Trot Nixon was drafted by the Red Sox in the 1st round of the 1993 amateur draft, and was the 7th pick overall. He bats and throws left-handed.

Nixon attended New Hanover High School in Wilmington, North Carolina, and as a senior, he was named the State Player of the Year in both, football and baseball. In football, as a senior, he broke school passing records held by former National Football League quarterbacks Sonny Jurgensen and Roman Gabriel.In baseball, as a senior, he was named Baseball America Magazine's High School Player of the Year, named the State Player of the Year, and helped lead his team to the State 4A title, after he batted .512 with 12 home runs and a state-record 56 RBIs, and pitched 40 innings with a 12 win-0 loss record and a 0.40 ERA record.

On May 28, 2000, he belted a two-run home run in the top of the ninth at Yankee Stadium in a duel between then-teammate Pedro Martinez and ex-Red Sox pitcher Roger Clemens that was won 2-0 by the Sox.

Trot had a career-best year in 2003 when he batted .306 with 24 doubles and 28 home runs. In game 3 of the AL Division Series, Nixon was called from the bench as a pinch-hitter in the bottom of the 11th. With the Red Sox facing elimination, Nixon lined a two-run homer over the center field wall for a 3-1 Boston victory.

During the 2004 Red Sox season, Nixon was unavailable for several months due to a herniated disc and a tight thigh muscle. Upon his return, he generally worked as the starting right fielder throughout the regular and post-season. In the deciding game of the 2004 World Series, Nixon laced a two-out, two-run double off the right field wall at Busch Stadium in St. Louis in the top of the third inning to give Boston a 3-0 lead. Those were the last runs scored by either team in that game as the Red Sox swept the Cardinals for the team's first World Series title in 86 years. For the series, Nixon batted .357 and drove in three runs.

He also endeared himself to Sox fans by briefly wearing a mohawk hairstyle, one of the many unconventional and bizarre hairstyles sported by the Red Sox over the course of the season.

Trot Nixon is considered the inspiration for the expression "Boston Dirt Dogs". The signature is that of a "scrapper", a player who hustles and isn't afraid to get dirty to win a game.

Though loved by Boston's fans, Nixon is known for an extremely volatile temper. He was fined and suspended for tackling a Yankees pitcher in a famous brawl on July 24, 2004. In August, 2005, while officially on the disabled list, Nixon still sat in the dugout with the rest of the team. When teammate Gabe Kapler (who often acted as Nixon's substitute) hit a long fly ball off of the Green Monster, the umpires ruled it a double. Nixon lept off the bench and argued with such passion that Kapler's hit had been a home run (television replays confirmed that the hit had landed above the home run line, and thus should have been ruled a two-run homer) that he was ejected from the game - a rare feat for a player on the disabled list.

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