The ethical implications of performance-enhancing substances (PES) in sports extend to health risks, fairness, and integrity. The use of PES undermines the level playing field that is essential for competitive sports, leading to questions about honesty and sportsmanship. Athletes who resort to these substances may jeopardize their long-term health for short-term gains, risking severe side effects. Additionally, PES can erode fan trust and alter public perceptions of sports as genuine and fair endeavors. Thus, the discussion around PES involves a complex interplay of personal choice, ethical standards, and societal responsibility.