Navigating Japan’s road rules is one thing; doing it with a toddler in the back seat is another. Many parents quickly notice a gap between what the law requires and what safety experts actually recommend for car seats in Japan. From age and height rules to taxis and rental cars, this is what you need to know about car seat safety in Japan.

Car Seats In Japan 101

Under Japan’s Road Traffic Act, any child under the age of six must be secured in a child restraint system.

It’s important to note that responsibility lies entirely with the driver. This applies even if you’re just borrowing a friend’s car for a quick grocery run or catching a ride with a neighbor. If the police catch you transporting a child under six without a seat, there’s no monetary fine, but you will receive one demerit point on your license.

While a single point might feel like a “slap on the wrist,” the safety risks are anything but minor. 

When Is a Car Seat Not Legally Required?

Japan’s “Road Traffic Act Enforcement Order” does allow for a few specific exemptions:

• Space Issues: If the vehicle’s structure prevents installing a car seat, or if the car is already at full capacity and there isn’t space to secure multiple children.
• Health & Care: If a child has a medical condition or injury that prevents proper use, or if urgent daily care (such as changing a diaper) must be provided while the vehicle is moving. 
• Public Transport: Car seats are not required by law when riding in taxis or buses.
• Emergencies: During urgent transport to a hospital or medical facility.

Experts Recommend Using Car Seats For Longer

While the law lets you stop using a car seat the day your child turns six, the Japan Automobile Federation (JAF) recommends using the measuring tape rather than age.

In 2025, JAF updated its guidelines, raising the recommended height for child seat use from 140 cm to 150 cm. Since the average child doesn’t hit the 150 cm mark until around age 12, this means your “big kid” should likely stay in a booster seat much longer than the law requires.

The reason comes down to fit. Adult seat belts are designed for adult bodies. If the belt crosses a child’s neck or abdomen instead of the collarbone and hips, the risk of serious internal injury increases in a crash. In other words, meeting the legal minimum and meeting the safest standard are not always the same thing.

Choosing The Right Car Seat In Japan

Manufacturers categorize seats based on a mix of age, height and weight. Here’s a quick cheat sheet for your next shopping trip:

Experts recommend keeping your child rear-facing for as long as your seat’s height and weight limits allow, and using a booster until the seat belt fits your child correctly.

Where To Buy Or Rent A Car Seat In Japan

Ready to shop? Thankfully, Japan has plenty of options for every budget, as well as a few rental options if you are just visiting.

In-Store Retailers

If you want to “test drive” a seat before buying, head to:

• Akachan Honpo: The ultimate destination for new parents. They have “Safety Advisors” who can help you understand the difference between seat belt–installed and ISOFIX models.
• Babies“R”Us / Toys“R”Us Japan: Great for seeing international brands like Joie, Cybex and Graco in person.
• Nishimatsuya: Their in-house brand, SmartAngel, offers some of the most budget-friendly seats in Japan without compromising on safety standards.

Online Options

For doorstep delivery, Amazon Japan and Rakuten are the best choices. Search for “チャイルドシート” (Child Seat) or “ジュニアシート” (Junior Seat). Make sure to check the seat for the E-mark (a tiny circle with an “E” inside). That symbol means the seat meets official safety standards in Japan.

Rentals Options

If you’re renting a car, you can usually add a child seat when you book. Most companies charge a one-time fee per rental rather than a daily rate.

Rental Services:

If a rental car add-on isn’t an option, standalone baby gear rental companies offer a wider selection of seats, from basic boosters to premium infant models. These are some of the most widely used services in Japan:

DUSKIN “Kasite Net” – A reliable option with a large catalog of models.

Price: Approximately ¥3,500 – ¥6,600 per month for popular Combi or Leaman seats.

BabyRenta -Offers a wider selection, including premium brands such as Cybex and Joie.

Price: Short-term rentals (around three days) start at roughly ¥6,000. Monthly rentals are a better value at around ¥8,000.

NiceBaby – Well-suited for medium-term rentals.

Price: Two-week rentals start at about ¥2,000 for basic boosters and range up to ¥7,000 for higher-end infant seats.

Keeping your child safe on Japan’s roads doesn’t need to feel overwhelming. The law gives you a starting point but the safest choice is always the seat that fits your child properly.

Have you found Japan’s car seat rules confusing, or surprisingly flexible? Share your experience in the comments!

With the number of babies dropping each year, the Japanese government is rolling out one of its most ambitious rounds of family support in years. Starting in 2026, Japan is introducing new family support policies that cover childbirth and childcare, education and post-divorce support. Here’s what to expect with the new key family policy changes in Japan.

Free Childbirth for Standard Deliveries

One of the key family policy changes in Japan is the plan to eliminate out-of-pocket costs for standard childbirth. Currently, normal deliveries are not covered by national health insurance. Instead, parents receive a lump-sum childbirth and childcare allowance of ¥500,000, which often does not cover the entire cost of delivery. The national average has climbed from around ¥417,000 in 2012 to more than ¥518,000 in 2024 and in Tokyo, costs are as high as ¥625,000.

From fiscal year 2026, the government aims to make standard childbirth effectively free, either by covering normal deliveries under public health insurance with no co-payment or by increasing the allowance to match typical costs. Caesarean sections and other specialized procedures, which are already partially insured, will continue to require the usual 30 percent co-payment.

While details such as epidurals and private rooms are still under review, the goal is straightforward: to remove one of the largest upfront expenses of becoming a parent in Japan.

New Child & Child-rearing Support Contribution

From April 2026, families will notice a small new addition to their health insurance premiums: the Child and Child-rearing Support Contribution (子ども 子育て支援金制度). The funds will go toward expanding child allowances, pregnancy and childbirth grants and broader childcare programs.

The fee will be collected from all health insurance subscribers, including people without children. Government estimates put the average cost at around ¥250 to ¥450 per person per month (roughly ¥3,000 to ¥5,400 per year), though the exact amount will vary based on income and insurance type. If you work for a company, the cost will be shared with your employer, much like your existing social insurance payments.

Childcare for All Children

Starting in April 2026, Japan will roll out the “Childcare for All Children” program (こども誰でも通園制度) nationwide, expanding access to childcare for more families.

Until now, getting a spot at a licensed daycare usually meant parents had to prove a “need for childcare,” often by working full-time. This left many stay-at-home parents, freelancers, part-timers and job-seeking families struggling to access childcare, especially for children under two. Under the new system, that requirement will be removed. Infants and toddlers aged six months to two years will be able to attend daycare for up to 10 hours per month, regardless of their parents’ employment status.

Families will have more flexible childcare choices, from short-term and hourly care to local, community-based support. Rates are expected to be around ¥275 to ¥300 per hour, though the exact cost and availability will depend on your area. All certified providers will also offer some form of flexible access under the new system.

Joint Parental Custody After Divorce

From April 2026, Japan will introduce joint parental custody, marking a major shift in the country’s divorce and custody laws.

Until now, Japan only recognized sole custody, meaning one parent kept full legal authority (shinken), while the other had limited say in major decisions. Under the revised Civil Code, parents will be able to choose either joint or sole custody. With joint custody, both parents must agree on big decisions like schooling, moving house or significant medical care, while day-to-day matters stay with the parent the child lives with. If there are concerns about domestic violence or abuse, the court will award sole custody instead.

At the same time, Japan will roll out a new child support system to address unpaid support.

From April 2026:

• A minimum payment of ¥20,000 per child per month can be claimed
• This applies even without a formal agreement at the time of divorce
• Courts can seize wages or assets to recover unpaid support, up to ¥80,000 per child per month

One-time ¥20,000 Support Payment

Families will also get a small financial boost: a one-time ¥20,000 Child-rearing Support Allowance per child. Unlike regular benefits, this is meant as short-term help rather than ongoing support.

If you’re already receiving the standard child allowance, you’re automatically eligible, with no income limits to worry about. The payment covers kids aged 0 to 18 and will be sent to the same bank account you use for your current child allowance. Most families can expect it to arrive between February and March 2026.

Private High School Tuition Assistance

Education costs are also set to ease for many families, especially those considering private high schools. From April 2026, the government will scrap the income cap on private high school tuition subsidies. In the past, support depended on household earnings, which meant many middle-income families missed out or received very little. Under the new rules, all eligible households can get up to ¥457,000 per year per student.

Unfortunately, the subsidy only applies to tuition. Things like entrance fees, uniforms, tablets or laptops and school trips are still paid out of pocket.

Pension Premium Exemption for Self-employed Parents 

For self-employed parents, taking time off after having a baby can be financially tough. Unlike salaried workers, freelancers and small business owners still have to pay their full National Pension premiums. From October 2026, that changes. Type 1 insured parents will be exempt from paying National Pension premiums until their child turns one. With monthly premiums currently around ¥16,000 to ¥17,000, that could mean savings of ¥190,000 to ¥200,000 over the first year.

What do you think of the key family policy changes in Japan? Let us know in the comments!

Japan is an incredible place to visit in winter, but if you are traveling with kids, flu season is something worth preparing for. Influenza (インフルエンザ) spreads fast in Japan and a child getting sick can shift everything in a matter of hours. The good news is that Japan’s healthcare system is extremely reliable, which makes dealing with situations like this much less overwhelming.

Recognizing Flu Symptoms

In Japan, a temperature over 37.5°C counts as a fever. If it climbs to 38°C or higher, especially if your child seems unusually tired, is struggling to breathe, or is not eating or drinking, it is best to have them checked. 

Influenza symptoms: 

• Fever above 38°C 
• Chills, headaches, muscle aches 
• Severe fatigue
• Cough, sore throat, congestion 
• Vomiting or diarrhea, especially in younger kids

Severe influenza symptoms:

If your child is experiencing any of the following symptoms, seek urgent medical care immediately. 

• Bluish lips or skin
• Labored or rapid breathing
• Confusion, hallucinations, seizures
• Persistent vomiting or dehydration
• Non-blanching rash
• Fever lasting longer than 48 hours in young children

No one knows your child better than you do. If their behavior seems unusual or your instincts are telling you something is not right, trust that feeling and seek medical advice.

Flu Care in Japan

Many children recover from influenza without hospital care, but managing symptoms while traveling can feel different from home. The good news is that Japan has plenty of options to help make your child more comfortable.

Some helpful items for flu care include:

• Netsu-zamashi (熱さましシート) – cooling gel sheets for fevers
• OS-1 – Oral rehydration electrolyte solution (Electrolyte drinks like Pocari Sweat and Aquarius also work well)
• Children’s Bufferin Range (小児用バファリン) – Liquids and Tablets for fevers, coughs and cold symptoms
• Paburon Kids (パブロンキッズ) – an acetaminophen-based medication for children aged 3 months to 6 years

You can ask the pharmacy staff for help by sharing your child’s age, weight and symptoms. They can recommend suitable products, but keep in mind that Japan typically uses lower doses of acetaminophen than many Western countries.

If you need supplies late at night, chains such as Welcia, Tsuruha Drug and Sugi Drug often operate extended hours. Above all, encourage plenty of rest and fluids and consider slowing your itinerary to allow proper time for recovery.

How to Call an Ambulance in Japan

If the situation feels urgent, do not take a taxi or go directly to a hospital without calling ahead. Japan’s emergency system works differently.

The fastest option:

If you are staying at a hotel, your first stop should be the front desk or concierge. They understand the emergency system, can explain your location accurately in Japanese and remove the stress of communication so you can focus on your child. When you are away from your accommodation, do not hesitate to ask for help from a police officer, station staff member or nearby employee.

If you must call yourself:

Do not delay. Dial 119 and say:

“Kyuu-kyuu-sha onegaishimasu. Kodomo ga byouki desu.” (I need an ambulance. My child is sick.)

Give your address slowly and clearly, add nearby landmarks and speak simply. Use simple English or Japanese and speak at a steady pace. It is always better to call for help right away than to lose time searching online or relying on translation apps.

Ambulance services in Japan are free for everyone and paramedics will choose the most appropriate hospital based on your child’s condition and location.

Medical Emergency Services in Japan

Fortunately, most major cities in Japan are well equipped with 24-hour emergency medical services, particularly during flu season. If possible, ask hotel staff for assistance first. If you are unsure whether your child needs emergency care, you can also dial #7119 for nurse advice (Japanese only).

Important: Always Call Ahead

In Japan, you generally cannot choose a clinic or hospital and simply show up. Many facilities do not accept walk-ins and will turn patients away if no prior arrangement has been made. While this can feel frustrating when you are worried about your child, following the correct procedure is often the fastest way to receive care.

Medical Support Lines for Foreign Visitors

Tokyo Metropolitan Health & Medical Information Centre

They offer free medical consultations and can recommend hospitals that provide support in foreign languages.

• Languages: English, Chinese, Korean, Thai and Spanish (call charges apply)
• Hours: 9 a.m. to 8 p.m.
• Phone: 03-5285-8181

Japan National Tourism Organization (JNTO) – Japan Visitor Hotline

This service supports visitors with emergencies such as illness or natural disasters and provides information on medical facilities that offer care in foreign languages.

• Languages: English, Chinese and Korean
• Hours: 24/7, 365 days
• Phone: 050-3816-2787

AMDA International Medical Information Center

AMDA provides multilingual medical information and support for foreign residents and visitors in Japan. They can help you find appropriate hospitals and clinics, explain how the Japanese medical system works, and offer telephone interpretation support during medical visits when needed.

• Languages: English, Chinese, Korean, Spanish, Portuguese, Thai, Tagalog, Vietnamese and others (varies by day and availability)
• Hours: Monday to Friday, 10 a.m. to 4 p.m.
• Phone: 03-6233-9266

Visiting a Hospital in Japan

Foreign families are very welcome at Japanese hospitals, although the experience may differ from what you are accustomed to at home.

Bring the following with you:

• Passports
• Travel insurance documents
• Any prescription medications your child is currently taking
• Cash (payment is often required before leaving and not all facilities accept cards)

At the reception, you will be required to complete several forms. English options are not always available, so the Google Translate camera function can be extremely helpful.

Your child will be triaged quickly before being seen by a physician. In suspected flu cases, doctors often perform a rapid influenza test using a swab.

Depending on your child’s condition, they may also receive:

• Temperature checks and rapid testing for viral infections
• Oral Rehydration Solutions or Intravenous Fluids
• X-rays or blood tests if complications are suspected
• Prescriptions for medication

If you are still feeling unsure, Savvy Tokyo offers several guides on what to know before seeing a doctor in Japan and what to expect when your child needs medical care.

Daiso is one of the best places in Japan to stock up on Christmas essentials without blowing your budget in December. From festive decor to DIY craft kits and adorable pet outfits, their seasonal range is huge, affordable and honestly way better than you’d expect from a 100-yen store. Here are some of the standout items worth grabbing this year.

Chocolate Icing Decorative Pens

© Photo by Kerri King

These chocolate icing pens are an absolute must-have if you are planning to decorate gingerbread houses or Christmas cookies this year. They set quickly, taste delicious and Daiso has a huge selection of colours to choose from. Pro tip: Warm the tube in a mug of hot water before opening. It allows the chocolate to flow smoothly, resulting in cleaner designs.

• Price: ¥108
• Store: Daiso (Similar items can be found at supermarkets and other 100 yen shops)

Christmas Nail Decorations

© Photo by Kerri King

Daiso is a go-to spot for DIY nails in Japan and its Christmas lineup this year is genuinely adorable. Tiny nail art parts made from polyresin and zinc alloy (perfect for adding dimension to festive designs) and Christmas-themed gel nail stickers in tartan prints or sparkly white are available this year. It’s an easy, affordable way to add a festive touch without booking a salon appointment.

• Price: ¥110
• Store: Daiso (Similar items can be found at other 100 yen shops)

LED Decoration Lights

© Photo by Kerri King

Daiso’s LED light range is one of the best budget-friendly options for festive lighting. There are many options, including warm white strands, multicoloured sets and fun seasonal shapes like stars and snowflakes. All are battery-operated (batteries not included), which makes them easy to place anywhere without worrying about outlets or extension cords.

• Price: ¥110-¥330
• Store: Daiso (Similar items can be found at other 100 yen shops)

Pet Christmas Costumes & Toys

© Photo by Kerri King

If you love dressing up your pets for the holidays, Daiso has some super adorable options this year. The Christmas tree ponchos and red knit-style outfits come in S, M, L and XL, making them suitable for everything from small cats to bigger pups. They also sell festive collars and small toys for both cats and dogs. They’re very cute and perfect for holiday photos.

• Price: ¥110-¥550
• Store: Daiso

Christmas Gift Bags

© Photo by Kerri King

© Photo by Kerri King

Daiso’s gift bag section might actually be unmatched. There are so many options for any gift type, including simple plastic bags, gorgeous fabric styles, foil bags, gusseted options and large paper bags. Designs range from classic Christmas patterns to kid-friendly Disney and Sanrio styles. Our family reuses the fabric gusset bags every year.

• Price: ¥110-¥330
• Store: Daiso (Similar items can be found at other 100 yen shops)

Santa Costumes & Accessories

© Photo by Kerri King

© Photo by Kerri King

What’s Christmas without a classic Santa outfit? Daiso has a decent range of Christmas outfits this year, including adult-size Santa costumes and Santa dresses, as well as kids’ versions that come as full outfits, dresses or Santa skirts. There’s even a classic Santa beard to complete the look. They’re fun, inexpensive and ideal for holiday photos or at-home festive fun.

• Price: ¥110-¥550
• Store: Daiso

Wreath-Making Supplies

© Photo by Kerri King

If you love crafting, Daiso has everything you need to create your own Christmas wreath. You can choose from polystyrene or wooden wreath bases, then customise them with berries, ribbons, mini ornaments and whatever festive touches you like. Most basic supplies are available year-round, with seasonal variations such as pumpkins in autumn or snow-dusted pinecones in winter. With a few affordable pieces, you can put together a wreath that looks completely personalised.

• Price: ¥110-¥220
• Store: Daiso (Similar items can be found at other 100 yen shops)

Christmas Felt Baskets

© Photo by Kerri King

These small felt baskets are an adorable must-have for festive gift giving. Designs include a gingerbread house, snowman and Santa, each sturdy enough to hold a few small treats or stocking fillers. They also double as cute desk or shelf storage for pens or craft supplies. This year, I filled one with Daiso winter warmers and a few festive goodies to make the perfect holiday gift.

• Price: ¥220
• Store: Daiso (Similar items can be found at other 100 yen shops)

Hata Chanmery (Kids’ Sparkling Drink)

© Photo by Kerri King

No Japanese Christmas feels complete without chanmery, the kid-friendly sparkling “wine” that appears on shelves every holiday season. Daiso stocks the Hata Chanmery brand, which is not only delicious but far more affordable at ¥108, compared to the ¥400 price tag you’ll often see for other brands in supermarkets. It comes in both white and red varieties (regular and berry), and at 300ml per bottle, it’s the perfect size for Christmas celebrations with kids.

• Price: ¥108
• Store: Daiso (Similar items can be found at supermarkets and convenience stores)

Christmas Cushions

© Photo by Kerri King

Daiso’s cute Christmas cushions are perfect for adding holiday cheer to any room. They’re very soft and affordable, making them perfect for mixing and matching throughout your home. Designs include Santa, gingerbread, Christmas tree and reindeer cushions, along with Daiso’s range of festive cushion covers if you prefer to dress up your existing pillows.

• Price: ¥220-¥550
• Store: Daiso

Christmas Felt Craft Kits

© Photo by Kerri King

These small felt craft kits make a great hands-on activity for the holidays, adding a sweet, handmade touch to your Christmas decorations. Designs include polar bears, snowmen, reindeer and Santa. Each set takes around two hours to complete, making it perfect for a cozy afternoon at home.

• Price: ¥110
• Store: Daiso

Christmas Cards

© Photo by Kerri King

Daiso’s Christmas card selection is very impressive this year. They have stocked up on everything from simple flat cards to pop-up designs, 3D scenes and glittered or embossed styles. They come individually wrapped with envelopes and many of the pop-up cards look far more expensive than their price tag.

• Price: ¥110-¥220
• Store: Daiso (Similar items can be found at other 100 yen shops, supermarkets, variety stores and stationery stores)

New Year Essentials

© Photo by Kerri King

© Photo by Kerri King

© Photo by Kerri King

© Photo by Kerri King

After Christmas, preparations for Oshogatsu (Japanese New Year) begin almost immediately and Daiso is one of the easiest places to pick up everything you need. Their seasonal section is packed with shogatsu kazari (traditional New Year decorations) such as wreaths, small decorative arrangements and zodiac ornaments for the Year of the Horse (2026). You’ll also find festive tableware, party supplies and plenty of small items to refresh your home for the holiday. Families can also prepare for otoshidama, the New Year tradition of gifting children money in decorative envelopes. Daiso carries a vast range, from zodiac-themed designs to kid-friendly options. Envelopes are available individually or in multi-packs, making it easy to stock up before the new year.

• Price: ¥110-¥330
• Store: Daiso (Similar items can be found at other 100 yen shops and department stores)

Other 100 Yen Shop Recommendations

• Daiso Winter Must-Haves For Keeping Warm
• 100 Yen Shop Must-Haves for Families
• 100 Yen Shop Must-Haves for Traveling
• 100 Yen Shop Must-Haves for Cleaning
• 100 Yen Shop Must-Haves for Emergency Disasters
• 100 Yen Shop Must-Haves for School and the Office
• 100 Yen Shop Must-Haves for the Kitchen
• 100 Yen Shop Summer Must-Haves for Cooling Down
• 100 Yen Shop Must-Haves for Home Decor
• 100 Yen Shop Must-Haves For DIY Nails
• 100 Yen Shop Must-Haves For Cherry Blossom Viewing

Do you have any Daiso or 100 yen shop must-haves for Christmas? Let us know about them in the comments!

Japan’s 100 yen shops are beloved nationwide for their vast selection of affordable everyday products, particularly their seasonal offerings. Daiso has an impressive lineup of winter essentials to help you stay warm without overspending.

Here’s a cozy selection of Daiso winter must-haves to keep you warm and dry this winter. You can buy the following items at Daiso stores across Japan and similar products are also available at other 100 yen shops such as Seria and CanDo.

Fluffy Headphone Covers

© Photo by Kerri King

These soft, plush covers slip over standard headphones, adding extra warmth on cold days. Available in pink, white, gray and brown, they’re perfect if you want the cozy feel of winter ear warmers without giving up your music or podcasts.

• Price: ¥220
• Shop: Daiso 

Cup Warmer

© Photo by Daiso

This small electric cup warmer is one of the most practical winter desk accessories you can pick up. It works with heat-resistant glass, metal or ceramic cups that are seven centimeters or smaller in diameter and keeps your drink warm while you work. It’s especially useful if your home or office runs cold, or if you’re the kind of person (hello, busy mums) who never gets to finish their tea while it’s still hot.

• Price: ¥550
• Shop: Daiso

USB Warm Folding Cushion

© Photo by Daiso

This compact heated cushion plugs into a USB port or a portable power bank, delivering instant warmth to your chair, sofa or home office setup. It folds neatly for storage, comes with a handle for easy carrying, and gives you that gentle, radiant heat that makes winter much more comfortable. Great for cold apartments, late-night work sessions or anyone prone to chilly lower backs.

• Price: ¥1,100
• Shop: Daiso

Quilted Shoulder Scarf

© Photo by Daiso

This lightweight quilted scarf is designed to sit comfortably over your shoulders, and thanks to its button closures, you can wear it as a scarf or style it like a vest. It gives targeted warmth without overheating, making it ideal for reading, watching TV or working at your computer. Available in grey or black, and yes, it even has pockets.

• Price: ¥330
• Shop: Daiso

Draft-Prevention Fluffy Stopper

© Photo by Daiso

This plush draft stopper helps keep warm air inside by blocking the gap under your door. At 80 centimeters long, it fits most entryways, and it’s both easy to clean and use. There’s a small loop at the end, allowing you to hang it up when it’s not needed. A simple winter essential that instantly makes a room feel cozier.

• Price: ¥220
• Shop: Daiso (Similar items available at other 100 yen shops)

Warm Foot Insoles

© Photo by Daiso

Daiso carries a wide range of warm winter insoles, from simple felt styles to thick cushioned ones. My personal favourite is the wool-mix version. They kept my whole family warm during last year’s snowy adventures. Sizes range from children’s to adults, making them an easy upgrade for winter boots or school shoes.

• Price: ¥110–¥330
• Shop: Daiso (Similar items available at other 100 yen shops)

Tea Pack Holder

© Photo by Kerri King

This handy loose-leaf tea pack holder comes in a set of two and lets you portion out your favourite teas without needing a full teapot. It’s great for quick brews, small kitchens or anyone who prefers loose leaf but doesn’t want the cleanup.

• Price: ¥110
• Shop: Daiso (Similar items available at other 100 yen shops)

Winter Pillow Covers

© Photo by Kerri King

Winter pillow covers instantly make your sleep setup feel warmer. Look for the fluffy, microfiber or velour fabrics that trap heat and keep your face warm through the night. There are many prints to choose from, including Sanrio and Disney options without the added price tag.

• Price: ¥330
• Shop: Daiso (Similar items available at Seria, CanDo and Shimamura)

Bath Salts

© Photo by Kerri King

Warm up from the inside out with bath salts designed to increase circulation and help your body retain heat. Daiso has plenty of options like yuzu, ginger and onsen-style formulas that are perfect for relaxing sore muscles and warming you up before bed.

• Price: ¥110
• Shop: Daiso (Similar items available at other 100 yen shops)

Winter Houseproofing Essentials

© Photo by Kerri King

© Photo by Kerri King

Prevent heat loss at home with Daiso’s range of winter houseproofing essentials. Aluminum thermal sheets help retain warmth under a kotatsu, air-tight tape seals drafts around windows and doors and bubble wrap provides an easy, affordable layer of insulation for older homes. Used together, these simple items can make your space noticeably warmer and more energy-efficient.

• Price: ¥110-¥330
• Shop: Daiso (Similar items available at Seria and home sections of Donki or Shimamura)

Kairo (Pocket Warmers)

© Photo by Kerri King

Kairo are a true winter essential in Japan, and Daiso carries an impressive variety. You’ll find stick-on kairo for layering under clothing, pocket-sized warmers for hands, toe warmers for boots and extra-long types that stay warm for hours. They’re lightweight, inexpensive and perfect for school runs, train commutes, outdoor events or travel days when temperatures drop quickly. Stock up early in the season as popular sizes often sell out once the cold sets in.

• Price: ¥110
• Shop: Daiso (Can also be found at Supermarkets, drug stores and other 100 Yen Stores)

Lap Blankets

© Photo by Kerri King

Small, soft and surprisingly warm, Daiso’s lap blankets are perfect for desks, sofas and even the car. They come in cozy materials like sherpa, microfiber and plush fleece and are available in a range of sizes, colors and prints. You’ll often find seasonal designs as well as popular Disney and Sanrio characters, making them a fun and practical winter essential.

• Price: ¥330-¥550
• Shop: Daiso (Similar items available at other 100 yen stores)

Cozy Winter Wear

© Photo by Kerri King

© Photo by Kerri King

© Photo by Kerri King

© Photo by Kerri King

© Photo by Kerri King

© Photo by Kerri King

Daiso offers a surprisingly solid selection of affordable winter wear, making it easier to stay warm. You’ll find fleece and thermal room pants, classic haramaki (Japanese belly warmers), neck and arm warmers, thick room socks, fluffy indoor slippers and even winter gloves. Most styles come in simple neutrals or cute seasonal prints and they’re designed to layer comfortably without feeling bulky.

• Price: ¥110-¥330
• Shop: Daiso (Similar items available at other 100 yen stores)

Other 100 Yen Shop Recommendations

• 100 Yen Shop Must-Haves for Families
• 100 Yen Shop Must-Haves for Traveling
• 100 Yen Shop Must-Haves for Cleaning
• 100 Yen Shop Must-Haves for Emergency Disasters
• 100 Yen Shop Must-Haves for School and the Office
• 100 Yen Shop Must-Haves for the Kitchen
• 100 Yen Shop Summer Must-Haves for Cooling Down
• 100 Yen Shop Must-Haves for Home Decor
• 100 Yen Shop Must-Haves For DIY Nails
• 100 Yen Shop Must-Haves For Cherry Blossom Viewing

Do you have any Daiso or 100 yen shop must-haves for winter? Let us know about them in the comments!

The hyper-realistic 3D fruit ice creams you’ve seen all over TikTok and Instagram are finally coming to Japan. Already a hit across China, Southeast Asia and the US, these ultra-real fruit-shaped treats have earned global fan status for their eye-catching design, sorbet-style centres and wildly popular “cut-open reveal” videos. With Japan’s launch set for early December, they’re on track to become one of the most talked-about dessert releases of the year.

The Global Craze Behind Hyper-Real Fruit Ice Creams

© Photo by Propitious Mango

These 3D fruit-shaped ice creams were already a full-blown global trend long before Japan announced its release, thanks to a few viral versions that blew up overseas.

1. Propitious Mango (China): The Original Viral Ice Cream

This is the one that started it all. Propitious Mango’s hyper-realistic mango-shaped ice cream spread across Southeast Asia and the US, usually selling for $5–$7 each.

2. 3D Fruit Ice Series

As the trend picked up, other manufacturers began releasing nearly identical versions in peach, strawberry, lemon and grape. These took off across Malaysia, Singapore, Taiwan and Hong Kong, often sold in multipacks for $10–$12. These colourful lineups became Instagram Reels favourites thanks to their aesthetic “flavour collection” appeal.

3. Fruitae/Frukti Deluxe (New Zealand & Australia)

NZ and Australia then introduced their own branded sets using similar moulds but different recipes. Flavours included mango, peach, coconut and strawberry, priced around $5 each or $13 per pack. They weren’t as internationally famous, but they kept the trend alive across Oceania.

Where To Get Them in Japan

© Photo by I Korea U Aiko

On December 1st, 2025, Japan is officially joining the global trend, with the brand 3Dフルーツアイス (3D Fruit Ice Cream), imported by Gold Star, who are known for bringing several Korean viral ice creams into Japan. The launch is surprisingly big, covering major convenience stores and supermarkets nationwide. 

Here’s the confirmed release schedule:

From December 1

• Don Quijote (nationwide)
• AEON – Frozen section (nationwide)

From December 2

• 7-Eleven (nationwide)
• FamilyMart (Kanto, Kansai, Chukyo)
• Natural Lawson (Tokyo Metropolitan Area)

After December 8

• Summit (Tokyo Metropolitan Area)
• Mommy Mart (Saitama)
• Seiyu (nationwide, excluding Hokkaido)

Pricing & Flavors

Although the official price remains unconfirmed, early shelf photos indicate a range of ¥500 to ¥550 per piece. Japan’s lineup will feature all five of the internationally popular flavours: mango, peach, grape, strawberry and lemon.

Finally, an international trend is landing in Japan before it’s over. And even as the temperature drops, these fruit-shaped ice creams feel like the kind of treat you can enjoy all year long. With their hyper-real look and refreshing centre, they’re set to become this winter’s “have you tried it yet?” moment.

Early this year, the Tokyo Metropolitan Government announced a subsidy of up to ¥100,000 to help cover the cost of epidural deliveries, which took effect on October 1, 2025. It marks the first time a major local government has acknowledged that pain relief during labour deserves real, practical support. That may seem routine in countries like the U.S. or Australia, but in Japan, epidurals have long taken a back seat in maternal care.

Seen for years as unnecessary, expensive or challenging to get, epidurals have remained out of reach for many women in Japan. But that perception is changing. As more women share their birth stories, support for better access to pain relief in labour continues to grow.

The Reality Of Pain Relief During Childbirth in Japan

© Photo by iStock: PonyWang

Ideas about “natural birth,” endurance and ganbaru (pushing through difficulty without complaint) have long shaped expectations around labor in Japan. Many women grew up hearing that pain was simply part of becoming a mother, making pain relief seem unnecessary or even indulgent. These attitudes didn’t appear overnight; they were passed down through families, echoed in maternity classes and normalized within hospital culture.

As a result, 硬膜外麻酔 (koumakugai masui; “epidural anesthesia”) rates in Japan remain far lower than in many Western countries. In 2018, only about five percent of births involved an epidural. As conversations around pain relief grow and expectations slowly shift, that number is rising. By 2024, the Japan Association of Obstetricians and Gynecologists reported usage had reached just under 14 percent. It’s a noticeable shift, though still well below the 70 to 80 percent reported in countries such as the U.K. and the U.S.

However, cultural attitudes are only one part of the story. Despite growing interest, the availability of epidural services in Japan is still limited. A national review found that out of more than 2,300 hospitals and clinics offering maternity care, only about 720 listed epidural services as an option. Even then, some hospitals could provide them only during daytime hours or when an anesthesiologist was on duty.

How Tokyo Is Expanding Access To Epidurals

© Photo by iStock: Beano5

Tokyo’s new subsidy is simple but meaningful. From October 1, 2025, residents who give birth at an approved hospital can claim up to ¥100,000 toward the cost of 無痛分娩 (mutsū bunben; “painless childbirth”) with the epidural procedure and anesthetic drugs.

To be eligible, you must:

1. Have registered your pregnancy with the local government in Tokyo and remain registered in Tokyo until you apply for the subsidy
2. Deliver at a 対象医療機関 (taishō iryō kikan; “approved medical institution”) published by the Tokyo Metropolitan Government
3. Receive epidural or combined spinal–epidural labor analgesia
4. Apply for the subsidy within one year of the delivery date.

Applications can be submitted via the Tokyo Welfare Bureau’s online form.

What Expectant Parents Should Know

© Photo by iStock: NataliaDeriabina

If you’re considering pain relief during labour in Japan, the most important thing is to ask early. Not every hospital offers epidurals, and even those that do may only provide them during certain hours.

How To Ask Your Doctor Or Clinic

Keep it simple and direct. You can say:

• 無痛分娩はできますか (mutsu bunben wa dekimasu ka; “Do you offer painless delivery?”)
• 硬膜外麻酔は使えますか (komakugai masui wa tsukaemasu ka; “Do you provide epidurals?”)
• 夜間や週末も対応できますか (yakan ya shumatsu mo taio dekimasu ka; “Is it available at night or on weekends?”)
• 追加料金はいくらですか (tsuika ryokin wa ikura desu ka; “How much is the additional cost?”)

These phrases will help you find out what’s available at your hospital or clinic. 

How to Find a Hospital That Offers Epidurals

In Tokyo

Start by checking whether your hospital is listed as an approved medical institution on the Tokyo Metropolitan Government’s official website. These are the only facilities where you can receive the ¥100,000 epidural subsidy.

You can also ask your clinic directly. Many will display a notice stating 当院は対象医療機関です (toin wa taisho iryo kikan desu; “This hospital is an approved facility”).

Across Japan

Availability varies widely, so here are a few tips.

• University hospitals and larger perinatal centers are your best bet.
• Private clinics in major cities like Osaka, Nagoya, Fukuoka and Yokohama increasingly offer painless deliveries.
• In regional or rural areas, options may be limited, so it’s best to start researching early in pregnancy.
• Always ask about staffing hours, because many hospitals can only offer epidurals when an anesthesiologist is present.

Cost of Epidurals in Japan

For most people outside Tokyo, epidurals are not covered by National Health Insurance, unless they become medically necessary, such as during an emergency c-section. The typical additional fee ranges from ¥100,000 to ¥150,000, depending on the hospital.

A Quiet Shift in Japan’s Birth Culture

© Photo by iStock: Yusuke Ide

Pain relief during childbirth is slowly becoming a more visible and supported part of maternal care in Japan. Tokyo’s new subsidy won’t fix every challenge overnight, but it signals a fundamental shift. More parents are talking openly about their birth experiences, more hospitals are exploring how to expand services and the national conversation around labour pain is beginning to soften.

At the heart of all this is choice. You deserve to understand your options, ask questions and feel heard throughout your pregnancy and birth. Whether an epidural becomes part of your plan or you choose another path, what matters most is feeling informed, respected and supported as you welcome your baby into the world.

Feel free to share your birthing experience in our comment section! We’d appreciate you sharing it.

At precisely noon each day, a small carton of milk, a steaming bowl of rice and a perfectly portioned side of fish arrive on every desk in my kids’ classroom. There’s no packed lunch from home, no chatter and no choice. This is kyushoku (Japan’s beloved school lunch system), and for many foreign families, it’s a cultural experience that takes some getting used to. When my Kiwi-born child started second grade in Japan, this daily ritual quickly became one of our biggest challenges as we learned to adjust to Japan’s school lunches.

I’d expected the language barrier to be hard. I didn’t expect lunch to be harder.

From Lunchboxes To Kyushoku

© Photo by Pixta: akira

In Japan, kyushoku is not just a meal. It is considered part of the curriculum, teaching children about nutrition, teamwork, etiquette and respect for food. Students take turns serving their classmates, eat the same dishes together and clean up afterward in the name of equality and community. It is a beautiful concept in theory and in practice, but for newcomers, it can be overwhelming.

Back home in New Zealand, lunchtime was a relaxed and social affair. We would take our lunchboxes outside, sit in groups and talk during the break. Teachers encouraged healthy food choices with rules against lollies and chips, but every child brought something different and the occasional quiet sandwich-for-home-baking trade was practically a rite of passage. If you did not finish all your lunch, that was your choice and your lesson to learn later.

Lunchtime in a Japanese classroom could not have been more different. Every student eats the same meal at their desk. There is no talking, a rule introduced during COVID-19 that still lingers in many schools. The result is a quiet, almost ritualistic meal where the only sounds are thirty-five children chewing, slurping and sipping milk in unison. For a child with sensory sensitivities, this was overwhelming. The combination of silence and the sounds of eating was difficult enough, but the food itself posed its own challenges.

Japanese school lunches are wonderfully balanced, often including rice, miso soup, a salad and a meat or fish dish, all carefully planned by a licensed dietitian. Yet for a child unaccustomed to these flavors or textures, it was a steep learning curve. The fish-heavy menus were the hardest. Tiny fried fish (shishamo) with their eyes still staring up were particularly confronting. Most days, my kid stuck to rice, bread and milk, sometimes facing a tray of food that had cooled by the time it reached the desk.

Cultural Expectations Meet Individual Needs

© Photo by Pixta: Graphs

In Japan, finishing everything on your plate is not only polite but also a sign of respect. It is still considered a moral value. The concept of mottainai, meaning “waste nothing,” is deeply ingrained. Teachers encourage children to eat every bite, both to teach gratitude and to help them experience a wide variety of foods. It is an admirable approach, but for children who cannot finish their meals because of sensory issues or appetite loss, it can also be distressing.

During my kid’s first year, the classroom teacher was strict and followed every rule closely. Every student was expected to clear their plate with no exceptions. The pressure around lunch built up day after day and soon my kid began to dread school altogether.

The following year brought a very different experience. The new teacher was patient, kind and understanding. He encouraged tasting new foods without pressure and allowed small accommodations, such as wearing noise-canceling earmuffs to reduce sensory overload. That simple change transformed lunchtime from something stressful into something manageable.

Helping Your Kids Adjust To Japan’s School Lunch System

© Photo by iStock: SolStock

The biggest lesson I learned was that communication matters and the sooner the better. Speaking up respectfully about your child’s needs can make a world of difference. Each teacher handles lunchtime differently. Some are flexible, while others are more traditional, but most respond well when parents communicate calmly and show appreciation for the system, explaining individual challenges.

Here are a few things that helped our family:

• Wearing Noise-canceling headphones: We discussed this with the school in advance and the teachers approved it. It allowed my kid to focus on eating instead of the sensory chaos around them.
• A doctor’s note: If your child struggles to finish meals due to medical reasons, such as a reduced appetite caused by ADHD medication, a note from a doctor can help teachers understand that it is not a matter of defiance.
• Big breakfasts and after-school snacks: For a while, my kid barely ate at school. We compensated with hearty breakfasts and snacks later in the day. Japanese schools do not have a morning tea break like in New Zealand, so this helped bridge the long gap until lunchtime.
• Preparation at home: Talking about upcoming meals, explaining ingredients, or trying similar foods in a low-pressure setting helped reduce anxiety and made new dishes seem less intimidating.

Finding Balance At The Lunch Table

© Photo by Pixta: Fast&Slow

I have come to respect Japan’s school lunch system, not just for the nutritious and affordable meals, but also for the relief of not having to prepare lunches every morning. Although it can be difficult to adapt to at first, especially for children used to a freer and more casual eating environment, kyushoku has encouraged my child to try foods they might never have been brave enough to taste before.

It takes time, support and a great deal of understanding. If your child comes home hungry or upset about lunch, it does not mean they are ungrateful or failing to fit in. It simply means they are human and adjusting to a new rhythm. Over time, they will adapt, build resilience and even begin to enjoy parts of the experience. Mine still does not love the cold soup days, but now eats happily with the rest of the class and celebrates their favorite meals.

Every foreign parent raising children in Japan will eventually find themselves walking the line between honoring local culture and protecting their child’s well-being. So if you are sending your child off to school and worrying about lunchtime, here is my reassurance:

They will not starve, they will not fall behind and they will learn at their own pace to navigate this unique part of Japanese school life.

How did your child adjust to Japan’s school lunches? Let us know if you have any advice or experience!

On October 21, 2025, Japan made history. Sanae Takaichi was sworn in as the country’s first female prime minister after winning leadership of the ruling Liberal Democratic Party (LDP). Her rise breaks a barrier that has stood for more than a century in Japanese politics, yet she steps into the role at a turbulent moment. Takaichi now leads a fragile minority government facing inflation, labor shortages and growing public frustration with inequality, childcare access and immigration.

Personal Background

© Photo by Wiki Commons: 依田奏

Sanae Takaichi was born in 1961 in Nara Prefecture. Her father worked in the automotive industry and her mother was part of the Nara Prefectural Police. In 2004, she married fellow politician Taku Yamamoto. The couple divorced in 2017 but remarried in 2021, with Yamamoto taking her surname—an uncommon choice in Japan.

While Takaichi has no biological children, she adopted her husband’s three children from his previous marriage and is now a stepmother and grandmother. She is rarely seen speaking publicly about her family and seems to keep her private life separate from her career.

Political Background & Ideology

© Photo by Wiki Commons: 首相官邸

Takaichi first entered parliament back in 1993 and has since become one of the most seasoned figures in the ruling LDP. Over the years, she’s held some of the party’s biggest portfolios, serving as Minister for Internal Affairs and Communications under the conservative late prime minister Shinzo Abe and later as Minister for Economic Security under Fumio Kishida. 

She’s long been seen as part of the LDP’s right wing and one of Abe’s closest political allies. Her worldview mirrors his: 

• Loyalty to tradition
• Pride in national identity 
• A belief that Japan’s strength abroad depends on restoring confidence at home

Her Main Policy Priorities

© Photo by iStock: justhavealook

Takaichi’s game plan mixes a focus on jump-starting the economy and strengthening Japan’s security with some pretty traditional social values.

Economics

Economically, she has promised to lift Japan out of its long slump through what she calls “crisis-management investment,” a plan for large-scale government spending on key sectors such as semiconductors, AI and green energy. She has also proposed wage incentives and temporary tax breaks for households and small businesses.

Social Issues

When it comes to social issues, Takaichi keeps things pretty traditional. She often talks about Japan’s future in terms of “strong families,” where stable jobs, marriage and children form the backbone of society. She’s supportive of parents and childcare access, but mostly within the same old frameworks rather than through big new reforms. Critics say that approach feels like trying to preserve the past instead of reflecting how modern families actually live and work.

Security

On security, Takaichi has made it clear she wants Japan to stand taller in a tense region. She supports revising Article 9 of the Constitution to officially recognize the Self-Defense Forces, increasing defense spending and deepening ties with the United States.

What Her Leadership Symbolizes VS Her Actual Track Record

© Photo by Wiki Commons: 内閣官房内閣広報室

Takaichi’s election is historic. Her rise to the highest seat of power challenges long-standing gender barriers in politics. In a country where women hold fewer than 20 percent of seats in the Diet, her leadership sends a clear signal that the glass ceiling can, at least, crack.

The symbolism, though, only goes so far. Takaichi has built her career on conservative values that often clash with modern ideas of gender equality. She has opposed allowing married couples to keep separate surnames, a reform many women see as a basic right. She has rejected same-sex marriage and defended the male-only Imperial succession system as vital to preserving Japan’s traditions.

During her leadership campaign, she pledged to raise the number of women in cabinet to “Nordic levels,” but was quick to add that she would not appoint women just to fill quotas. Her critics say this careful approach shows she’s still hesitant to take on the deeper problems that keep Japanese women from moving up in politics and at work.

What Her Leadership Could Mean for Working Women, Parents & Foreigners 

© Photo by iStock: LeoPatrizi

For working women and parents, Takaichi’s plans so far suggest small, practical steps rather than sweeping reform. She has talked about tax deductions for childcare costs and incentives for companies that build in-house daycare facilities. These ideas could make daily life a little easier for parents, but they do not tackle the bigger issues like long daycare waitlists, the lack of after-school care or the uneven access to childcare outside major cities.

Workplace Reforms

When it comes to workplace reform, Takaichi supports “family-friendly” ideas such as flexible hours and remote work but prefers encouragement over enforcement. That approach might move the needle in large corporations, yet it may do little for part-time and contract workers, who make up a large share of Japan’s female workforce.

Education

Education is another area to watch. She has shown interest in expanding financial aid and digital learning tools but also speaks about “moral education” and patriotic values. Parents could see classrooms place more focus on discipline, responsibility and national pride, reflecting her conservative outlook on how children should be raised.

For Foreign Residents & Immigration

For people living in Japan from overseas, Takaichi’s leadership could feel more guarded. She views immigration mainly as a way to fill labor gaps, not to make Japan more multicultural. Skilled workers in tech or healthcare might see smoother visa routes, but broader reforms are unlikely. She has backed tighter rules on foreign land ownership near military sites and often speaks about protecting Japan’s “social order.” Aligned with Japan-First ideas similar to those of Sanseito, her government seems ready to welcome foreign talent, just strictly on Japan’s terms.

Sanae Takaichi Supporters vs. Critics

© Photo by Wiki Commons: Department for Science, Innovation and Technology

Supporters see Takaichi as calm, capable and steady—the kind of leader Japan needs after years of political drama and economic drift. They admire her discipline and patriotism and believe she can bring back confidence at home and abroad.

Critics see her differently. They worry she will double down on nationalism and tight control while avoiding reforms on gender, diversity and inclusion. With her minority government already on shaky ground, they question whether she can deliver meaningful change. 

Her leadership is being watched closely: if she succeeds, she could redefine what leadership looks like for women in Japan; if she fails, it risks reinforcing old doubts about whether the system will ever let real change happen.

What do you think about Sanae Takaichi and how she plans to impact Japan’s future?

Over the past two years, drugs like Ozempic and Mounjaro have gone from quiet prescriptions for Type 2 diabetes to global household names. Thanks to celebrity testimonials, viral TikToks and endless headlines, these GLP-1 medications (short for glucagon-like peptide-1 receptor agonists) are now strongly associated with rapid weight loss. Japan hasn’t escaped the buzz. English-language ads for Ozempic and similar drugs are now common across social media, often targeting foreign residents. If the constant media push has you wondering about Ozempic in Japan, here is your Savvy Guide to these medications.

GLP-1 Drugs Approved in Japan

© Photo by iStock: Munro

Can you actually get Ozempic or similar “weight loss injections” in Japan? The answer is yes, but only under strict medical criteria. The three most common medications available are:

• Ozempic (Semaglutide): Approved in Japan in 2020, Ozempic is officially prescribed for type 2 diabetes management. Some doctors may provide it off-label for weight loss, but this is not common practice.
• Mounjaro (Tirzepatide): This newer GLP-1 medication was approved in 2022, also for type 2 diabetes treatment. Like in the case of Ozempic, its recognized role in Japan is blood sugar control, not weight loss.
• Wegovy (Semaglutide): Wegovy is the only injectable medication approved for obesity management and has been available since 2023. It’s covered under Japan’s National Health Insurance (NHI) if you meet the criteria (BMI ≥35, or ≥27 with related health conditions such as hypertension or diabetes).

Several other GLP-1 medications are also now available in Japan, including Rybelsus (oral semaglutide), Saxenda (liraglutide), Trulicity (dulaglutide) and Byetta/Bydureon (exenatide). These are usually prescribed for managing type 2 diabetes rather than weight loss.

The Cost: What You’ll Pay With & Without National Health Insurance

© Photo by iStock: CR

Whether these drugs are covered by National Health Insurance (NHI) or not makes a huge difference to your monthly costs. Japan’s NHI usually covers 70% of drug costs, leaving patients to pay about 30% out of pocket.

Here are the official 2025 prices and typical copays for the three most common medications available (monthly estimates are based on four weekly doses at the lowest available dose and exclude clinic visits or test fees):

The Marketing Push To Foreigners

© Photo by iStock: JDawnInk

If you live in Japan and spend any time on social media, you’ve probably noticed the rise in ads for “weight loss injections.” Even if your feed has nothing to do with dieting, it’s now common to see English-language promotions for Ozempic, Mounjaro or similar drugs.

These marketing campaigns target foreign residents because access through Japan’s public health system is limited. Strict NHI criteria and a lack of English-language support often make it harder for foreign residents to get GLP-1 medications. Private clinics are well aware of this gap, and so they have begun to market aggressively to international residents, often charging significantly higher, out-of-pocket prices.

Private English-Speaking Clinics Offering GLP-1 Treatments

© Photo by iStock: Carolina Rudah

If you don’t qualify for coverage under Japan’s National Health Insurance (NHI), or if your doctor isn’t supportive, several private English-speaking clinics do offer GLP-1 medications. These clinics can be convenient, especially with bilingual staff and telemedicine delivery, but they can cost two to three times more than NHI-covered prescriptions.

It’s worth checking the fine print before signing up so you know exactly what you’re paying for. Some clinics bundle everything (consultations, follow-ups, needles, alcohol swabs, even travel letters) into one package. Others only list the medication price upfront and bill separately for extras like blood tests.

These are a few well-known clinics offering GLP-1 weight loss treatments in Japan:

• Hada no Clinic (Tokyo): Bilingual clinic advertising weight-loss programs that include check-ups and counseling.
• Bianca Clinic (Tokyo): Provides Mounjaro and other GLP-1 injections for weight loss, marketed as weekly treatments.
• Tokyo Medical and Surgical Clinic (Tokyo): Longstanding international clinic in Tokyo offering weight loss treatment programs, including GLP-1s, with English-speaking doctors.
• Juniper: Telemedicine platform with English consultations, nationwide delivery and travel letters for medication.
• E-Life Clinic: Offers online consultations and pricing packages for Ozempic, Mounjaro and Saxenda.

Important Factors to Consider

© Photo by iStock: Tunatura

If you’re thinking about trying a GLP-1 medication like Ozempic, Mounjaro or Wegovy, it’s worth looking beyond the hype. These drugs can be effective, but they also come with real risks that shouldn’t be overlooked.

How GLP-1 Medications Work (& What to Expect)

One of the main ways GLP-1 medications like Ozempic work is by slowing gastric emptying. Put simply, food takes longer to leave your stomach and move into your intestines. This makes you feel full sooner and stay full for longer, reducing your appetite. The exact mechanism, however, is also what causes many of the most common side effects: nausea, bloating, a constant feeling of fullness, stomach pain and sometimes vomiting.

Studies show that in some cases, GLP-1 drugs can cause gastroparesis, a condition where the stomach doesn’t empty properly, leading to severely delayed digestion and awful side effects. Having lived with gastroparesis myself, I can say it’s more than an occasional upset stomach and will drastically impact your quality of life.

Don’t just take my word for it. In clinical trials, nausea was reported in about 44% of people taking higher doses of semaglutide, while vomiting affected roughly 25%—making these two of the most common side effects. That’s also why you need to factor in the ongoing cost of additional medications, like anti-nausea tablets, which are often needed to manage these symptoms.

Other side effects frequently reported with GLP-1 drugs include diarrhea, constipation, acid reflux and abdominal pain. These symptoms are often worse at higher doses or when the dose is increased too quickly. Because of these risks, it’s essential to carefully weigh the benefits of these medications against the possibility of long-term side effects.

These medications can be useful tools, but they’re not quick fixes and carry real risks. If you’re considering them in Japan, always start by speaking to your doctor and making sure you understand both the benefits and the downsides.

Every September, as Japan celebrates tsukimi (moon-viewing) season, fast-food chains release their highly anticipated limited-edition menus. The headline act is always the tsukimi burger—a fried egg perched on top of a patty, meant to resemble the full harvest moon. McDonald’s, KFC, MOS Burger and even Wendy’s all compete to put their own spin on this autumn classic, making it the perfect time to explore where to try Tsukimi burgers in Japan.

Although I’ve lived in Japan for two years, I’d never actually tried a tsukimi burger until now. Growing up in New Zealand, my benchmark was the McDonald’s Kiwi Burger: a time-limited classic stacked with beef, egg, beetroot, tomato, lettuce and cheese. With fried eggs already a familiar part of burgers back home, Japan’s version never struck me as particularly exciting. This year, curiosity won and I finally tried a couple of tsukimi burgers in Japan. Here are my thoughts…

Taste Testing Tsukimi Burgers

McDonald’s

© Photo by Kerri King

At McDonald’s, I started with the classic Cheese Tsukimi Burger (¥470), which comes with a beef patty, fried egg, bacon, cheese and creamy sauce. It’s basically identical to their Tsukimi Muffin (¥400), just swapping the sausage and English muffin for a regular burger patty and buns. Unfortunately, my first tsukimi burger was very disappointing. It was bland, unexciting and I wouldn’t order it again.

© Photo by Kerri King

The seasonal pie was equally underwhelming. The An Butter Omochi Tsukimi Pie (¥190) might appeal to anko (red bean paste) and mochi lovers, but I found it very dry and certainly no comparison to other limited-edition McDonald’s pies like the Ichigo Daifuku version I tried last spring.

The one tsukimi item I did enjoy was the Shine Muscat McShake (¥190 small). I wasn’t convinced that grape and vanilla ice cream would work together, but the muscat flavor was subtle and refreshing, and it ended up being my favorite item of the lot.

Other McDonald’s seasonal offerings this year include:

• Tsukimi Burger (from ¥440)
• Torouma Sukiyaki Tsukimi (¥540)
• Triple Beef Torouma Sukiyaki Tsukimi (¥780)
• Tsukimi Muffin (¥400)

KFC

© Photo by Kerri King

Over at KFC, the Tsukimi Cheese Filet Burger (¥540) was much more enjoyable. The crispy chicken filet worked better with the egg than McDonald’s bacon-and-beef combo, though the runny yolk may be hit-or-miss depending on how you like your eggs. For dessert, the Omochi Custard Tsukimi Pie (¥300) was ten times better than McDonald’s attempt, though the mochi itself wasn’t great.

Other KFC tsukimi options this year include:

• Tsukimi Twister (¥480)
• Triple Tsukimi Burger (¥990)

Who Else Is Serving Tsukimi?

© Photo by Lotteria

MOS Burger

• Tsukimi Focaccia (¥590)
• Minced Meat Cutlet Cheeseburger (¥480)
• Mixed Shake Sweet Potato (¥350/¥430)
• Hot Sweet Potato Balls (¥280)

Wendy’s x First Kitchen Japan

• Tsukimi Mochi Burger (¥950)
• Truffle Tsukimi Mochi Burger (¥1,250)
• Tsukimi Mochi Burger Baconator (¥1,190)
• Truffle Tsukimi Mochi Burger Baconator (¥1,450)
• Jr. Tsukimi Mochi Burger (¥650)

Lotteria

• Japanese-style Soft-Boiled Tsukimi Zeppin Cheeseburger (¥590)
• Truffle-Scented Soft-Boiled Tsukimi Zeppin Cheeseburger (¥590)
• Japanese-style Soft-Boiled Tsukimi Shrimp Burger (¥590)
• Japanese-style Soft-Boiled Tsukimi Teriyaki Burger (¥520)

Are They Really Worth the Hype?

© Photo by Kerri King

So, are Tsukimi Burgers really worth all the attention and hype? For me, not really. Actually, not even close. I love seasonal menus, and McDonald’s Japan usually delivers on fun, delicious menus, but these just felt like standard burgers with a fried egg thrown in. If you’re in Japan during autumn, I wouldn’t be rushing to try these, and personally, I’ll be sticking to my nostalgic Kiwi Burger whenever I get the chance.

Have you ever tried any of the Tsukimi Burgers in Japan? Which seasonal fast-food item is your favorite?