This article describes a number of important issues to consider in play therapy with Japanese children. They include the waiting room and playroom decor, toys, and other materials, as well as terminology that are commonly used in Japan. The layout of the small and large playrooms, use of the "Wa-Shitsu" (a traditional Japanese room style), reading and video materials, and description of dual sand play boxes are among the cultural-specific elements that will be emphasized. Consideration of these variables is expected to enhance therapeutic outcomes in play therapy with Japanese children. (Contains 11 figures and 1 table.)