Rodeo is a fast-moving sport with highly talented and tough athletes. Prevalence of injury is high, especially in rough stock events, which include bareback, saddle bronc, and bull riding. In bull riding, the incidence of injury is reported at 32.2 injuries per 1000 competitor-exposures. While a number of different injuries can occur during bull riding, concussions are often the most alarming. However, they may also be the most amenable to prevention, despite resistance from rodeo cowboys and organization rulemakers to the use of protective headgear and lack of adherence to recovery guidelines. Rodeo athletes want to return to their sport despite injuries and rarely seek medical care; nonetheless, arena-side health care is still utilized and appreciated by rodeo cowboys. This article addresses the need for greater use of preventative equipment, the importance of allowing full recovery from concussions, and the need to make medical care more available to the rodeo athlete.