Developing autonomous AI sex doll companions presents a host of ethical challenges that require careful consideration. One primary concern is the issue of agency and moral status—if a doll can make decisions or exhibit autonomy, questions about rights and moral treatment arise. Ensuring that these devices do not promote harmful behaviors or reinforce negative stereotypes is critical. Privacy and data security are also paramount, as AI dolls often store sensitive personal information, raising risks of misuse or breaches. Additionally, there is debate over the potential for emotional dependency, where users might develop unhealthy attachments or prefer virtual companionship over human relationships. Developers must also grapple with the societal implications of normalizing autonomous, human-like entities—how they influence perceptions of consent, gender roles, and social norms. Establishing ethical guidelines, transparency, and regulatory oversight is essential to navigate these challenges responsibly. Ultimately, creating autonomous AI sex dolls demands a balance between technological innovation and moral responsibility to ensure that advancements serve human well-being without unintended harm.