You can download Garmin POIs directly to the GPS (favorites) without changing or overwriting the Garmin file. There's an option to "direct load" right to your favorites. Caution is advised when appending a large group of waypoints.
This feature is best used to manage your private POI (favorite POIs) or to "SAVE to GPS" any location that you need/find with our coordinate finder (the "SAVE to GPS" is located just above the map).
To manage your existing favorites go into the Garmin's "My Data" sub-folder.