the developer basically said that they're (working towards) having enough customization so you can skew the faces more towards either more feminine or masculine features so you can androgynous, butch or whatever, the headline sort of construes that as confirmation of there being a transgender box you can tick, probably so that they can hold it against CDPR when it turns out they're not delivering what they've made up for themselves.
not that it would be enough, anyway..
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because in 2077, a dystopia where degenerates can turn themselves into an anthropomorphic dog or shark without anyone caring, is going to have a stigma against gender reassignment surgery.
even if their idealistic cyberpunk utopia is handed to them, they want their issues of today to persist to this fictional world where transitioning is handled entirely different even though it wouldn't make sense for the narrative to treat them that way.