This game takes it a step further during character customization than most do. You get to choose body type (as in feminine vs masculine, though they don’t call it that), voice, genitals, and gender (pronouns). And none of these things are tied to any of the others. They can all be mixed and matched however you see fit.
The only way these affect gameplay is just how people refer to your character in dialogue, and what your character model looks like in the cut scenes.