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Some character aspects like genitals or tattoos cant be changed once you started the story.
You can visit a Ripper Doc for some more options then the mirror offers but still no genitals.
No, since your player "gender" gets determined by your voice choice.
A V with the female voice will always count as female and be addressed such by NPC, even with male genitalia or body.
And vice versa.
And voice cant be changed midgame.
He meant he switched the genitalia around and gives his female V a ♥♥♥♥ for the romance with River as a "surprise".
Not that it matters in the game, they dont react to your genitalia, only your gender determined by voice.
and what means " give Judy a full girl/girl romance" - if you play as girl, what more ?
Again the whole genitals thing does not matter ingame anyway.
Its really just a gimmick, the only time you ever see a dong or vag ingame is during the character creation and on the character status screen if you remove all the clothing.
During the game you never are fully naked in the game world and even during the sex scenes they never show the lower parts in any form so naked breasts is about the max you will get during it.
Game would lose nothing if you did not have full nudity in the character creation.