Japanese geisha dolls are created in the image of the one of the main icons of oriental traditional Japanese vintage culture. A Japanese geisha is a woman artiste proficient in dance, music, and conversing with the audience. There were numerous Geishas in the eighteenth and nineteenth centuries,they are considered as a token of Japanese culture though today, their numbers are diminishing.

The Japanese geisha doll have been meticulously made, to capture the exotic appearance of the real antique Japanese Geishas. Combining innocence with sophistication, the Japanese geisha dolls represent the sensuality coupled with modesty that Japanese women reflect. The faces of the Japanese geisha dolls mimic the makeup used by the real girls. This implies the face being painted with a thick white base with red lipstick and broad red and black lining surrounding the eyes and the eyebrows. Just below the hairline, a thin strip of skin is left free of makeup to give the impression of the girl wearing a mask. The area just below the nape of the neck is also free of makeup to provide a subtle erotic effect. The antique japan doll is clothed in a multi-hued kimono with a patterned obi. On the feet, the Japanese doll may wear a flat-soled sandal or a clog. Some Japanese geishas wear their hair down, while some other styles their hair in the form of a Chignon, which involves the hair being raised into a bun and held in place with hairpins. Almost every intricate detail of the real Japanese geisha is captured in the typical oriental gifts doll, which could well be collecting gifts items.

Alongside Japanese geisha dolls, there are also Japanese maiko dolls. A Maiko is a trainee Japanese geisha and her appearance and dress may slightly differ from a full-fledged the Japanese geishas. The Japanese geisha dolls are mostly handmade with attention to detail, the body made of porcelain, clothed in Japanese authentic silk brocade kimonos, and resting on a lacquered wooden base. Some Japan dolls carry accessories, such as Tsuzumi drums, parasols, baskets, and hats adding to the realism of the artifact.