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This article describes a spectacular rise in cocaine production, trafficking, and consumption. Global production, concentrated mainly in Colombia, has tripled in ten years, and Europe is now the world’s leading market. In France, seizures have risen sharply. The authors provide statistics on drug use in the general population, noting that the spread of the drug is both visible and invisible. While most people have never tried cocaine, the attention drawn to the phenomenon by the press and institutions gives an impression of widespread use. Certain sectors (law enforcement, medical and social services) are highly impacted and fuel this perception. Cocaine use has become ubiquitous among those receiving treatment from CAARUDs (Risk-Reduction Centers for Drug Users) and CSAPAs (Addictology Treatment, Support, and Prevention Centers), including vulnerable users and former users of other drugs (opiates in particular). Practices are changing, with an increase in use through smoking (crack or base cocaine). Sales and marketing methods are also changing. Dealing by delivery via encrypted apps (Telegram, Snapchat, etc.) is making cocaine more accessible. Doses are smaller and cheaper, sometimes selling for as little as €10 or €20, making the product accessible to the lowest income groups. Extensive marketing (e.g., trade names, promotions, attractive packaging) reinforces this dynamic.