Abdul-Aziz starred for the Iowa State Cyclones in college basketball before he was selected by the Cincinnati Royals as the fifth overall pick in the 1968 NBA draft. He played ten seasons in the National Basketball Association (NBA) as a member of the Royals, Milwaukee Bucks, Seattle SuperSonics, Houston Rockets, Buffalo Braves, and Boston Celtics. Abdul-Aziz was nicknamed "The Kangaroo".
Abdul-Aziz played college basketball for the Iowa State Cyclones from 1965 to 1968. He was selected as the Big Eight Player of the Year in 1968 and was a three-time first-team All-Big Eight Conference selection. Abdul-Aziz was chosen by the Cincinnati Royals as the fifth overall pick in the 1968 NBA draft and traded to the Milwaukee Bucks during his rookie season. He was traded to the Seattle SuperSonics for Lucius Allen and Bob Boozer in 1970. Abdul-Aziz initially disputed the trade and planned to sue the NBA but instead flourished with the SuperSonics. He enjoyed a career-best season as he averaged 13.8 points and 11.3 rebounds per game during the 1971–72 season until he was sidelined with pericarditis.
Abdul-Aziz converted to Islam during his time with the SuperSonics. On September 18, 1972, his contract was bought by the Houston Rockets. Abdul-Aziz had been the team's starting center prior to the 1974–75 season. The Muslim holy month of Ramadan coincided with a Rockets training camp where Abdul-Aziz entered an anemic-like state due to his fasting. He found himself unable to play and told the team's general manager that he was quitting the team. Abdul-Aziz's father convinced him to return but he lost his position in the Rockets' line-up and never again played as a starting center in the NBA. Abdul-Aziz played his final three years as a backup on various teams before he announced his retirement in 1978 at the age of 32.

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