In 2008 she was included as 15th on the list of the "20 Hottest Young Royals" as compiled by Forbes magazine, the list ranking young unmarried royals by "international Web and media presence as well as family wealth".
In March 2013, Princess Tsuguko graduated from the School of International Liberal Studies, Waseda University. She works at the Japan Committee for UNICEF. She attends ceremonies and functions at the Imperial Palace and accompanies her mother to some other official events.  In August 2013, she visited Sri Lanka at the invitation of President Mahinda Rajapaksa. Japan and Sri Lanka celebrated 60 years of diplomatic relations in 2012. Tsuguko was also warmly welcomed by First Lady Shiranthi Rajapaksa.