Still was the second overall player taken in the 1978 NFL Draft and became an immediate starter for the Chiefs, making the NFL All-Rookie Team in 1978. In 1979 Still began to get more notice and was voted Second-team All-AFC by UPI. In 1980, Still recorded 14½ sacks was voted All-Pro and All-AFC as well as being named to the Pro Bowl. The following year, 1981, he was voted to his second Pro Bowl. In 1982 he made it three Pro Bowls in a row and was voted second-team All-AFC. In 1983 Still went on an all-vegetarian diet and played at 235 pounds, and it seemingly broke his string of post-season honors in the NFL. In 1984 he was back to 265 pounds and was Second-team All-Pro and a Pro Bowler. He tied his career high of 14½ sacks. In 1985 he played solidly but failed to make any All-Pro or All-AFC teams. However, in 1986 he recorded 10½ sacks and was named First-team All-AFC as the Chiefs made the playoffs.
Still was a 4-time Pro Bowl selection, following the 1980-1982 and 1984 seasons, named the Kansas City Chiefs's Most Valuable Player twice (1980 and 1984). Still is third on the Chiefs all-time sack list with 72½ and has also made 922 tackles and 11 fumble recoveries. He led the team in sacks on 6 occasions, twice registering 14½ in a season and topped the team's tackle chart 3 times. He was traded to the Buffalo Bills in 1988 and played there for 2 seasons.