The ethical considerations surrounding female sex dolls with real features are complex and multifaceted. One primary concern involves societal impacts, such as how these dolls influence perceptions of relationships, consent, and gender dynamics. Critics argue that highly realistic dolls could contribute to objectification or reinforce unhealthy attitudes towards women.

On the other hand, proponents suggest that such dolls can serve as safe outlets for personal fantasies, reduce the risk of harm, and assist in therapy or social skill development. Issues of consent are not applicable since dolls are inanimate objects, but users should consider their motivations and ensure responsible use.

Privacy, autonomy, and the potential for emotional attachment are also important aspects. Manufacturers and users alike should prioritize respectful and ethical practices, such as avoiding the use of dolls in harmful or non-consensual ways. Transparency about the purpose of these products and fostering societal dialogue can help navigate ethical challenges.

Ultimately, responsible use, respect for others, and awareness of societal implications are essential when engaging with realistic female sex dolls, ensuring they are used ethically and thoughtfully.