Boccia can be played on a recreational an or competitive basis. Competitions are organized locally, regionally, nationally, and internationally. The international competition calendar is based on the Summer Paralympic Games quadrennial, with international regional championships in the first year, world championships in the second year, world cup in the third year, and the Paralympic games in the fourth year.
There are approximately 350 internationally-ranked boccia players.
179 athletes from 24 countries and regions attended the 2007 Boccia World Cup during May 9–19, 2007 in Vancouver, BC, Canada for their last opportunity for classification and achieve international ranking for the 2008 Summer Paralympics in Beijing.
88 athletes from 19 countries competed at the 2008 Summer Paralympics in Beijing held 7 to 17 September. Brazil and Korea were ranked first equal over all, both countries finishing with two gold medals and one bronze medal each.
Athletes from 36 countries attended the 2010 Boccia World Championships, and 28 countries participated in the team competition. The balance of power in recent years has shifted from European dominance to a more world wide competitiveness with Brazil leading the BC4s and Korea the BC3s. The dominant force of the Mixed Team has only recently changed hands from GB to Korea but the former power houses Spain and Portugal can never be ruled out.