Benjamin Cohen, the Director General of the International Testing Agency (ITA), has expressed significant concerns over the state of doping in India, where athletes have reportedly received advance notice before doping tests and sometimes evade testing altogether. The ITA oversees anti-doping measures for the International Olympic Committee (IOC) and has noted that India has topped the World Anti-Doping Agency's (WADA) list of doping offenders for three years running, indicating a high positivity rate among athletes. Cohen stated that for India to be considered as a host for the 2036 Olympics, substantial governance and structural reforms are necessary. He acknowledged recent discussions with the National Anti-Doping Agency (NADA) and the Indian Olympic Association (IOA), indicating a willingness to collaborate. However, he noted a resistance within India to engage with the ITA, as it may be perceived as an admission of failure in managing its own anti-doping system. The country is also preparing to host the 2030 Commonwealth Games in Ahmedabad, with aspirations for the 2036 Olympics. The situation calls for urgent reforms and cooperation to restore integrity in sports.