Two studies were conducted in which compliance to Canadian Hockey Association concussion management guidelines was assessed via response to questionnaires. The first study, conducted in both the 2001 and 2002 hockey seasons, involved elite male and female youth hockey players in the British Columbia Best Ever Program. Over 40% of the under 16-year-old males and 37% of the under 18-year-old females reported having sustained a concussion. In the 2001 male cohort, 18% of the concussions resulted in loss of consciousness (LOC), yet 50% of those indicated they returned to the same game. The second study, involving athletes in the Pacific International Junior Hockey League, indicated that 24% of the 163 athletes sustained a concussion within the last year. Out of the 12 who reported LOC, three of those returned to the same game, while only three were seen by a medical doctor prior to return to play. The results suggest that there remains considerable room for improvement with respect to adherence to return to play guidelines.