Tokyo's accessibility is inconsistent at best. Here's the reality for wheelchair users:

good stations: tokyo, shinjuku, shibuya all have elevators and accessible platforms. Signage in english and staff will help if needed.

avoid: older subway stations like asakusa on ginza line. Steep ramps, narrow platforms, elevators that break down constantly. The traditional areas are beautiful but physically challenging.

temples/attractions: sensoji has ramp access but gravel paths. Meiji shrine is mostly accessible via paved routes. Tokyo skytree and modern attractions are fully accessible.

Sidewalks vary wildly - main streets are fine but side streets often have steps or narrow passages. Plan routes carefully and have backup options.