Of course, the musculoskeletal rebuild applies only to folks who have unaugmented muscles. The impressive thing is the low Body cost for these things. The genetic tweaks that produce bioware have side effects that ruin the host body as a complete organism. You also have to have your cyberware installed after you recuperate from the transplant, because you need a conscious mind to develop the proper reflexes for using cyberware. With a simple vocal cord operation and our staff of expert voice coaches, we can have you speaking and singing like you were born with a silver spoon in your mouth.
Modern technology has the answer.
We can provide you with the equipment to function as a member of the opposite sex, or even a hermaphrodite. If you're really serious, you can even go for a cultured fully functional reproductive system. The operation evidently does involve sticking appropriate glands in, as well as the more mechanical surgery. The full-on reproductive sex change is much more expensive, but I've heard of corporators arranging for them when they needed to pull off that critical family alliance or to carry on a family name. It involves a pelvis rebuild along with everything else.