Pregame rituals were very similar to rituals associated with war. Players would decorate their bodies with paint and charcoal. Players also decorated their sticks or stick racks with objects representing qualities desired in the game. Strict taboos were held on what players could eat before a game, and the medicine man performed rituals to prepare players and their sticks. The night before a game, players wore ceremonial regalia and held a special dance. Sacrifices were held, and sacred expressions were yelled to intimidate opponents.
On the day of the game, teams walked to the field and were slowed by constant rituals. One ceremony was "going to water", in which players dunked their sticks in water and the shaman gave a spiritual and strategic pep talk. Sometimes players would receive ceremonial scratches on their arms or torso.
Before the game, every player was required to place a wager. Items such as handkerchiefs, knives, trinkets and horses were part of the wager. The bets would be displayed on a rack near the spectators, and items would be awarded proportionally to the winner of each quarter.
When the game was over ceremonial dance took place, along with a large feast for the hungry players.
Some early lacrosse balls were fashioned out of wood. Others were made of deerskin stuffed with hair. They were typically three inches in diameter.
The first lacrosse sticks were essentially giant wooden spoons with no netting. Great Lakes style sticks had one end bent into a 4-to-5-inch-diameter (100 to 130 mm) circle, which was filled with netting. This netting was made of wattup or deer sinew. The Iroquois and Eastern Woodland style sticks use a U-shape instead of a circle.
These sticks were bent into shape after being softened through steaming, and lengths typically ranged from 2 to 5 feet (1.5 m). Lacrosse sticks often had elaborate carvings on them intended to help players in the game. Lacrosse sticks were so treasured that many players requested to be buried with their stick beside them upon death.
Some versions of lacrosse used unusual stick designs. In the St. Lawrence Valley a version was played in which the head took up two thirds of the stick. In the Southwestern United States a double-stick version was played with sticks about two and a half feet long.
No protective equipment was worn in traditional lacrosse.
Today lacrosse is mostly popular in Canada and the United States but also has participation in the United Kingdom and Australia. Though Lacrosse is not as popular as many other sports, participation and interest is growing. US Lacrosse has reported that kids in America are opting to try a different sport from what they usually have chosen. US Lacrosse survey shows that, boys and girls lacrosse has grown by 47% and 43.1%. Also, the NCAA reported a 24% increase in the number of new men’s lacrosse programs created in the last two decades and women’s athletic department saw a 65% increase in the number of new programs created between 1998-2008. With the youth movement of lacrosse participation this will lead to more high school lacrosse players, then lead to more college lacrosse players, then more professional players and ultimately more interest in the sport.
Although lacrosse has seen a 35% surge in participation since 2012, attendance at MLL (Major League Lacrosse) games have decreased and the sport doesn't get the television coverage like other sports in the US do. Paul Rabil, arguably the greatest and most influential lacrosse player of all time, tried to purchase the MLL on several occasions after being tired of poor wages and low attendance at games, but was denied by the MLL. Paul Rabil with his brother, Mike Rabil, would go to create their own lacrosse league known as the PLL (Premier Lacrosse League) in 2018. They received financial support from the Chernin Group, which owns Barstool Sports, and Alibaba co-founder Joseph Tsai. The brothers also signed a contract with NBC, and NBC Sports to broadcast the league games. The PLL offers a $25,000 minimum salary, which was three times more than what MLL players made, plus health-care benefits and equity in the league. The PLL has allowed many professional players to make lacrosse their full-time job, which is why many MLL players are migrating to the PLL, and why many college lacrosse players have chosen the PLL over the MLL and other professional leagues. With the creation of the PLL there was an increase in attendance. In 2019, the PLL's first season, there were over 10,000 attendees at every weekend event and hundreds of thousands watching from home. With proper financial backing, marketing, television broadcasting and distribution, the PLL had a successful first season that saw more viewership and interest than the MLL. It was a historic success.
After two seasons, the MLL was merged into the more successful PLL in 2021, making the latter the sole men's pro field lacrosse league in North America.
In 2021, Athletes Unlimited Lacrosse, the field lacrosse wing of the growing pro women's sports league in the US, began operations.