Patch 3.2.0 (04-Aug-2009): Gnomish Engineers and Goblin Engineers can now switch profession specializations for a fee.
To do so, you must travel to the hut of Narain Soothfancy in the far north-eastern corner of Tanaris, just north of Steamwheedle Port. Read the book "Soothsaying for dummies" on the table in the hut and it will give you the option to unlearn your current specialization. The fee is 150 gold. Once you have lost your specialization you will need to speak with the specialization trainers in Gadgetzan for Goblin Engineering or Ironforge/Booty Bay for Gnomish.
Some Notes:
You don't need to complete the quests associated with your new spec.
You will forever lose any quest patterns or specialization patterns. You'll lose specialization specific recipes unless you switch back and re-acquire them.
You may have a hard time learning quest reward recipes, as you'll lose them too, and have to find someone to trade you their quest reward recipe (if it's not soulbound).
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