The primary prevention of sports-related concussions (SRCs) has received significantly less scholarly attention from researchers and clinicians than other aspects of SRCs, such as SRC monitoring and management. Current research into strategies for primary concussion prevention focus on protective gear, proper technique, neck strengthening, rule changes, legislation, and education, especially in contact sports that pose the greatest SRC risk to participants, such as football, hockey, soccer, and rugby. To the frustration and surprise of many, such research has failed to prove the efficacy of the most seemingly obvious SRC prevention strategies in these areas. This is likely because there is no panacea to prevent SRCs and no strategy is universally applicable across age, gender, and positions within the same sport. Ultimately, concussion prevention will require an overall shift in the attitudes of coaches, players, and spectators toward putting safety above competitiveness, for example, by promoting fair play rules and enforcing penalties for unsafe plays.