3. Open the file again. When prompted, click Enable Content to allow the macro to run. If you are using Visio, the Enable Content button appears as part of a Security Alert in the Document Information Bar.
    4. When you have enabled the macro, it is recommended that you return the macro security setting to Warnings for signed macros; all unsigned macros are disabled.
• Microsoft Office Project --
  
  To check your macro security settings, on the Tools menu, click Macro, and then click Security.
  • If macro security is set to Very High, use the following procedure to enable the macro.
    1. In the Security dialog box, click High, and then click OK.
    2. Close the file and Microsoft Office Project.
    3. Open the file again. When prompted, click Enable Content to allow the macro to run. If you are not prompted to enable the macro, or if you receive this error message again, the macro may not be digitally signed. Verify that you can trust the macro. If you are certain that you can trust the macro, use the next procedure below to enable the macro.
    4. When you have enabled the macro, it is recommended that you return the macro security setting to Very High.
  • If the macro security setting is set to High, the macro may not be digitally signed. If you are certain that you can trust the macro, use the following procedure to enable the macro.
    1. In the Security dialog box, click Medium, and then click OK.
    2. Close the file and Microsoft Office Project.
    3. Open the file again. When prompted, click Enable Content to allow the macro to run.
    4. When you have enabled the macro, it is recommended that you return the macro security setting to High.

This error may also occur for the following reasons:

• The certificate of trust that is attached to the macro is invalid. Unless you are certain that the macro is safe, it is recommended that you not trust or run the macro.
• The certificate is no longer trusted, was revoked by the issuing authority, or is damaged. Unless you are certain that the macro is safe, it is recommended that you not trust or run the macro.
• Visual Basic for Applications (VBA) is not installed on your computer. In this case, no VBA macro can be run, regardless of whether the macro has a valid certificate of trust. You or your administrator may have chosen not to install VBA, or the version of Microsoft Office that you are using may not install VBA by default. If your version of Microsoft Office does not provide VBA as an installable feature, you can upgrade to a version that provides VBA support.
• If you are unable to change the security settings, it is possible that another program has locked the security settings. Close all Microsoft Office System programs, then restart your program and change the security settings."

This box opens up multiple times, 2-15 times, when I try and open a Word file and even shows up every time I open a new blank Word document. Can anyone help me with this annoying issue also?

Thank you

Keep in mind that this forum is designed to help people with Adobe Digital Editions and the downloading, transfer and reading of ebooks (which include those in .pdf format).  Your question really is about something that's not part of that design, and might be better off in the Adobe Reader forum.