Shoko is a tall woman with long brown hair that extends past her shoulders that she sometimes ties into a ponytail when working. She has soft brown eyes with dark lines under them, making it appear as if she's underslept. Shoko has a mole underneath her right eye and thick brown eyebrows.
She was a student of Tokyo Jujutsu High, having been classmates with Satoru Gojo and Suguru Geto. After graduating into a full-fledged jujutsu sorcerer, Shoko became the school's primary doctor.