LLMs increasingly require surgical model editing to enhance domain-specific capabilities without incurring the computational cost or catastrophic forgetting associated with full fine-tuning. Sparse Autoencoders (SAEs) have emerged as a promising tool in this setting, in principle allowing for feature-level identification of where to intervene. In this work, we rigorously evaluate an SAE-guided editing pipeline for mathematical reasoning on Gemma-3-4B-IT and uncover a fundamental failure mode: the intuitively appealing approach of projecting task vectors onto SAE feature subspaces acts as an information bottleneck that discards approximately 97% of the modification energy, yielding no statistically significant improvements across seven math subjects. We show that this failure stems from a geometric misalignment between activation-space SAE directions and weight-space task vectors. We then propose a shift in perspective: SAE as a Stethoscope, Not a Scalpel, where SAEs are used for layer-level diagnosis rather than intervention-level filtering. By injecting unfiltered raw task vectors only into layers identified by an SAE-derived specificity score, we improve Number Theory accuracy from 29.6% to 39.4% (z=+3.41, p=0.0007) on the Minerva Math benchmark; 5 of 7 math subjects significantly improved and none significantly degraded. Our method is fully deterministic, requires no additional inference cost, and provides a principled framework for interpretability-guided model editing.