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In 2007, he was inducted into the Hawaii Sports Hall of Fame. In 2015, he was inducted into the Polynesian Hall of Fame.

In May 1999, Tuinei was found unconscious in his antique Ford car, and he was pronounced dead upon arrival at a hospital in the Dallas suburb of Plano. He had been planning to return to Punahou School as offensive line coach. The autopsy revealed that Tuinei died of a combination of heroin and a form of the drug ecstasy. His death was ruled an accidental overdose. Upon the release of the autopsy results, Plano police chief Bruce Glasscock was quoted as saying that it was Tuinei's first experience with heroin.

On April 14, 1998, he was released in a salary-cap move, finishing tied with Ed "Too Tall" Jones and Bill Bates for the most seasons in a Cowboy uniform—with 15. He is considered to be one of the greatest offensive tackles in Cowboys franchise history.

The next year suffered a torn medial collateral ligament in his right knee in a preseason game against the New England Patriots, which eventually required offseason surgery. Despite the injury, he contributed to the offensive line leading the league in allowing the fewest sacks with 19. He missed playing time against the Atlanta Falcons after re-aggravating his injury in the first quarter. He only sat out the season finale against the Washington Redskins and returned for the playoffs. Knee problems ended his career after the 1997 season, when Larry Allen took over for him at left tackle.

In 1995, he contributed to Smith winning his fourth rushing title, score an NFL record 25 rushing touchdowns and gain a club record 1,773 rushing yards. He received his second selection to the Pro Bowl, as part of a line that broke the team record by allowing just 18 sacks in a season.

In 1994, he suffered back spasms in the first quarter against the Washington Redskins, that required him to spend 2 nights in the hospital and miss the Arizona Cardinals game. He returned to the starting lineup against the Philadelphia Eagles. He helped the offensive line establish a new franchise record by allowing 20 sacks in a season, while being elected for his first Pro Bowl.

In 1992, he started the first 5 games, but injured his back lifting weights in the week leading up to the Kansas City Chiefs contest. He was forced to sit out the game, but was able to return against the Los Angeles Raiders, contributing to Smith earning his second consecutive NFL rushing championship.

In 1991, he suffered a groin injury that forced him to miss 4 games, returning to the starting lineup against the Houston Oilers, to help Emmitt Smith lead the NFL in rushing.

In 1989, he didn't miss a play in a game or a practice. In 1990, during a season that experienced a number of players being juggled around the offensive line, Tuinei remained a solid foundation at left tackle, by starting all 13 games he played, and missing 3 contests with a sprained right knee he suffered against the New York Jets.

In 1987, he was progressing through his second season as the starting left tackle, when he sustained a left knee injury in the Thanksgiving game against the Minnesota Vikings, losing the last month on the injured reserve list. The next year he reinjured the same knee early in the season, but still saw action in 5 games before being put on injured reserve.

In 1986, he worked at all three offensive line positions until settling at offensive tackle. However injuries to Kevin Brooks and Don Smerek early in the season, forced him to split time between the defensive and offensive lines. In the fifth week against the Denver Broncos, he led the defensive line with six tackles while replacing an injured Randy White. In the next game, he was named the starting left tackle against the Washington Redskins and remained there for the rest of the season.

In the 1985 preseason, the Cowboys offense needed help and like defensive tackles Blaine Nye and Pat Donovan before him, he was switched to play on the offensive line, backing up Tom Rafferty at center.

Tuinei was a key member of the Cowboys offensive line, helping the team win Super Bowl XXVII, XXVIII, and XXX, along with the NFC East Division in 1985 and from 1992 to 1996. His role in some of the greatest offensive lines in NFL history was detailed in the 2013 NFL Network's film A Football Life: "the Great Wall of Dallas".

Although he was selected by the Boston Breakers in the 19th round (227th overall) of the 1983 USFL Draft, he opted to sign as an undrafted free agent with the Dallas Cowboys in 1983. He made the team as a backup defensive tackle.

In 1982, he had a small role as a Samoan college student in the episode "Italian Ice" of the TV series Magnum, P.I..

Mark Pulemau Tuinei (March 31, 1960 – May 6, 1999) was an American football offensive tackle in the National Football League (NFL) for the Dallas Cowboys. Known as a "gentle giant", his career lasted for 15 years (1983–1997) and his ability to protect quarterback Troy Aikman and to run-block for running back Emmitt Smith helped them win Super Bowls in 1992, 1993, and 1995 and the NFC East Division in 1985 and 1992-96. He was also selected for the Pro Bowl in 1994 and 1995.