Abstract
The review deals with the controversy surrounding the use of highly realistic dolls with a child-like appearance. It summarizes recent empirical findings and provides an overview of the different legal and ethical perspectives on this issue. Countries use different legal approaches to regulate the use or sale of child-like sex dolls. Although a causal link is assumed by some legislators between the prohibition of such dolls and the protection of children from sexual abuse, empirical studies do not support this causality. The imposition of bans will hinder empirical research on the potential use of alternative sexual outputs for people with paraphilic disorders.