Gayming in 2024
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That is what it says if you don't read beyond the top of any spell summary, yes.
You can do it with lower level spells, but it's not going to be permanent.
There's also still magic items that could do similar. I don't see why it couldn't be in dragon age, where DO magic items come from? Someone made them. I don't see why you couldn't have someone genderswap with some magic bra or something. Normal people would call it a cursed item though, lol.