The book aims to establish a critical dialogue between sports ethicists and bioethicists across the range of sporting disciplines at elite level. It will address questions such as: are the increasingly intrusive testing methods of elite sports compatible with the right to autonomy and privacy granted to patients in general medicine? could there be a moral obligation to correct injustices produced by the genetic lottery? how should the goals of sports medicine be viewed from the perspective of rationing scarce health care resources? This book was published as a special issue in Sport, Ethics and Philosophy.