Multiple tensions exist as part of the coaching process. How a coach responds to these tensions is a fundamental determinant of an athlete or team's fate. In today's highly competitive, socially demanding, and ever-changing sports environment, and as the expectations on coaches become more complex, the paradox becomes a critical lens to understand and assist contemporary coaches. This article defines the paradox based on a synthesis of existing literature and proposes an organizing framework for categorizing tensions relevant to coaching. This review draws distinctions between the paradox and other similar constructs, such as dilemmas and dialectics. In doing so, it is suggested that tensions are inherent and persistent to the coaching process and that purposeful management of paradoxical forces over time can lead to a tradition of success. Together, the review of literature and frameworks provide the foundations of a paradoxical perspective of coaching, offer clarity, provoke discussion, and fuel future research.