It is often argued that the Japanese market is discriminatory toward fat sex dolls; however, this perspective conflates public cultural taboos with the evaluation of a product’s intrinsic value. In Japanese society, a "culture of shame" dictates an unwritten rule for all products of an intimate nature: they are not to be discussed, displayed, or brought into the public sphere. The controversy surrounding body types—specifically regarding fat sex dolls—stems fundamentally from a disconnect between public discourse and private consumption, rather than a deliberate rejection of any particular product category.

In public settings, the topic of realistic dolls is generally avoided. Models with fuller, more curvaceous figures are more visually distinct; consequently, should they appear in the public eye, they are more likely to spark debate—creating the impression that they are "less accepted." However, this does not equate to discrimination. The public’s discomfort lies in the exposure of items intended for private use, not in the specific body type of the product itself. Within the realm of private consumption, choices are driven entirely by personal preference—whether one prefers a slender or a fuller figure, it is simply a matter of individual aesthetic taste and desired functionality, with no inherent hierarchy of "better" or "worse." In fact, many individuals living alone actually prefer fat sex dolls, finding that their more substantial forms provide a greater sense of being "enveloped" when held, which helps to alleviate the loneliness of living solo.

In contrast, the marketing style for sex dolls USA tends to be open and direct, often highlighting the product's physical appearance as a primary selling point. This approach clashes with the discreet, private consumption habits prevalent in Japan, potentially alienating local consumers and further fueling the misconception that fuller-figured models are "rejected." In reality, when products are marketed in a way that aligns with local norms regarding privacy—utilizing discreet, private channels—they can successfully cultivate a stable user base. What might be perceived as discrimination is, in fact, simply a case of cultural misalignment—a product failing to "take root" due to differences in the underlying cultural context.

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