AFAIK it all boils down to the fact that during embryonal development our cells, which at that point were just a blob of undifferentiated autonomous chemical machines, somehow managed to unanimously agree upon the cardinal directions (up-down, left-right, front-back) for future development - and thanks to this, we don’t have toes growing out of our ears.

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If an embryo decides to split in two, and then sends out the marker that “this is the right side” and it’s too close to the other embro, there will be a set of identical twins, but one will have the heart on the right side, appendix on the opposite side etc. This needs to be known if the “mirrored” person has a colonoscopy, since the colon is folded the opposite direction.

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