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Power off, take out the 8800GT, put in the GTX 460, power on, and play. NVidia uses a unified driver architecture, so you don't need to re-install the drivers or anything - when it starts up it'll detect the new hardware and you'll be off and running.
Is it really that simple now?
Last I checked people were super anal about this, going on about a 7+ step procedure that includes using third-party driver cleaning programs.
The super anal part is the key part of that sentence. There are some people who do fresh OS installs for stuff like this, but that doesn't make it necessary.