Cultural attitudes significantly influence perceptions and acceptance of female and male sex dolls worldwide. In many societies, female dolls are more prevalent and socially accepted due to traditional gender roles and perceptions of intimacy and companionship. Conversely, male dolls often face stigmatization or are less publicly discussed, reflecting cultural norms around masculinity and sexuality. In some cultures, the use of male dolls challenges stereotypes about male sexuality, prompting debates about gender expression and acceptance. The design and marketing of sex dolls also adapt to cultural sensitivities, with some regions favoring more modest or discreet appearances, while others embrace highly realistic and customizable models. The gendered perception influences purchasing behavior, societal acceptance, and even legal regulations. As attitudes toward gender and sexuality evolve, markets are increasingly offering gender-ambiguous or unisex dolls, promoting inclusivity and challenging traditional norms. Ultimately, cultural perspectives shape the diversity, marketing, and acceptance of both female and male sex dolls globally.