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China's dominance stems from a systematic, state-backed development pyramid that identifies and trains talent from a very young age across thousands of schools and provincial academies, feeding a fiercely competitive national team. The sport carries deep cultural and historical significance since Rong Guotuan won China's first world title in 1959, and success is heavily resourced. The talent pool is so deep that the domestic selection trials are often harder to win than the Olympics themselves, and elite training partners simulate every world rival. The result is that China has won 37 of the 42 Olympic golds contested since 1988, an unmatched level of sustained supremacy in any global sport.

The career Grand Slam is the sport's ultimate individual honour: winning the singles titles at all three of the game's major competitions, the World Championships, the World Cup and the Olympic Games, over the course of a career. It is exceptionally rare. Liu Guoliang became the first man to achieve it, completing the set in 1999. Zhang Jike holds the record for the fastest, sweeping all three in just 445 days. Ma Long is the only player to complete a double career Grand Slam, winning each of the three titles at least twice. Among women, Deng Yaping, Wang Nan, Zhang Yining and others have also achieved it.

The ball was enlarged from 38mm to 40mm after the 2000 Sydney Olympics to slow rallies slightly and make the ball more visible for television, since the previous game had become extremely fast in the speed-glue era. In 2014 the material changed from flammable celluloid to a seamless 40+ plastic (poly) ball, driven by manufacturing and safety concerns as celluloid production declined. The plastic ball is marginally larger and harder, generating slightly less spin and speed. Together these changes reduced extreme spin and pace, rewarding placement and early timing over pure spin, and are a major reason the modern game is played so close to the table.

The two grips define how a player holds the racket. The shakehand grip resembles a handshake, wrapping the hand around the handle, and offers balanced power on both forehand and backhand; it dominates the modern game. The penhold grip pinches the handle between thumb and forefinger like holding a pen, historically favouring a devastating forehand and quick wrist but a weaker backhand. The development of the reverse-penhold backhand gave penholders a genuine two-wing attack, and champions like Ma Lin and Ryu Seung-min won Olympic gold with it. However, shakehand's easier backhand has made it the default choice for most players worldwide today.

Since 2001, games are played to 11 points rather than the old 21, and a player must win by at least two points, so a tight game can extend into deuce past 11. Service alternates every two points, switching to every point once the score reaches 10-10. A match is the best of an odd number of games, most commonly best of five (first to three games) or best of seven (first to four) at major events. Players change ends after each game, and in a deciding game they swap again when one side reaches five points. There is no time limit under normal play.

The banana flick, also called the chiquita, is an aggressive backhand receiving stroke in which the player reaches over the table and brushes the ball with a curling motion, imparting sidespin and topspin to attack even short, low serves. Before it became widespread in the 2010s, receivers typically pushed short serves back passively, letting the server dictate the point. The flick transferred the initiative to the receiver, forcing servers to keep serves shorter and lower and shifting the whole game toward fast, backhand-led exchanges at the table. It is one of the main reasons modern points are so often decided within the first three or four balls.