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Shameless plug: I’ve been working on a tool called Reshape in this space: https://github.com/fabianlindfors/reshape. It fully automates zero-downtime schema migrations and avoids all the manual work that has been discussed in the comments here.
Several replies mentioned the SQL Server superior toolset in this category. And if you are a MySQL/PostgreSQL/ClickHouse/Snowflake shop. You can checkout https://bytebase.com. It provides a fully-fledged GUI to manage the database development lifecycle and is the only database CI/CD solution in the CNCF landscape. A few things the tool provides: