The integration of AI and robotics into sex dolls introduces complex ethical considerations surrounding autonomy, consent, and the nature of human relationships. While AI can enable dolls to simulate conversation and responsiveness, questions arise about whether these interactions constitute genuine consent or emotional engagement. Critics argue that using AI-powered dolls might blur the line between simulated and real relationships, potentially leading users to prefer artificial companionship over human interaction, thus impacting social skills and emotional development. There are also concerns about objectification—AI can be programmed to emulate specific fantasies, which might reinforce harmful stereotypes or promote unethical behaviors. Moreover, ethical debates focus on the potential for AI to evolve beyond simple responses, raising questions about autonomy and the rights of the robot or doll itself. Transparency about capabilities and limitations is vital to prevent deception or unrealistic expectations. As technology advances, it is crucial to establish ethical guidelines that respect human dignity, promote responsible innovation, and ensure that AI-enhanced sex dolls serve as tools for well-being rather than sources of harm or social detriment.