Rosalia Gioia spent more than 50 years helping to develop the sport in New York. Though her school, Hunter College, had no lacrosse team during her college days, she went on to play for nearly 20 years with the New York Women's Lacrosse Association (NYWLA), participating in the US Lacrosse Women's National Tournament from 1953 to 1975.
She also spent over 50 years officiating high school lacrosse and more than 30 years officiating at the collegiate level. She was president and longtime treasurer of the NYWLA.
She also coached lacrosse at New Hyde Park Memorial and Great Neck high schools. She has been inducted into the US Lacrosse Long Island Chapter and Hunter College halls of fame.