The emergence of autonomous AI sex dolls raises complex ethical questions surrounding consent and autonomy. Unlike traditional dolls, AI-enabled models can be programmed to respond dynamically, potentially engaging in conversations and actions that mimic human behavior. This raises concerns about the nature of consent—can a machine give or withdraw consent? Critics argue that programming a doll to simulate consent might reinforce problematic attitudes towards real human interactions and consent boundaries. Furthermore, the idea of autonomy in AI involves moral considerations about the doll’s capacity for self-awareness and decision-making. If a doll possesses advanced autonomous functions, questions arise about its rights and the moral implications of programming it to perform certain actions. There are also societal concerns about desensitization and the impact on human relationships, especially if users develop attachments to highly realistic, autonomous dolls. Developing ethical frameworks that respect human dignity while considering the technological capabilities of AI is crucial. This involves ongoing discussions among ethicists, technologists, and society at large to ensure that the development and use of such devices align with moral standards and promote healthy, respectful interactions.