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The league's inaugural game was on December 9, 1978, between the Chicago Hustle and the Milwaukee Does at the Milwaukee Arena, attracting coverage in the previous night's CBS Evening News with Walter Cronkite. Milwaukee mayor Henry Maier issued a proclamation comparing this first game to the first professional football game, played in Latrobe, Pennsylvania, and the first pro baseball game, played in Cincinnati. The game attracted a crowd of 7,824, which saw the hometown team lose to Chicago 92–87. Debra Waddy Rossow of the Hustle, led all scorers with 30 points.
The league was able to arrange an All-Star game in 1979, which was played at the Felt Forum in New York City's Madison Square Garden in front of 2,731 fans. The game was hastily arranged and inserted into the league's schedule, using a court borrowed from the United States Military Academy at West Point, and forcing some players to have to make hectic travel arrangements to get to their next regular season game. The East beat the Midwest by a score of 112–99. Althea Gwyn of the New York Stars led the East with 19 points and 16 rebounds, while Chicago Hustle players Debra Waddy Rossow with 26 points and Rita Easterling with 19 points led the Midwest. Easterling, who also had 18 assists, was named the game's most valuable player.
The Houston Angels defeated the Iowa Cornets, 111–104, on May 2, 1979, behind 36 points by Paula Mayo, to take the league's first championship in game five of a best-of-five finals series.