The Arena was the permanent home of the professional Vancouver Millionaires of the Pacific Coast Hockey Association. The Arena was also the home of the New Westminster Royals from 1911 until 1914. The Patricks had hoped to set up teams in Calgary and Edmonton in the PCHA for the opening season, but the plans fell through. To avoid having a two-team league, the Patricks formed the Royals, to represent the neighbouring town of New Westminster and encourage fans to come to the Arena. Although the Royals were an unexpected necessity, the Royals were the winners of the first PCHA championship. The Royals were disbanded in 1914, when the PCHA formed a team in Portland, Oregon. The Millionaires were later renamed the Maroons and were disbanded in 1926 when the Western Canada Hockey League discontinued operations.

The Arena hosted the Stanley Cup "World Series" championship series four times. The 1915 series pitted the Millionaires versus the National Hockey Association's Ottawa Senators, the first Stanley Cup series held west of Winnipeg. The series was won by the Millionaires, and remains the only Stanley Cup won by a Vancouver team. The Arena also hosted Stanley Cup series in 1921, won by Ottawa, the 1923 series won by Ottawa and game two of the 1925 series, won by the Victoria Cougars.

During construction, the Patricks organized a four-team amateur ice hockey league, the Vancouver Amateur Hockey League, composed of the Vancouver Athletic Club, the Bankers, the Columbians and the Vancouver Rowing Club. In 1921, the Arena hosted the first international women's championship of ice hockey, organized by the PCHA. After the collapse of the Western Canada league, a new Pacific Coast Hockey League was organized, with the Vancouver Lions playing out of the Arena. The PCHL lasted three years. In 1933, the Lions were revived in the North West Hockey League. The Lions continued after the destruction of the Arena, and a reconstituted PCHL began operations with the Lions as a member.

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