Chart and table of population level and growth rate for the Tokyo, Japan metro area from 1950 to 2025.

Japan’s largest city, greater Tokyo, had a staggering 37.19 million inhabitants in 2023, making it the most populous city across the Asia-Pacific region. India had the second largest city after Japan with a population consisting of approximately 33 million inhabitants. Contrastingly, approximately 410 thousand inhabitants populated Papua New Guinea's largest city in 2023. A megacity regionNot only did Japan and India have the largest cities throughout the Asia-Pacific region but they were among the three most populated cities worldwide in 2023. Interestingly, over half on the world’s megacities were situated in the Asia-Pacific region. However, being home to more than half of the world’s population, it does not seem surprising that by 2025 it is expected that more than two thirds of the megacities across the globe will be located in the Asia Pacific region. Other megacities are also expected to emerge within the Asia-Pacific region throughout the next decade. There have even been suggestions that Indonesia’s Jakarta and its conurbation will overtake Greater Tokyo in terms of population size by 2030. Increasing populationsIncreased populations in megacities can be down to increased economic activity. As more countries across the Asia-Pacific region have made the transition from agriculture to industry, the population has adjusted accordingly. Thus, more regions have experienced higher shares of urban populations. However, as many cities such as Beijing, Shanghai, and Seoul have an aging population, this may have an impact on their future population sizes, with these Asian regions estimated to have significant shares of the population being over 65 years old by 2035.

As of 2025, Tokyo-Yokohama in Japan was the largest world urban agglomeration, with 37 million people living there. Delhi ranked second with more than 34 million, with Shanghai in third with more than 30 million inhabitants.

With approximately 9.57 million inhabitants, Tokyo was Japan's most populous city as of 2023, followed by Yokohama, which, in the same year, counted about 3.75 million inhabitants. In total, there were twelve cities with a population of over one million people in Japan.

Chart and table of population level and growth rate for the Osaka, Japan metro area from 1950 to 2025.

Urban population (% of total population) in Japan was reported at 92.04 % in 2023, according to the World Bank collection of development indicators, compiled from officially recognized sources. Japan - Urban population (% of total) - actual values, historical data, forecasts and projections were sourced from the World Bank on June of 2025.

Population, female (% of total population) in Japan was reported at 51.19 % in 2023, according to the World Bank collection of development indicators, compiled from officially recognized sources. Japan - Population, female (% of total) - actual values, historical data, forecasts and projections were sourced from the World Bank on May of 2025.

In 2025, the degree of urbanization worldwide was at 58 percent. North America, Latin America, and the Caribbean were the regions with the highest level of urbanization, with over four-fifths of the population residing in urban areas. The degree of urbanization defines the share of the population living in areas defined as "cities". On the other hand, less than half of Africa's population lives in urban settlements. Globally, China accounts for over one-quarter of the built-up areas of more than 500,000 inhabitants. The definition of a city differs across various world regions - some countries count settlements with 100 houses or more as urban, while others only include the capital of a country or provincial capitals in their count. Largest agglomerations worldwideThough North America is the most urbanized continent, no U.S. city was among the top ten urban agglomerations worldwide in 2023. Tokyo-Yokohama in Japan was the largest urban area in the world that year, with 37.7 million inhabitants. New York ranked 13th, with 21.4 million inhabitants. Eight of the 10 most populous cities are located in Asia. ConnectivityIt may be hard to imagine how the reality will look in 2050, with 70 percent of the global population living in cities, but some statistics illustrate the ways urban living differs from suburban and rural living. American urbanites may lead more “connected” (i.e., internet-connected) lives than their rural and/or suburban counterparts. As of 2021, around 89 percent of people living in urban areas owned a smartphone. Internet usage was also higher in cities than in rural areas. On the other hand, rural areas always have, and always will, attract those who want to escape the rush of the city.

In 1800, the population of Japan was just over 30 million, a figure which would grow by just two million in the first half of the 19th century. However, with the fall of the Tokugawa shogunate and the restoration of the emperor in the Meiji Restoration of 1868, Japan would begin transforming from an isolated feudal island, to a modernized empire built on Western models. The Meiji period would see a rapid rise in the population of Japan, as industrialization and advancements in healthcare lead to a significant reduction in child mortality rates, while the creation overseas colonies would lead to a strong economic boom. However, this growth would slow beginning in 1937, as Japan entered a prolonged war with the Republic of China, which later grew into a major theater of the Second World War. The war was eventually brought to Japan's home front, with the escalation of Allied air raids on Japanese urban centers from 1944 onwards (Tokyo was the most-bombed city of the Second World War). By the war's end in 1945 and the subsequent occupation of the island by the Allied military, Japan had suffered over two and a half million military fatalities, and over one million civilian deaths.

The population figures of Japan were quick to recover, as the post-war “economic miracle” would see an unprecedented expansion of the Japanese economy, and would lead to the country becoming one of the first fully industrialized nations in East Asia. As living standards rose, the population of Japan would increase from 77 million in 1945, to over 127 million by the end of the century. However, growth would begin to slow in the late 1980s, as birth rates and migration rates fell, and Japan eventually grew to have one of the oldest populations in the world. The population would peak in 2008 at just over 128 million, but has consistently fallen each year since then, as the fertility rate of the country remains below replacement level (despite government initiatives to counter this) and the country's immigrant population remains relatively stable. The population of Japan is expected to continue its decline in the coming years, and in 2020, it is estimated that approximately 126 million people inhabit the island country.

The cardiac surgery instruments market in Japan size was valued at USD 141.3 million in 2024 and is anticipated to surpass USD 357.1 million by the end of 2036, expanding at a CAGR of 8% during the forecast period, i.e., 2025-2036. Tokyo is the largest healthcare market in Japan due to the high population density that puts pressure on the healthcare delivery systems for cardiac surgery instruments.