This chapter delves into the philosophy of Sports Medicine, exploring how medical practice is applied in the context of sports. It begins by investigating whether Sports Medicine can be considered fundamentally different from general medicine, focusing initially on the overarching goals of medical practice. This exploration, however, reveals that Sports Medicine differs in degree rather than in kind from traditional medicine. The chapter then shifts its attention to the normative aspects of medical practice, highlighting significant differences in how core ethical principles—such as privacy, confidentiality, autonomy, and paternalism—are implemented within the realm of Sports Medicine. These distinctions are further examined in the context of the therapy versus enhancement debate applied to Sports Medicine. Additionally, the chapter addresses the challenges facing athletes of balancing short-term goals with long-term health considerations (including return to play issues and challenges related to therapeutic use exemptions), issues of privacy and confidentiality, autonomy and consent in sports medicine, and finally addresses the unique fiduciary relationship of the sports physicians with their athlete patients. The conclusions highlight that Sports Medicine inherently faces ethical challenges due to the critical role the body plays in athletic performance and the complex demands placed on sports physicians, who must balance general moral considerations with the specific needs and requests of their athlete patients.