I would rank it as the toughest sport, period. You have very little padding, with guying being able to hit you as long as you are within 5 yards of the ball. I've played hockey and football, and while both are very physically grueling sports, lacrosse was the toughest. It is easier to pick up with the stick game if you've played hockey, but that doesn't take away from the game at all. The game is a blast, but it's definitely the toughest game I've ever played.