I find what looks good, copy down the Japanese name for the dish, then go inside and show my note to the waitress. I do not always copy the Japanese down correctly, judging from the waitresses' blank stares. If that doesn't work, I shepherd the slightly harried waitresses outside where I can point to the food I want. Along with menus, waitresses give patrons cool wet hand towels which, as I see Japanese men do, I wipe my face with, although women seem to wipe their hands with it. In winter, these are brought to the table hot.
Food is expensive, about double U.S. prices, and the portions are smaller.
Refills are not free. With the combination of high prices and small portions, it is no wonder that there are few overweight people here. I spent the weekend on the island where Andy lives. There are two restaurants on the island. On Saturday night, we had dinner at the small one, which has three tables.