Performance enhancement is referred to as an ergogenic aid in sports to enhance the performance of athletes. Sport Performance Enhancement helps individuals learn to control their thoughts, eliminate negative self-talk, substitute positive self-talk and increase the athlete’s focus and concentration, which is needed for a higher quality of sports performance. Athletes have been looking to increase their performance in some sports. Through practices, personal trainers, special diet and natural ability all come into play improving performance on the field. Some of the types of extreme performance enhancement techniques in sport include: Tommy John Surgery, Plate-Rich plasma therapy, Full body cryotherapy, Hyperbaric therapy, Stem cell therapy. There are many potential benefits for athletes who undergo one of these sport performance enhancement techniques. However, there are still many risks associated with these types of extreme enhancement therapies. Another important thing to consider is the ethical controversy over these performance enhancing techniques.