The ATP are set to make changes to the rules around toilet breaks and medical time-outs ahead of the 2022 season.

The issue of toilet breaks and medical time-outs has been long a discussion in tennis with players often accused of using the lenient rule concerning these two topics to gain an advantage using gamesmanship.

More recently this issue has flared up with Stefanos Tsitsipas accused of using eight minute toilet breaks to take the momentum away from his opponent just like he did against Andy Murray at the US Open.

The Greek has often denied that he has done it for those reasons and says he has not broken any rules.

However that might be about to change as an ATP source has told Reuters that there are discussions to change these rules next year, “There will be a change to the rules for bathroom breaks and on-court medical timeouts as well,” an ATP source told Reuters.

“I hope that before the next season begins in January, we will have a stricter rule when it comes to toilet breaks and medical timeouts. I think it’s getting to the point where it’s definitely becoming a big issue. It’s been an issue for a long time but we are taking quite a serious approach now to try and change it.”

Players such as Sloane Stephens and Alexander Zverev have also spoken out against the gamesmanship surrounding toilet breaks and medical time-outs.

Although Tsitsipas did get some support from world number one Novak Djokovic who doesn’t believe the Greek deserved the criticism that he got, “I’ve got to stand for Stefanos Tsitsipas,” Djokovic told reporters at the US Open.

“I don’t think he’s doing anything wrong. I support him. The rule is not clear. Of course you can argue it’s all relative, everyone sees it differently. This was a hot topic last couple of weeks. I think he didn’t deserve that much attacks that he was getting in the media from everyone.”

Changes are hoping to be made before the Australian Open in January which starts on the 17th of January.

The cognoscenti of tennis have been waiting for a couple of years for Daniil Medvedev to place his name among the game’s elite performers as a champion at a Grand Slam event. Medvedev has been on the verge of this accomplishment for quite some time. Through the summer of 2019 and on into the fall, he made immense strides as a player of the front rank. In that span, he made it to the final of all six tournaments he played. Most importantly, he moved agonizingly close to establishing himself as the U.S. Open champion. Confronting none other than Rafael Nadal, Medvedev was down two sets to love and trailing by a service break in the third set but, stupendously, he nearly won that match and claimed that title.

Medvedev pushed Nadal into a harrowing five setter that stretched from late afternoon well into the evening. He even battled back from two breaks down in the fifth set and saved two match points before Nadal held on from 30-40 in the last game of a compelling contest to win 7-5, 6-3, 5-7, 4-6, 6-4. Medvedev had concluded 2018 stationed at No. 16 in the world but his stirring surge in 2019 enabled this estimable individual to reach No. 5.

The 6’6” Russian continued along his ascendant path in a stellar 2020 campaign. He made another spirited run at the U.S. Open crown, sweeping into the semifinals without the loss of a set before losing to an inspired Dominic Thiem. Undismayed by that setback, Medvedev was invincible at the end of 2020, capturing back-to-back titles as the Masters 1000 event in Paris and the year-end ATP Finals at London, where he went undefeated in the round robin event. Moreover, he ousted the top three seeds in that tournament—Novak Djokovic, Rafael Nadal and Dominic Thiem—and that was an unprecedented feat.

In that spectacular span of two tournaments and ten match victories in a row, Medvedev accounted for no fewer than seven wins over top ten players. By the time Medvedev reached his second Grand Slam tournament final at the start of this season, he had raised his total to 20 matches in a row. Many authorities believed Medvedev would make his breakthrough on that Melbourne stage and take his place as a major champion, thus underlining his authenticity.

But Djokovic denied Medvedev that prestigious prize, playing a masterful strategic match and executing it to the hilt, winning a ninth Australian Open with a comprehensive 7-5, 6-2, 6-2 triumph.

That setback took more than a little wind out of Medvedev’s sails. He did make some amends that could be construed as positive steps. Arriving at Roland Garros with a career match record of 0-4, Medvedev found some confidence on the red clay and went to the quarterfinals but, much to his chagrin, he was soundly beaten by Stefanos Tsitsipas in the quarterfinals of the French Open. Medvedev had toppled Tsitsipas in six of the seven head-to-head battles they had fought up until Roland Garros, so that setback had to be stinging.

On to Wimbledon went Medvedev, and once more he reached the fourth round of a Major. But he let a two-sets-to-one lead against Hubert Hurkacz still from his grasp in a two day meeting, falling in five sets. And yet, Medvedev did recover his form over the summer when he won the Masters 1000 title in Canada.

And so he came into the U.S. Open as the No. 2 seed, quietly confident and cautiously optimistic, a man on a mission. Medvedev took advantage of a favorable draw. He did not drop a set prior to the quarterfinals, but did struggle slightly against the Dutch qualifier Botic Van de Zandschulp before winning 7-5 in the fourth set. But then he took apart No. 12 seed Felix Auger-Aliassime in straight sets.

That win over the athletic Canadian took Medvedev into his third major final and his second in New York. To most avid tennis observers, it was a fitting way to settle the outcome of the last major in 2021 when it all came down to Medvedev against a man on an ineffable historical quest named Novak Djokovic.

The world No. 1 was coping with the kind of pressure that only a fellow of his extraordinary stature could possibly understand. Once he had captured his second French Open in June to put himself half-way to a Grand Slam, Djokovic had his mind fixated on that lofty goal. He went to Wimbledon not simply to win the world’s premier tennis tournament but to garner a third major in a row and go to New York in search of the last piece in the puzzle. No one in men’s tennis since Rod Laver secured his second Grand Slam in 1969 had taken the first three majors of the season to land in such lofty territory—one tournament away from a Grand Slam.

Surely Djokovic was informed by media figures and fellow players that only five players had ever taken all four major tournaments in a single year to win the Grand Slam. The first time it was done was in 1938, when the Californian Don Budge—owner of perhaps the best backhand tennis has ever witnessed—pulled off the remarkable feat. Maureen Connolly was next on the list in 1953, succeeding largely because her ground strokes were the best in the women’s game and her footwork was exemplary. The left-handed Laver—an incomparable Australian shotmaker— took his first Grand Slam in 1962 as an amateur and his second as a professional seven years later.

Next up was another Australian stalwart. Margaret Smith Court—a magnificent attacking player— realized her dream of the Grand Slam in 1970. Eighteen years later, it was Steffi Graf’s turn. The German with fast feet and explosive forehand was unbeatable at the Grand Slam tournaments in 1988.

So there you have it. No one since Graf has won the Grand Slam, proof of what a difficult task it is for both the men and the women. Keep in mind as well that some of the sport’s most luminous figures have never come close. To be sure, Roger Federer celebrated three seasons (2004, 2006 and 2007) when he was victorious at three of the four majors, but he never made it even half-way to a Grand Slam because he was unable to come through at Roland Garros in those years. The one year he won the French Open (2009) he had already lost to Nadal in the Australian Open final.

Nadal won the last three majors of 2010 in Paris, London and New York but he had been beaten at the Australian Open in the first one. The only time Nadal won the Australian Open in 2009, he suffered his first loss at Roland Garros against Robin Soderling and the Grand Slam chance was gone. Djokovic himself managed to sweep four majors in a row from Wimbledon of 2015 through Roland Garros of 2016. That meant he was actually half-way to a Grand Slam in 2016 but he lost in the third round of Wimbledon to Sam Querrey so that opportunity evaporated.

Meanwhile, a small cast of players has won the first three majors of the year to stand within striking distance of a Grand Slam. The first one was Jack Crawford of Australia in 1933. He took the first three and then was in the final of Forest Hills at the U.S. Championships. He was only one set away from the Grand Slam but lost to the gifted Englishman Fred Perry. Similarly, the Australian dynamo Lew Hoad was also one match away from a Grand Slam in 1956 but his countryman Ken Rosewall knocked off Hoad in the Forest Hills final. And then in 1984, Martina Navratilova was the champion at the French Open, Wimbledon and the U.S. Open. At that time the Australian Open was the last major fo the season, and Navratilova was beaten in Melbourne by Helena Sukova in the semifinals.

And so Djokovic was surrounded by all of these historical facts as he came to the U.S. Open this year. The 34-year-old was seeking to establish himself as the oldest player ever to win a Grand Slam, and he navigated his draw well across an arduous fortnight in New York. At the U.S. Open, his anxiety was evident all the way through the tournament but time and again Djokovic overcome his difficulties and raised his game when he needed to.

In the first round he went into a tailspin in the second set against Danish qualifier Holger Vitus Nodskov Rune but romped in the end 6-1, 6-7 (5), 6-2, 6-1 as the teenager suffered with cramps. The Dutchman Tallon Griekspoor faced Djokovic in the second round and the top seed granted his adversary only seven games across three sets. 2014 U.S Open finalist Kei Nishikori took the first set from Djokovic before the Serbian beat him for the 17^th time in a row 6-7 (4), 6-3, 6-3, 6-2. In the round of 16, the young American wildcard Jack Brooksby came out with deep intensity and Djokovic was unsettled, but the 34-year-old found his range in the second set and never lost it, winning 1-6, 6-3, 6-2, 6-2.

Now in the quarterfinals Djokovic was pitted against the No. 7 seed Matteo Berrettini. The flamboyant Italian had lost to Djokovic in the quarterfinals at Roland Garros and again in the final at Wimbledon. Now Djokovic prevailed for the third time in a row against the big server 5-7, 6-2, 6-2, 6-3.

So the stage was set for Djokovic to play No. 4 seed Sascha Zverev, who was on a rampage. Zverev had won 16 matches in a row heading into his appointment with Djokovic, taking the gold medal at the Olympic Games in Tokyo and then winning the Masters 1000 tournament in Cincinnati. In Tokyo, Zverev rallied from a set and a break down at 6-1, 3-2 but swept eight games in a row and ten of the last eleven to win 1-6, 6-3, 6-1.

But in New York, Djokovic played his best match of the tournament, turning the tables on the German. Djokovic rallied ferociously again to gain a pulsating five set triumph over Zverev 4-6, 6-2, 6-4, 4-6, 6-2 in three hours and 34 minutes. In the fifth set of that scintillating encounter under the lights, Djokovic collected 24 of 30 points to open up a 5-0 lead. Although Zverev pridefully won the next two games, Djokovic finished it off with a third service break of the set in the eighth game.

Many of us expected Djokovic to repeat his Australian Open final round win over Medvedev in New York. No one was taking Medvedev lightly or assuming he would not put up the toughest possible fight. But Djokovic’s big match prowess and his vast experience on the premier stages was paramount in the minds of many experts. This was, after all, his 31^st Major final, a record number he shares with Federer. Moreover, Djokovic has grown immeasurably across the years as a player who knows how to bring out his best on the biggest occasions.

He had won 12 of his previous 14 finals at the Grand Slam events heading into this U.S. Open.  Djokovic’s record was once 6-7 in the middle of 2014, but he then won 14 of 17 to put him at 20-10 in his career leading up to Flushing Meadows. That success rate made him the favorite at the Open to win a record 21^st Major crown as well as realizing the most demanding goal of his career—a Grand Slam sweep of all four majors.

But it was apparent from the outset of his duel with the 25-year-old Russian that Djokovic was nowhere near the level he needed to be physically, mentally or emotionally. The first ominous sign was in the opening game of the match. Djokovic led 40-15 but he was coaxed into four consecutive errors and thus lost his serve immediately. Medvedev was clearly buoyed by that beginning, holding his serve at 15 for 2-0 with two aces. Djokovic then fell into a 15-40 hole by making his eighth unforced error of the young match. Although he won four points in a row and finished off that third game with two aces, Djokovic had not commenced this contest with the standard he needed to meet the moment.

Medvedev required only 47 seconds to hold for 3-1 by virtue of two aces, a service winner and a forehand winner. In his next three service games, Medvedev conceded only two points. Djokovic was not reading that serve at all and was slow to react whenever he did. Medvedev captured that set confidently, 6-4.

It was early in the second set that Djokovic found some openings that might have altered the course of the match had he exploited them. He reached 0-40 on the Medvedev serve but steered a forehand retrieve of a drop shot and was passed down the line off the forehand by the Russian. Medvedev released an ace for 30-40 and then Djokovic botched a backhand slice, sending that shot into the net. He was infuriated. Medvedev held on crucially for 1-1 with an ace followed by a service winner.

Djokovic saved a break point on his way to a 2-1 lead and then had two more break points in the fourth game, but Medvedev produced a low forehand drop volley that drew an errant forehand pass from the Serbian, and then saved the second break point with a backhand down the line deep into the corner that Djokovic could not answer. Medvedev made it to 2-2, broke Djokovic in the fifth game as the top seed put only one of six first serves in play, and then the Russian conceded only two points in his last three service games to wrap up the set 6-4.

Djokovic was clearly despondent. He was not simply below par as he would say later; he was way off his game in every respect. Medvedev rolled to 4-0 in the third and soon moved to 5-1. The capacity crowd in Arthur Ashe Stadium was filled with Djokovic fans cheering him on vociferously, but they had little to shout about for most of the proceedings. Djokovic held on in the seventh game. Medvedev had a match point at 5-2 but served a double fault at 120 MPH into the net as the crowd callously applauded his mistake. He then served another double fault and Djokovic went on to break. When Djokovic held easily in the ninth game, the crowd’s applause for a man they had seldom supported was astonishing and much appreciated by the world’s best tennis player.

Djokovic shed tears into his towel at the changeover. Medvedev then served for the match a second time and released another double fault at 40-15. No one knew it then, but the Russian was fighting cramps, a fact he hid awfully well from his opponent and the audience. At 40-30 his first serve was good enough to force Djokovic to miss the return, and so Medvedev averted a potential crisis to defeat his rival for the fourth time in nine career clashes 6-4, 6-4, 6-4.

Medvedev had handled the occasion remarkably well and had tuned out the crowd with great discipline. For Djokovic the situation must have been both maddening and saddening. To have an audience so fervently behind him at one of the Majors is something he has rarely if ever experienced. But he struggled inordinately to find anything even resembling his best tennis. He approached the net 47 times in the three sets and won 31 of those points. He played serve-and-volley surprisingly well, taking advantage of Medvedev’s court positioning so far behind the baseline for his returns.

But Djokovic had neither the patience, the physicality or the inclination to stay back and grind with Medvedev the way he always has done. His legs were too weary, and his mind was cluttered. In the end he played into Medvedev’s hands. The Russian is among the most astute players in the sport to read the map of a match and adjust his strategy. Medvedevs’ shot selection, variation of speed and pace, and capacity to make Djokovic uncomfortable were first rate. Medvedev knew full well he was not playing the essential Djokovic, but he was performing in front of an antagonistic crowd and trying to pull off a first Major title. Those were not easy circumstances but Medvedev was able to deal with it ably. Medvedev did everything that was asked of him and more. He was thoroughly professional.

When it was over, Djokovic was very gracious and unwilling to drown himself in a sea of self pity. He lauded Medvedev and refused to make any excuses for his sixth defeat in nine U.S. Open finals against five different opponents.

There will never be another opportunity like this for Djokovic. He admirably put himself three sets away from the first men’s Grand Slam in 52 years. That can hardly be portrayed as a failure. Losing in New York will only make Djokovic more motivated for 2021 and the pursuit of a 21^st Major title in Melbourne that would enable him to stand alone at the top of the list for most men’s majors and separate him from his co-leaders Federer and Nadal. He will turn 35 in May but Djokovic remains very young for his age. To be sure, he looked much older against Medvedev, but that was circumstantial. He has a lot of winning left to do.

As for Medvedev, this triumph at the U.S. Open should lead to many more landmark victories. Over the next seven years, he should be good for at least five or six more majors, and perhaps a larger number than that. The key to where he ends up will depend to a large extent on his adaptability. Medvedev has proven irrefutably that he is a prodigious hardcourt player and that will put him in good stead at both Melbourne and New York year after year. But can he demonstrate a larger self-belief on grass and clay courts?

To be sure, he did well this year with his quarterfinal appearances at Roland Garros. But he will need to prove that he can do more damage than that on the red clay of Paris and the lawns at the All England Club. Had he finished off Hurkacz this year in London, Medvedev would have almost surely made the final and played Djokovic there. Had he managed to overcome Tsitsipas in Paris, he might have gone to the final there.

The view here is that Medvedev will make inroads on the other surfaces and be a threat everywhere in the years ahead. The 2021 U.S. Open was a launching pad for a competitor with a wide range of goals and deep determination. He will often be going to other lofty destinations in 2021 and beyond.

During the first week of the US Open, there was an abundance of rainbow-theme flags and wristbands worn by both players and fans to mark the tournament’s first-ever Open Pride Day.

The event was part of the USTA’s Diversity and Inclusion strategic platform which aims to make tennis more inclusive. Unlike the women’s game, there are no openly LGBTQ+ players on the men’s Tour and there have been few historically, even though various players have spoken of their support for anybody on the Tour who decides to come out. Including Stefanos Tsitsipas and newly crowned US Open champion Daniil Medvedev, who were questioned about the topic following their second round matches. Meanwhile, Canada’s Felix Auger-Aliassime revealed that there is an ongoing survey related to LGBTQ+ issues being conducted by the ATP.

“Recently I’ve started doing a survey inside the ATP about the LGBTQ+ community,” he said. “It’s important these days to be aware of that and to be open-minded and the ATP needs to do that, in today’s time it’s needed.

“The reason we don’t have openly gay players on the ATP Tour, I’m not sure of the reason, but I feel me, as a player, it would be very open, very welcome. Statistically, there should be some, but for now there’s not.”

In response to Auger-Aliassime’s comment, UbiTennis looked into the work currently being done by the ATP alongside two other parties. Their decision to venture into LGBTQ+ representation on the Tour is part of their recent commitment to support the mental health and wellbeing of their players and staff. Last year, in May, they formed partnerships with Headspace and Sporting Chance.  

The survey currently being conducted by the ATP started after the governing body of men’s tennis reached out to Lou Englefield, the director of Pride Sports, a UK organisation that focuses on LGBTQ+phobia in sport and aims to improve access to sport for all LGBTQ+ people. Through their connection, they contacted Eric Denison, a behavioural science researcher at Monash University’s School of Social Sciences. Denison was the lead author of the Out on the Fields study, the first international study on homophobia in sport and the largest conducted to date.

“I have been personally impressed with the initiative of the ATP and their desire to find ways to mitigate the broad impact of homophobic behaviour (in particular), not only on gay people, but on all players.” He told UbiTennis during an email exchange.

“We know of no other sporting governing body in the world that has been proactive on LGBTQ+ issues, and has taken a strong focus on engaging with both the LGBTQ+ community and scientists to find solutions.”

Denison says the norm has been for sports bodies to address this issue after they have been either pressured to do so or if the LGBTQ+ community got the ball rolling themselves. Incredibly, research conducted as part of the Out On The Fields initiative documented 30 separate studies which found sports organisations ignored discrimination experienced by LGBTQ+ people in sport.

Monash University has supplied the ATP with a series of scientifically validated questions, which they are using to ‘look under the hood’ at the factors which supports a culture where gay or bisexual players feel they are not welcome. The methodology is similar to a study Denison conducted in 2020 that focused specifically on the team sports rugby union and ice hockey.  

“We suspect that tennis isn’t inherently more homophobic than other sports, or traditionally male settings. Instead, there is a disconnect between people’s attitudes towards gay people (e.g. the recent pro-gay comments by top players) and their behaviour, specifically their use of homophobic banter and jokes,” said Denison.

“This behaviour, which is largely habitual, creates a hostile climate for young gay/bi people who drop out or hide their sexuality. This means gay/bi players are invisible in youth tennis and leads to the downstream problem of no professionals. The banter/jokes continue because people think it is harmless.”

The hope is that players will also agree to be interviewed by the researchers for them to get a better understanding. All of the results will then be used by Pride Sports and Monash University to recommend evidence-based solutions. It is unclear as to how long the study will take or when the findings will be ready. 

Former top 100 player Brian Vahaly is one of the few players to have been both openly gay and played at the highest level of the men’s game. However, he didn’t fully come to terms with his sexuality until after retiring from the sport at age 27. Speaking to UbiTennis earlier this year, Vahaly shed light on the potential barriers for gay players.

“There were a lot of homophobic jokes made on Tour. It’s a very masculine and competitive environment,” he said. “You don’t see a lot of gay representation, except for the women’s Tour. With me not having the personality of an outspoken advocate (for LGBTQ+ issues), certainly not in my twenties, I needed some time to understand myself. To me, in tennis I didn’t feel like there was anybody to talk to or anybody that was going through anything similar.”

The ATP has spoken with Vahaly about their initiative and he has become ‘quite involved.’ Through their discussions, he got acquainted with Denison for the first time. As a professional, Vahaly peaked at a ranking high of 64th in the world and won five Challenger titles. After retiring from the Tour, he has served on the USTA’s board of directors since 2013. 

“I am happy to hear that the ATP is finally taking action to address this issue.  I’m impressed they are taking a thoughtful, data-driven approach to make a meaningful difference here,” he told UbiTennis. 

The ATP aims to make the men’s Tour more welcoming to potential LGTBQ+ athletes playing either now or in the future. For those who question if such an initiative is important in 2021, you only have to look at the younger demographic.

Sportsnet quoted CDC data from 2019 which showed that 26% of American LGBTQ+ teenagers aged 16 or 17 has contemplated suicide, five times more than those who identify as straight (5%). Among those teenagers who heard homophobic terms, 33% self-harmed and an additional 40% considered doing so.

More than 2000 players around the world currently have an ATP ranking.