As stated above, i like the idea of having characters who are pre-op to grow in the story and eventually make the choice to do or not do the operation. I personally support both of those, as i do believe that they should feel proud and comfortable with their body. If that means keeping the male (purely by scientific definition) genitalia, perfect. If it means they want to re-assign to the female genitalia, that's perfect too. So i am glad we get to see Sukkhon in this game again.
While i do consider myself straight, i do personally feel no problem considering a potential partner to be like either Mi Kha (post-op) or Sukkhon (pre-op). If they would look attractive in my eyes, then i would not reject them based on there gender identity.
So to see games that actually give these characters more of a solid background and personality then the stereotypical trans/futa/shemale trope seen in some games, is a great plus for me.
PS: i understand shemale (might/is) considered a bad way to refer to them, so take it as me just using the term in reference. I must also admit that i am not well versed in how to adress and refer to people who identify this way.