Most gutter problems are a cheap fix. A clogged section, a sagging bracket, a downspout dumping water two feet from the wall: those are afternoon jobs, and catching them early is what keeps them cheap. A smaller number of cases involve foundation movement that no amount of gutter work will reverse, and those need a structural engineer before anyone sells you a repair. The deciding question isn't whether your gutters are clean. It's where the water goes after it leaves them.
That distinction is the framework for everything below. Three tiers: cosmetic and maintenance, drainage failure, and genuine structural risk. Each tier pairs a gutter symptom you can see from the yard with a foundation symptom you can see from inside. Get the tier right and you'll know whether you're buying a $20 extension, hiring a drainage contractor, or paying for an engineer's evaluation.