Some reviewers are probably afraid to give the game a high grade because of the twitter of the CDPR company making fun of trans issues.
You can create a character with both male and female parts, which I believed would be good and progressive, however, this apparently is offensive to people who actual have those issues. And if that was not bad enough, on twitter CDPR were ridiculing the types of people who take offensive with no options or in this case not enough options.
If IRL a human who looks like what people would call a woman, but this human wants to have a penis, then this is good for the human of course if the human lives in a first world country where this can happen. But if somebody finds this attractive, then this person is wrong because the person is fetishising it. But if somebody does not find it attractive that a person looks like a traditional something, but has a traditional something else underneath then that person is also wrong because the person is not respectful towards trans issues.
So in the game it's a lose-lose situation. Not having trans people or options is wrong, but having them is wrong also because some people like it.
The developers should not have taunted the social people on twitter though, because that is bullying