What the game really needs is the option to more rapidly increase my surgery abilities by making radical and dangerous surgeries with my own two hands, restructuring the shoulders on my slave to be more narrow, making a mistake, and having them in critical care with severe injury if not outright dying because their health was previously damaged by me installing an oni horn on their head that left their skull fractured.
The Flesh Heap is an inventive surgeon's perfect playground. The surgeries are more expensive than the slaves!
Transformation Fetishism is the worst Future Society option because it wants ugly as shit lip, tit, and ass implants. Horns, prosthetic limbs, and inventive surgery is the way forward! I have an organ farm where I can grow dog ovaries so the girls in the farmyard get impregnated from the animal shows. My people should worship me for the way I push the bounds of the human form. "Society disapproves of your recent actions, believing you decide more with your crotch than with your head." Excuse me??? I'm not the one putting silicon in their ass cheeks, I am advancing humanity to a new state of being.
I'd hop on eugenics too, but I am certain society will disapprove of the genetic traits I value. My own character themself has an inbreeding coefficient of 0.5, higher than the highest human in recorded history (something like 0.478 in Ptoloemy egypt). Higher than the famous hapsburg whose brain was full of water, testicles were like charcoal, and baffled christendom by continuing to live (0.28 I think).
Eugenicists would rebel. I would never be able to rule the arcology.
But I want to craft the perfect human. I want to push us to new heights. The Transformation Fetish FS can't see my vision.