Example embodiments relate to document alteration based on native text analysis and optical character recognition (OCR). In example embodiments, a system analyzes native text obtained from a native document to identify a text entity in the native document. At this stage, the system may use a native application interface to convert the native document to a document image and perform OCR on the document image to identify a text location of the text entity. The system may then generate an alteration box (e.g., redaction box, highlight box) at the text location in the document image to alter a presentation of the text entity.