Although doping has a long history of use to enhance performance in competition, the sports community has long fought against it, as it destroys the spirit of athletic integrity. Doping is of course currently prohibited, and the World Anti-Doping Agency (WADA) was established in 1999. WADA quickly created the World Anti-Doping Code (WADC) as a universal rule on anti-doping. This code has 5 International Standards by which all sports participants must abide. The Prohibited List International Standard is the definitively accepted list of prohibited substances and methods in sports; and athletes and support personnel should familiarize themselves with the most recent edition. All athletes to whom prohibited substances or methods are administered for legitimate therapeutic use should obtain a Therapeutic Use Exemption (TUE). Doping Control, referring to all processes related to doping tests, is conducted through In-Competition Testing and Out-of-Competition Testing. Japan established its own Japan Anti-Doping Agency (JADA) in 2001. JADA performs approximately 5,000 doping tests annually, and the Japanese incidence of anti-doping rule violations may be significantly less than the global average. The “JADA Car”, produced by JADA, is the world’s first mobile multi-function anti-doping unit. JADA launched its sports pharmacist system in 2010, and has since certified more than 5,000 sports pharmacists. The Japanese national high school curriculum currently involves anti-doping education, and will continue to promote anti-doping activities in Japan.