diff --git a/src/tools/repositories.ts b/src/tools/repositories.ts
index 6393b69f..f3378f85 100644
--- a/src/tools/repositories.ts
+++ b/src/tools/repositories.ts
@@ -248,9 +248,15 @@ function configureRepoTools(server: McpServer, tokenProvider: () => Promise<stri
       project: z.string().optional().describe("Project ID or project name. Required for list_by_commits. Optional for get and list."),
       includeWorkItemRefs: z.boolean().optional().default(false).describe("Whether to include work item references. Used for get."),
       includeLabels: z.boolean().optional().default(false).describe("Whether to include labels. Used for get."),
-      includeChangedFiles: z.boolean().optional().default(false).describe("Whether to include the list of changed files. Used for get."),
-      top: z.coerce.number().default(100).describe("The maximum number of pull requests to return. Used for list. Defaults to 100."),
-      skip: z.coerce.number().default(0).describe("The number of pull requests to skip. Used for list. Defaults to 0."),
+      includeChangedFiles: z
+        .boolean()
+        .optional()
+        .default(false)
+        .describe(
+          "Whether to include the list of changed files. When changedFilesSummary returns a nextSkip greater than 0, pass nextSkip and nextTop back as skip and top for the next page. Used for get."
+        ),
+      top: z.coerce.number().default(100).describe("The maximum number of pull requests to return (list), or of changed files to return (get with includeChangedFiles). Defaults to 100."),
+      skip: z.coerce.number().default(0).describe("The number of pull requests to skip (list), or of changed files to skip (get with includeChangedFiles). Defaults to 0."),
       created_by_me: z.boolean().default(false).describe("Filter pull requests created by the current user. Used for list."),
       created_by_user: z.string().optional().describe("Filter pull requests created by a specific user email. Used for list."),
       i_am_reviewer: z.boolean().default(false).describe("Filter pull requests where the current user is a reviewer. Used for list."),
@@ -320,7 +326,7 @@ function configureRepoTools(server: McpServer, tokenProvider: () => Promise<stri
               if (iterations?.length) {
                 const latestIteration = iterations[iterations.length - 1];
                 if (latestIteration.id != null) {
-                  const changes = await gitApi.getPullRequestIterationChanges(repositoryId, pullRequestId, latestIteration.id, project);
+                  const changes = await gitApi.getPullRequestIterationChanges(repositoryId, pullRequestId, latestIteration.id, project, top, skip);
                   enhancedResponse = {
                     ...enhancedResponse,
                     changedFilesSummary: {
diff --git a/test/src/tools/repositories.test.ts b/test/src/tools/repositories.test.ts
index eee22cb3..6bffddc6 100644
--- a/test/src/tools/repositories.test.ts
+++ b/test/src/tools/repositories.test.ts
@@ -6,6 +6,7 @@ import { WebApi } from "azure-devops-node-api";
 import { configureRepoTools, REPO_TOOLS } from "../../../src/tools/repositories";
 import { PullRequestStatus, GitVersionType, GitPullRequestQueryType, CommentThreadStatus, VersionControlRecursionType } from "azure-devops-node-api/interfaces/GitInterfaces.js";
 import { getCurrentUserDetails, getUserIdFromEmail } from "../../../src/tools/auth";
+import { z } from "zod";
 
 // Mock the auth module
 jest.mock("../../../src/tools/auth", () => ({
@@ -4478,7 +4479,7 @@ describe("repos tools", () => {
       const result = await handler(params);
 
       expect(mockGitApi.getPullRequestIterations).toHaveBeenCalledWith("repo123", 123, undefined);
-      expect(mockGitApi.getPullRequestIterationChanges).toHaveBeenCalledWith("repo123", 123, 2, undefined);
+      expect(mockGitApi.getPullRequestIterationChanges).toHaveBeenCalledWith("repo123", 123, 2, undefined, undefined, undefined);
 
       const resultData = parseSpotlightedPullRequest(result.content[0].text) as Record<string, unknown>;
       expect(resultData.changedFilesSummary).toEqual({
@@ -4617,6 +4618,87 @@ describe("repos tools", () => {
         secondComparingIteration: 1,
       });
     });
+    const changePage = (offset: number, count: number) =>
+      Array.from({ length: count }, (_, i) => ({ changeTrackingId: offset + i + 1, item: { path: `/src/file${offset + i + 1}.ts` }, changeType: 2 }));
+
+    const getPullRequestHandler = () => {
+      configureRepoTools(server, tokenProvider, connectionProvider, userAgentProvider);
+      const call = (server.tool as jest.Mock).mock.calls.find(([toolName]) => toolName === REPO_TOOLS.repo_pull_request);
+      if (!call) throw new Error("repo_pull_request tool not registered");
+      return call[3] as (params: unknown) => Promise<{ content: [{ text: string }] }>;
+    };
+
+    it("should default top to 100 and skip to 0 for the changed files call", async () => {
+      configureRepoTools(server, tokenProvider, connectionProvider, userAgentProvider);
+      const call = (server.tool as jest.Mock).mock.calls.find(([toolName]) => toolName === REPO_TOOLS.repo_pull_request);
+      if (!call) throw new Error("repo_pull_request tool not registered");
+      const [, , schema, handler] = call;
+
+      mockGitApi.getPullRequest.mockResolvedValue({ pullRequestId: 123, title: "Test PR" });
+      mockGitApi.getPullRequestIterations.mockResolvedValue([{ id: 1 }, { id: 2 }]);
+      mockGitApi.getPullRequestIterationChanges.mockResolvedValue({ changeEntries: changePage(0, 100), nextSkip: 100, nextTop: 50 });
+
+      // the handler is called directly elsewhere in this file, which skips the schema, so parse here
+      const parsed = z.object(schema).parse({ action: "get", repositoryId: "repo123", pullRequestId: 123, includeChangedFiles: true });
+      expect(parsed.top).toBe(100);
+      expect(parsed.skip).toBe(0);
+
+      await handler(parsed);
+
+      expect(mockGitApi.getPullRequestIterationChanges).toHaveBeenCalledWith("repo123", 123, 2, undefined, 100, 0);
+    });
+
+    it("should pass top and skip to the changed files call and return the next page markers", async () => {
+      const handler = getPullRequestHandler();
+      mockGitApi.getPullRequest.mockResolvedValue({ pullRequestId: 123, title: "Test PR" });
+      mockGitApi.getPullRequestIterations.mockResolvedValue([{ id: 1 }, { id: 2 }]);
+      // what the endpoint returns for a 150-file iteration when asked for the first 100
+      mockGitApi.getPullRequestIterationChanges.mockResolvedValue({ changeEntries: changePage(0, 100), nextSkip: 100, nextTop: 50 });
+
+      const result = await handler({ action: "get", repositoryId: "repo123", pullRequestId: 123, includeChangedFiles: true, top: 100, skip: 0 });
+
+      expect(mockGitApi.getPullRequestIterationChanges).toHaveBeenCalledTimes(1);
+      expect(mockGitApi.getPullRequestIterationChanges).toHaveBeenCalledWith("repo123", 123, 2, undefined, 100, 0);
+      const summary = (parseSpotlightedPullRequest(result.content[0].text) as Record<string, unknown>).changedFilesSummary as Record<string, unknown>;
+      expect(summary.fileCount).toBe(100);
+      expect((summary.changeEntries as { item: { path: string } }[])[0].item.path).toBe("/src/file1.ts");
+      expect(summary.nextSkip).toBe(100);
+      expect(summary.nextTop).toBe(50);
+      expect(summary).not.toHaveProperty("hasMore");
+    });
+
+    it("should pass skip through so the caller can fetch the next page of changed files", async () => {
+      const handler = getPullRequestHandler();
+      mockGitApi.getPullRequest.mockResolvedValue({ pullRequestId: 123, title: "Test PR" });
+      mockGitApi.getPullRequestIterations.mockResolvedValue([{ id: 1 }, { id: 2 }]);
+      // Final page without continuation markers.
+      mockGitApi.getPullRequestIterationChanges.mockResolvedValue({ changeEntries: changePage(100, 50) });
+
+      // the caller pages with the nextSkip and nextTop the first page returned
+      const result = await handler({ action: "get", repositoryId: "repo123", pullRequestId: 123, includeChangedFiles: true, top: 50, skip: 100 });
+
+      expect(mockGitApi.getPullRequestIterationChanges).toHaveBeenCalledWith("repo123", 123, 2, undefined, 50, 100);
+      const summary = (parseSpotlightedPullRequest(result.content[0].text) as Record<string, unknown>).changedFilesSummary as Record<string, unknown>;
+      expect(summary.fileCount).toBe(50);
+      expect((summary.changeEntries as { item: { path: string } }[])[49].item.path).toBe("/src/file150.ts");
+      expect(summary.nextSkip).toBeUndefined();
+      expect(summary.nextTop).toBeUndefined();
+    });
+
+    it("should surface an explicit nextSkip of 0 for the last page of changed files", async () => {
+      const handler = getPullRequestHandler();
+      mockGitApi.getPullRequest.mockResolvedValue({ pullRequestId: 123, title: "Test PR" });
+      mockGitApi.getPullRequestIterations.mockResolvedValue([{ id: 1 }]);
+      mockGitApi.getPullRequestIterationChanges.mockResolvedValue({ changeEntries: changePage(0, 50), nextSkip: 0, nextTop: 0 });
+
+      const result = await handler({ action: "get", repositoryId: "repo123", pullRequestId: 123, includeChangedFiles: true });
+
+      expect(mockGitApi.getPullRequestIterationChanges).toHaveBeenCalledWith("repo123", 123, 1, undefined, undefined, undefined);
+      const summary = (parseSpotlightedPullRequest(result.content[0].text) as Record<string, unknown>).changedFilesSummary as Record<string, unknown>;
+      expect(summary.fileCount).toBe(50);
+      expect(summary.nextSkip).toBe(0);
+      expect(summary.nextTop).toBe(0);
+    });
   });
 
   describe("repo_reply_to_comment", () => {