In this video, Elizabeth April discusses the concept of changing ones physical reality. They explore the idea that our reality is like a video game, where observation and expectation play a role in materializing our experiences. Elizabeth April shares personal examples of manifesting changes in their height and suggests that authentic desires are more likely to manifest than ego-driven desires. They also emphasize the importance of self-love and curiosity in manifesting desired changes. The video concludes with an invitation to experiment with manifesting changes in various aspects of life.