If I have an approved i140 and want to switch employers, do I need to go through the entire PERM process again? I know I won’t lose my spot in the queue but PERM rn is taking about 8 months?

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Why does the PERM matter when you already have an approved i140? Unless you are ROW category, and where you're trying to adjust your status. In that case, you'd have to go through PERM with the new employer before you can adjust in EB2/3 category. EB1 is where you're not required to do PERM

Short answer, yes.

Can extend with your old perm.

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