Approximate Nearest Neighbor (ANN) algorithms achieve high efficiency through interdependent phases across index construction and query execution. This coupling allows upstream performance loss to propagate downstream, affecting execution behavior and measurable outputs. Existing component-level analyses mainly compare isolated design choices, while end-to-end benchmarks report aggregate metrics; neither traces loss propagation across dependent phases, hindering root-cause attribution and automated redesign. We present SmartANN, a framework based on the object causal model (OCM) for ANN bottleneck attribution and automated redesign. SmartANN represents an ANN workflow as eight ordered, replaceable objects and diagnoses them with a sequential diagnose-and-replace loop. At each iteration, it identifies the first object deviating from expected behavior or output as a bottleneck. Because an upstream bottleneck can obscure downstream ones, SmartANN replaces it with a test oracle when available, or with an implementation producing a better outcome, then continues downstream diagnosis. From the diagnosed bottlenecks and failure causes, SmartANN composes compatible actions from a pluggable action library to generate an optimized end-to-end ANN design. We instantiate SmartANN for IVF-PQ and HNSW, covering partition-and-quantization and graph-based ANN families. Experiments on eight real-world datasets show that SmartANN improves Recall by 0.24--74.20%, and increases QPS by 28.8--256.5% at comparable Recall, with low diagnosis and auto-design overhead. The code is available at https://github.com/zhouyutong20/SmartANN.

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