Elliott broke Lew Alcindor's (Kareem Abdul-Jabbar) all time Pac-10 career scoring record.

The Spurs made the playoffs where they swept the Denver Nuggets in the first round before falling to the eventual Western Conference Champion Portland Trail Blazers in 7 games.

In the following season, Elliott was moved to the permanent starting line-up and increased his scoring to 15.9 points a game.

Elliott averaged 16.3 points per game during the 1991–92 season but San Antonio were swept in the first round by the Phoenix Suns.

In the playoffs, San Antonio defeated Portland 3 games to 1, before facing the number one seeded Suns in the conference semifinal.

Elliott spent the 1993–94 season with the Detroit Pistons after being traded for Dennis Rodman in a multi-player deal.

After Elliott struggled with the Pistons, the Pistons attempted to trade him to the eventual champion Houston Rockets in February 1994 in exchange for Robert Horry, Matt Bullard and two second-round draft choices; the trade fell through when Elliott failed his physical.

The Spurs clinched the top seed in the Western Conference, and swept the Denver Nuggets in the first round before facing the young Los Angeles Lakers in the semifinals.

The Spurs defeated the Minnesota Timberwolves and Los Angeles Lakers to face the Portland Trail Blazers in the conference finals.

He managed to stay on his tiptoes rather than planting his feet, before releasing a 21-foot three-point attempt just over the outstretched arms of 6 foot 11 forward Rasheed Wallace.

On March 13, 2000, in a game against the Atlanta Hawks, Elliott became the first professional athlete to return to his sport after the kidney transplant.

Elliott started in 34 of 52 games in the 2000–2001 season; the Spurs held the best record in the league, but lost to the eventual champion Los Angeles Lakers in the Western Conference Finals.

After retiring, Elliott became a basketball analyst for The NBA on NBC and, during the 2003–2004 season, for ABC Sports and ESPN.