As Steve has mentioned, the only one above the water line is the head sink drain. You cannot change any of the thru hulls while the boat is in the water. The bildge thru hull is above the water line, but is the same as the one in the head.
I am going to tell you a
"sailor's" story. :Liar: I have seen this done before. Take one, or both of the hallard lines and tie them off on a slip (dock cleat) that is 2 or 3 slips away from your boat. Then start winching until you get the thru hull out of the water that you want to change. Then put in your new thru hull.
I know this is going to draw some really crazy comments, but guys, it worked very well. I am not telling anyone to do this, but it can be done. There are some safety factors that should be noted here, but common sense should always prevail. Oh, and make sure you have all of the tools and parts you need before you heal the boat over, and plan for the old thru hulls to break off. Murphy's Law will always be there over your shoulder.