In this world, there are a set number of ways our DNA can combine to produce a child. There are generations worth of people who looked exactly like you in the past, and you can know based on this, what you’ll look like as you age and what kind of health problems you will have.
Some people, after becoming murderers every time, might be raised in isolation for public safety. Others, known to grow up to be skilled in one area or another, might be raised a specific way.
How much of your personality and skills are due to your genetics, and how much are due to your environment when growing up? Even if it was mostly environment, I’m sure people in this world would face a lot of prejudice and preconceptions based on the ‘type’ of body they were born into.