Except for reaming, milling the extractor slot and threading the barrel which is a gunsmith job, the rest it is pretty much a DIY type project if you have minimal skills and a few shop tools. The 338 WM base and body are the same dimensions as the 416 Rem. I don’t know where the notion comes from about messing with feed rails and the ramp?? It’s 3.34” length cart to 3.6” length cart conversion. You didn’t mention pre-64, so assuming it’s not. I’d leave a pre-64 alone. The 416 Rem is a heck of a cartridge- IMO the best of the 416s. If your gunsmith can change out a Winchester barrel, I’d sure hope he could remove the spacer in the magazine box and install a long mag length follower!!
Maybe it goes that easy for you. Mine did too, until it was time to actually use it reliably.