The community voted for Bill to become "a biological normal woman" which isn't really something that you can do with an operation. There has to be some superpower involved imo.
And here, you show a great example of why players should not influence a game they invest money in. By expecting these things, a developer who does not love his project will only drop absurd ideas that, as you debate, leave a world that could be incredible, in a kind of vomit of unconnected games. We assume that the hero's power is MIND CONTROL, as it is self-defining, I am not going to explain what that power specifically consists of, but just in case, deciding on the internal biology beyond the brain... I assure you NO.
And when people vote for things that destroy immersion, a potentially great game will end up being a mediocre game. And we have thousands of examples on this page. Which in a very high percentage end up abandoned because the dev wants to please everyone, and that is physically and statistically impossible.
When you put a vote, you can see the percentage of people who will be dissatisfied. And when you make 10 votes... You don't have to be a scientist to realize it.
So for my part I will leave this game in the "we'll see what happens in a year" drawer.
I hope that those of you who enjoy it, continue doing it and it doesn't remain a "I want to but I can't" thing left aside by the developer.