I'll lay the course out right on top and not touch anything. The first thing I'll do is flatten tee boxes and I'll use the elevation from the center point of those tees.
Generally I'll re-sculpt most of the bunkers a little bit and maybe exaggerate some of the terrain around them a little bit as I find the lidar can be a little too broad. Fairways and greens will get a very light smooth unless there is some stair-stepping involved, but this is rarely a problem with good lidar.
I don't aim for 100 percent accuracy because I'm not convinced it can be done with the current tools... at some point I have to trade a little bit of it for expedience as I nearly always burn out spectacularly after working on a single real course for too long.
The current course I'm working on is a really good test because it's a course that I have played more than 200 times in real life, and although some time has now passed since the last time I was there, I've also been able to see it on television.... as far as I can tell nothing has changed except some native grass and trees have grown longer and larger.