Aside from professional wrestling, Anoaʻi was a featured contestant on the reality television series Fat March where he lost 100 pounds but further injured his left knee.

[6][7] His younger brother, Joe Anoaʻi, was the starting defensive tackle for the Georgia Tech Yellow Jackets football team and is also a professional wrestler who works for the WWE under the name Roman Reigns.

[8] Anoaʻi inducted the Wild Samoans (his father Sika and his uncle Afa) into the WWE Hall of Fame in 2007.

[6] Growing up, Anoaʻi played football alongside Emmitt Smith at Escambia High School in Pensacola, Florida.

[9] Anoaʻi trained with his cousin Eddie Fatu at the Wild Samoan professional wrestling school operated by members of their family.

Anoa'i and Smooth then went to the National Wrestling League where they won the vacant NWL Tag Team Championship by defeated The Grungers on December 12, 1997.

He debuted on March 20, 1999, during FMW's Round Robin Tag League tour teaming with Fatu and Ricky Fuji in a losing effort to Hideki Hosaka, Hisakatsu Oya, and Super Leather.

[16] After scoring one-on-one wins over Hosaka and Fuji, Anoa'i took part in a round robin tournament for the FMW Brass Knuckles Tag Team Championship but only finished with 2 points.

On June 21, Anoa'i and Fatu defeated Hosaka and Yoshinori Sasaki to win the FMW Hardcore Tag Team Championship.

They also attacked non-wrestlers, including ring announcer Lilian Garcia and retired wrestlers Jimmy Snuka, Mae Young and The Fabulous Moolah.

[21][22] In September, 3-Minute Warning began a feud with Billy and Chuck, interfering in their storyline commitment ceremony, and defeating them at the Unforgiven pay-per-view event.

[26][27] On the July 19, 2004, episode of Raw, Rosey appeared with a new costume, seemingly graduated to a full superhero, officially turning him into a fan favorite.

[33] The loss of the title eventually brought the team to an end, as they began a losing streak caused by Hurricane's injuries.

During the October 17, 2005, episode of Raw, Hurricane was assaulted by Kurt Angle at the request of WWE Chairman Vince McMahon.

[34] The following week, Hurricane did not show up for a World Tag Team Title match, leaving Rosey to face the champions Cade and Murdoch alone.

[35] During the match, The Hurricane (out of costume) appeared at the top of the entrance ramp, now going by the name Gregory Helms as he watched Rosey get double teamed and defeated.

[41] He teamed up with Suwama to wrestle in the 2006 World's Strongest Tag Determination League where they placed first with nine points and Anao'i even scored a win over Keiji Mutoh along the way.

[49] He wrestled a dark match being billed under his real name for WWE on August 20, 2007, before an episode of Raw; he was defeated by Johnny Jeter.

[55] His final match was on July 9, 2016, where he reunited with The Hurricane as the two teamed with Vinny Pacifico in a winning effort against Chris Benne, JGeorge, and Steve Scott.

[56] The show featured 12 overweight people attempt to walk about 570 miles (920 km) in nine states, in order to lose weight and get fit, while competing for a prize pool of US$1.2 million.

[57] A press release for the show stated that Anoaʻi was participating because "it wasn't safe for him to compete" as a professional wrestler, and he needed to "lose weight to return to his career".

[56] Outside of wrestling, Anoaʻi was involved in several business ventures including a restaurant in Cincinnati[58][59] called Island Boi BBQ[9] but returned to Florida to be closer to his family[58] and was working with his father in Pensacola.

[6][62] In January 2014, Anoaʻi was hospitalized due to congestive heart failure (with which he had been diagnosed years earlier) and atrial fibrillation.

[63][58] Anoai's CHF was related to weight gain as he struggled with a chronic knee injury that also caused hip issues.

He died on April 17, 2017,[58] 10 days after his 47th birthday, in Pensacola, Florida, due to complications related to congestive heart failure.