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If you can't choose your gender at the start, there's a clinic in one of the cities that can change your genitals, I believe. It's been a while since I've played though so I'm not sure of the names.

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theres a clinic in Greyfold where you can feminisation surgery and fill body cosmetic surgery to present female but itll cost you a lot of gunpowder, the free option is in Babili where you can take the femenising pills that that Derek try to give you when you pledge to become a slaver... provided you didnt kill Derek while in Nogas that it

Evet var greyford şehrindeki kız doktora 500 baruttan fazla bir barut vererek ameliyata giriyon tamamen kadınlaşabiliyorsun