Customization options for sex dolls open new horizons for personal expression but also raise important ethical questions. On one hand, customization can enhance user satisfaction and promote consensual and respectful interactions, aligning with principles of autonomy and personal agency. However, ethically, there is concern that highly customizable dolls—especially those resembling minors or non-consenting individuals—could be exploited in harmful ways. Designers must implement safeguards to prevent the creation of illegal or unethical features, including strict restrictions on certain customizations and thorough vetting processes. Transparency about the capabilities and limitations of customizable dolls is vital to prevent deception. Moreover, the impact of customization on societal attitudes toward objectification and consent must be considered. While personalization can promote positive experiences, it should not perpetuate harmful stereotypes or behaviors. Responsible customization involves balancing individual freedom with societal moral standards, ensuring that these products contribute positively to users’ well-being and uphold human dignity.