A new The Citizen, bought from a Japanese dealer, will be delivered with the perpetual calendar set to the correct year and date, but it will be the correct Japanese date. All the new owner has to do is change the date by one or possibly two increments.
The Citizen has a flush button on the case at 2 o'clock which has to be pressed to reach the information on what month and which year in the leap-year cycle the watch thinks it is. The instruction book is perfectly clear on both how to access the calendar information and how to make any adjustment that might be required..... and it's not at all difficult. And once set, you don't need to worry about it again until a hundred years hence ...... not something most of us will care about by then.
The Citizen is as close to the "set and forget" watch as you can find. It will need a battery in about ten years and it would make sense to have Mr Citizen service the watch at the same time as he fits a new battery. If your particular example doesn't run within the 5 seconds per year, and if you care about that (I suspect that most owners who subscribe to this forum will care) you can send it back to Citizen for adjustment under warranty. Both of mine have been back and are now running well within the spec.
They aren't cheap but they are superlative watches, beautifully made and finished and, in my opinion, extremely handsome.