Lee Elia's journey in professional baseball began when he was signed by the Philadelphia Phillies as an amateur free agent in 1958. His playing career, however, was relatively brief. Elia made his Major League debut with the Chicago White Sox in 1966, appearing in a handful of games as an infielder. His time on the field in the big leagues was limited, as he played only 80 games over two seasons with the White Sox and the Chicago Cubs, primarily as a third baseman and shortstop. Despite his short stint as a player, Elia's understanding of the game and leadership qualities would later define his career in baseball.

Transitioning from player to coach, Elia found his niche in managing and coaching roles. His first significant coaching position came with the Philadelphia Phillies, where he served as a coach from 1980 to 1981. During this period, the Phillies won the World Series in 1980, marking a high point in Elia's early coaching career. His ability to connect with players and his strategic insights were recognized by teams across the league.

In 1982, Elia was appointed as the manager of the Chicago Cubs. His tenure with the Cubs is perhaps most remembered for a passionate and candid post-game tirade in 1983, which became infamous in baseball lore. Despite the challenges he faced, Elia's time with the Cubs was marked by his efforts to rebuild and motivate a struggling team. He managed the Cubs until 1983, after which he continued to work in various coaching capacities.

Elia's managerial career continued with the Philadelphia Phillies, where he took the helm in 1987. Although his time as the Phillies' manager was brief, lasting until 1988, he remained a respected figure in the organization. Throughout his career, Elia was known for his straightforward approach and his ability to mentor younger players.

Beyond his managerial roles, Elia contributed to several teams as a coach, including the New York Yankees, Toronto Blue Jays, and Seattle Mariners. His extensive experience and knowledge of the game made him a valuable asset in developing player skills and team strategies.

Lee Elia's career in baseball spanned over three decades, during which he transitioned from player to coach and manager.