The integration of sex dolls into couples’ counseling is an innovative approach aimed at addressing intimacy issues and fostering open communication. Therapists may recommend the use of sex dolls as tools to explore fantasies, improve sexual confidence, or overcome barriers related to body image or trauma. In a counseling setting, sex dolls can serve as neutral mediators that help partners understand each other’s desires and preferences without judgment. They can also assist couples in practicing communication about intimacy, setting boundaries, and rebuilding trust. For individuals with performance anxiety or past trauma, sex dolls can provide a safe space to regain confidence before engaging in partner-based intimacy. Moreover, their use can promote empathy and understanding, as partners observe and discuss the role of the doll in fulfilling emotional or physical needs. While not suitable for all situations, sex dolls in couples’ counseling can be a valuable supplementary resource for enhancing intimacy, encouraging honest dialogue, and fostering mutual acceptance. When used ethically and transparently, they can contribute to healthier, more satisfying relationships.