He has served on Gonzaga's coaching staff since 1989, and has led the Bulldogs from mid-major obscurity to consistent NCAA tournament contenders.

During his tenure as head coach, Few has led the Bulldogs to the NCAA Tournament every season (except 2019–20, when the team had secured an automatic bid but the tournament was canceled), a stretch that has garnered the Bulldogs recognition as a major basketball power despite playing in a mid-major conference.

Few entered the coaching profession even before receiving his degree, serving as an unpaid part-time assistant at his alma mater of Creswell High School starting in 1983, and advancing to a paid position from 1986 to 1988.

[4][5] He had some familiarity with the program, as he had befriended Dan Monson, then a Gonzaga assistant and later the head coach, during his time working the Oregon basketball camps.

This was immediately following the season in which Gonzaga became the nation's basketball darlings, making a run through the NCAA tournament, defeating Minnesota, Stanford, and Florida, to advance to the Elite Eight.

[6] In the West Regional finals Gonzaga lost to eventual national champions UConn by five points.

[8][9] Taking over after Monson's abrupt departure, Few managed to sustain the Gonzaga program's success from his very first season, ensuring the Bulldogs did not fade into obscurity.

The program's success has continued as Gonzaga has made the NCAA tournament in every one of Few's 21 completed seasons; indeed, he has been on hand for every postseason appearance in school history.

With Few as head coach, the Gonzaga program produced its first seven first-team All-Americans in Dan Dickau, Adam Morrison, Kelly Olynyk, Nigel Williams-Goss, Rui Hachimura, Corey Kispert, and Drew Timme.

All seven have played in the NBA, along with Richie Frahm, Blake Stepp, Ronny Turiaf, Austin Daye, Jeremy Pargo, Robert Sacre, Elias Harris, Kevin Pangos, David Stockton, Domantas Sabonis, Kyle Wiltjer, Zach Collins, Johnathan Williams, Brandon Clarke, Zach Norvell, Killian Tillie, Joel Ayayi, Andrew Nembhard, Jalen Suggs, Chet Holmgren,Julian Strawther, and Anton Watson.

[12] However, Gonzaga would go on to win the conference tournament, notably beating a Santa Clara team in the final that had earlier handed the Zags their first home-court loss in nearly four years.

A year later, despite losing to San Diego in the conference title game, the Bulldogs garnered an at-large bid in the NCAA Tournament.

They also made the deepest NCAA Tournament run by a WCC team since San Francisco reached three consecutive Final Fours from 1955 to 1957.

Few also continued his consecutive conference tournament championship win streaks with 8, making him the only coach in NCAA history to reach 8 or more twice in his career.

Few was the head coach of the United States national team at the 2015 Pan American Games, where he led the US to a bronze medal.