In this video, Elizabeth April discusses the concept of manifestation and how it works in the fifth dimension. They differentiate between 3D manifesting, which relies on physical tools, and 5D manifesting, which utilizes quantum energies. Elizabeth April explains the process of manifesting through focused thoughts and visualization, and suggests transmuting negative thoughts into positive ones. They also mention a manifestation journal as a tool for setting intentions and tracking progress. Overall, the video emphasizes the importance of focusing on the energetic realms for manifestation and encourages viewers to explore this method.