Augment Physicality

You permanently alter the physical body of a
humanoid creature into another type of humanoid
body. After encasing the target in clay, you conduct
a rigorous, one-hour-long ritual that manipulates
the flesh and function of the target's body into that
of another humanoid race. They lose their previous racial traits and instead gain the racial traits of
another humanoid race of the target's choice, aside
from their languages known (which remain
unchanged). Should the target wish to alter their
gender along with or instead of their race, they can choose to do so as part of the spell. When the ritual is completed, you and the target suffer one level of exhaustion.

Once a creature's race or gender has been changed via this spell, they cannot be affected again by this spell for 1 year.