We begin with a narrative about the vast inequalities between the 2021 women’s and men’s college basketball championships (sponsored by the National Collegiate Athletic Association). These disparate events exemplify systemic inequalities across college athletics that we document with data showing sex-based disparities in participation, resource allocation, and leadership. We introduce a critical perspective on Title IX – the celebrated 1972 U.S. sex nondiscrimination law – arguing that aspects of institutions employed under nondiscrimination policy can nevertheless undermine the quest for equality. We outline a set of policy proposals to address gender inequalities. These include more aggressive enforcement of Title IX, policies to ensure equal resource allocation and protections for women student-athletes, and initiatives to increase opportunities for women’s industry leadership. We then theorize three routes to policy change – from the bottom up, top down, and outside in – as well as the institutional hurdles that stand in the way of change. Throughout this discussion, we make a concerted effort to highlight how sex segregation, inadequate representation, androcentric organizational culture, and market demands are hurdles faced not just by those seeking equality in athletics but by other marginalized groups as well.