Despite the increased global effort in the fight against doping, competitive sports is still affected by performance-enhancing drugs. Paradoxically, the increasing search for fraud has led to an increased climate of mistrust. At the same time, more and more people generally question the authenticity of competition winners' performances, as common laboratory tests are not able to detect all prohibited doping methods. Furthermore, criminalizing the use of performance-enhancing drugs in competitive sports has led to similar problems as the prohibition of psychotropic drugs, such as black markets or the availability of products of questionable quality. Therefore, a regulation of doping (enhancement of certain human abilities) similar to risk and harm reduction strategies in drug policies is suggested.