Does genital customization matter in Cyberpunk 2077?

As far as I am aware genital size does nothing except when you are nude. It may affect romance possibly, but I as far as I have seen it doesn’t.

There is no impact by the genital customization. But your voice and body type very much does affect your romance options due to side characters having sexual preferences:

- Panam Palmer only romanceable with a masculine body type
- Kerry Eurodyne only romanceable with a masculine voice and body type
- Judy Alvarez only romanceable with a feminine body type and voice tone
- River Ward only romanceable with a feminine body type
- Meredith Stout romanceable with all body types (requires story-decision)

Source: Gamesradar