The purposes of this study were to identify the material manipulation techniques for paper garments and their characteristics. Reference books or articles were reviewed and catalogues from paper garments exhibition or show, brochures from Paper Museums, and internet sites of paper fashion designers were selected for analysis. Paper has much similarity with natural cellulose textiles in appearances and contents but has much distinct differences in their physical characteristics such as strength, durability, washability, and resilience, and could be treated as one category of textiles. Paper garments were developed with practicality and functionality for the poor and Buddist monks at first but progressed into more aesthetics later for the rich. Paper garments could be divided into 4 categories of garments made of paper, paper thread fabric or knit, modified paper with wanter, and beaten bark of mulburry bush. Paper can be manipulated by coloring & cutting, bonding, or quilting and bonding or quilting can reenforce the strength of paper but cannot increase flexibility. Paper manipulated by weaving or knitting has very similar physical properties as cotton or linen and ideal for summer textiles. Paper can be manipulated with water to make a paper paste and bodice can be moulded with paper paste or Joomchied. Also we can express beautiful patterns on the surface of paper by washouting. Konnyaku paste or lacquer can be used to make paper garments to be waterproof.