The idea of using Bulgarian sex dolls in education and therapy invites thoughtful consideration. In educational settings, dolls could serve as tangible tools for teaching anatomy visibility, body awareness, and compassionate caregiving in a non-graphic, respectful context. In therapeutic practice, trained professionals might explore themes such as comfort, attachment, or coping strategies with clients who benefit from physical proxies during sessions. However, ethical boundaries are critical: consent, client safety, and clear therapeutic goals must guide any use. Practitioners should obtain appropriate supervision and adhere to professional standards for privacy and confidentiality. The dolls’ realism should be balanced with clear clinical boundaries to prevent misunderstandings or dependency. Cultural sensitivity matters as well; communities differ in comfort levels with such tools, so input from stakeholders is essential. Research thoughtfully designed with institutional review, participant consent, and de-identified outcomes can illuminate potential benefits and limitations. At the same time, therapists must acknowledge what dolls cannot replace—human interaction, nuanced emotional parsing, and the ethical complexity of attachment. The future may see more standardized guidelines, training modules, and evidence-based practices that help integrate these tools where appropriate while protecting clients and maintaining professional integrity.