We propose to apply sociological theories focusing on power and domination, with the twofold objective of advancing sociological research and bettering the understanding of the reality of anti-doping. Ethnographic studies conducted in eight countries have allowed us to compile heterogeneous data based on official documents from institutions, semi-structured interviews and observations in the field. Firstly, the study showed that NADOs had little decision-making power within WADA, besides giving feedback on the consultation processes. Secondly, decisions made by the latter were not always viewed positively, as they were seen as arbitrary and did not reflect NADOs’ opinions and priorities. Furthermore, WADA developed assessment procedures focused on NADOs’ activities and prioritizing short-term effects. As a result, we have perceived a decrease in the adoption of innovative solutions for local problems and the omission of several national realities due to the long chain of delegation existing between decision-making arenas and the implementation of procedures in the field. Finally, the study reveals the dissatisfaction or even disengagement that exists among NADO representatives. We argue that compliance has become the primary objective for some NADOs, which could result in prioritizing actions that are valued and recognised by WADA, thus hindering the development of anti-doping programs adapted to their local realities, or even evading anti-doping procedures.