A brave endeavor to tackle a challenging subject. At the same time, however, the book title threatens to discredit both the author and the subject by pathologizing sex (i.e. as "sleaze" and "disease") while reinscribing the Orient (i.e. Japan in this specific instance) as the locus of (sexual) "disease." We all know that controversial sexual practices and underground adult industries are not specific to Japanese society. Then again, this book can be read as an ironic cautionary tale for the voyeuristic Japanophile who hopes to get laid in Japan.