Large Language Models are fundamentally reshaping content discovery through AI-native search systems such as ChatGPT, Gemini, and Claude. Unlike traditional search engines that match keywords to documents, these systems infer user intent, synthesize multimodal evidence, and generate contextual answers directly on the search page, introducing a paradigm shift from Search Engine Optimization (SEO) to Generative Engine Optimization (GEO). For visual content platforms hosting billions of assets, this poses an acute challenge: individual images lack the semantic depth and authority signals that generative search prioritizes, risking disintermediation as user needs are satisfied in-place without site visits. We present Pinterest GEO, a production-scale framework that pioneers reverse search design: rather than generating generic image captions describing what content is, we fine-tune Vision-Language Models (VLMs) to predict what users would actually search for, augmented this with AI agents that mine real-time internet trends to capture emerging search demand. These VLM-generated queries then drive construction of semantically coherent Collection Pages via multimodal embeddings, creating indexable aggregations optimized for generative retrieval. Finally, we employ hybrid VLM and two-tower ANN architectures to build authority-aware interlinking structures that propagate signals across billions of visual assets. Deployed at scale across billions of images and tens of millions of collections, GEO delivers 20\% organic traffic growth contributing to multi-million monthly active user (MAU) growth, demonstrating a principled pathway for visual platforms to thrive in the generative search era.