terrible idea, hopefully not offensive
@Dee They should add dysphoria/euphoria for various body parts and gender expression within DDA. It would fit the already existing character perks, there is already support for extensive surgery because of bionics, and, most importantly, it would finally be possible to roleplay as a literally self-made post-apocaliptic trans cyborg.
Obviously a Blåhaj would be an early game item lowering the dysphoria penalties.