Suisham accepted a football scholarship from Bowling Green State University, starting from the spring 2000 semester.

In the season opener against Eastern Kentucky University, he set school records for extra point attempts and conversion in a single-game, making all of his 9 tries.

He left Bowling Green as the all-time leading scorer of the Falcons football team with 361 points, while also setting records with 45 career field goals and 31 touchbacks.

[2] Suisham was selected by the Ottawa Renegades in the third round (20th overall) of the 2004 CFL Draft and his rights were traded to the Edmonton Eskimos.

[2] He instead opted to sign as an undrafted free agent with the Pittsburgh Steelers of the National Football League on April 28.

Despite missing his first field goal attempt (from 50 yards) and struggling on kickoffs against the Atlanta Falcons, the team decided to keep him instead of placekicker Nick Novak.

He kicked his first game-winning field goal from 39 yards in an overtime victory over the Miami Dolphins in the Redskins' season-opener on September 9, 2007.

On November 16, 2010, Suisham signed with the Pittsburgh Steelers after a tryout, as Jeff Reed had poor outings throughout the 2010 season.

[22] No other player in NFL history had kicked four field goals of 40 yards or longer, including an OT game-winner, in one game, but he did it twice.

Suisham finished the regular season 14 of 15 on field goal attempts, with his only miss coming from 41 yards out in Week 16 against the Carolina Panthers.

[26] On September 25, Suisham made a 38-yard game-winning field goal against the Indianapolis Colts with 4 seconds remaining in the 4th quarter.

The Steelers lost to the San Francisco 49ers 20–3 on December 19, 2011, and the only scoring by Pittsburgh came from Suisham's 51-yard field goal in the second quarter.

On October 11, 2012, he failed to make a 54-yard attempt against the Tennessee Titans with the ball falling about one yard short of the uprights.

However, he made his next thirteen field goals following the miss, including game winners of 23 and 42 yards respectively against the Kansas City Chiefs and Baltimore Ravens.

Suisham appeared in all 16 games, connecting on 30-of-32 field goal attempts in 2013, establishing a Steelers record (min.

His 30 field goals made tied as the third-most in team history and his 129 points ranked fifth-most in a single-season.

On September 28, playing against the Tampa Bay Buccaneers, he passed Norm Johnson for the fourth-most extra points made in team history.

On October 12, playing against the Cleveland Browns, he moved into fourth place on the club's all-time field goals made list.

On August 9, 2015, Suisham told NFL reporters that he believed he had torn his anterior cruciate ligament in his left knee while covering the opening kickoff in the Pro Football Hall of Fame Game.

[28] While with Washington, Suisham put on a free football camp for kids in the area of his hometown of Wallaceburg, Ontario.