The 1992–93 NBA season was the Spurs' 17th season in the National Basketball Association, and 26th season as a franchise. During the offseason, Terry Cummings suffered a serious knee injury and only played in the final eight games of the season. He would no longer be the same after the injury. With the acquisition of Dale Ellis from the Milwaukee Bucks and signing free agent Vinny Del Negro, plus re-signing Avery Johnson after a brief stint with the Houston Rockets, the Spurs struggled with a 9–11 start to the season as new head coach Jerry Tarkanian was fired.

After playing one game under Rex Hughes, the team hired John Lucas II as their new coach. At midseason, they acquired J.R. Reid from the Charlotte Hornets. Under Lucas, the Spurs would play solid basketball posting a 10-game winning streak in January, then win eight straight games in February, finishing second in the Midwest Division with a 49–33 record. David Robinson and Sean Elliott were both selected for the 1993 NBA All-Star Game.

In the playoffs, they defeated the 4th-seeded Portland Trail Blazers three games to one in the Western Conference Quarterfinals, but lost in six games to the Phoenix Suns in the semifinals. It was also their final year playing at HemisFair Arena. Following the season, Elliott was traded to the Detroit Pistons, and Johnson signed as a free agent with the Golden State Warriors.

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