His other reforms include the reorganization of the ladies chambers, considering public opinion in policy-making by means of installing opinion boxes, improving health care service by establishing Koishikawa Yojosho hospital, and partially lifting the ban on importing western books (one factor that later led to the active studies of Western sciences).
また、大奥の整備、目安箱の設置による庶民の意見を政治へ反映、小石川養生所を設置しての医療政策、洋書輸入の一部解禁（のちの蘭学興隆の一因となる）といった改革も行う。