Cultural contexts shape how autonomous companions are perceived, adopted, and regulated around the world. Social norms, gender expectations, and religio-ethical frameworks influence acceptance, usage patterns, and debates over desirability. In some regions, sex dolls may be viewed as private, acceptable means of exploration or coping, while in others they provoke concern about objectification or social isolation. Legal landscapes reflect these tensions, with varying restrictions on ownership, importation, or advertising, and differing emphases on data privacy and consumer protection. Language and media discourse contribute to public perception, ranging from fascination with technological novelty to cautionary narratives about dependence or moral implications. Cross-cultural studies highlight the importance of autonomy, informed consent, and the potential for these technologies to complement or complicate intimate life. Designers and policymakers grapple with balancing innovation, user well-being, and social responsibility in a globally connected market. As attitudes shift with generational changes and technological literacy, ongoing dialogue can foster greater understanding, respectful use, and thoughtful regulation that respects local values while enabling safe, ethical access.