Just a dremel to blend the ports, a torque wrench for the bolts, some gasket material, and assorted hand tools.
You will also need a modified exhaust pipe, and a modified intake manifold.
You can turn the cylinder around and leave the ports alone just to see if you really want to do the change.
I ran mine backwards for a while then went back to the original set up, I just wanted to say I was the first to do it.