This paper is focused on analysis of current state of healthcare advocacy within orthopedic surgery, specifically focusing on shoulder and elbow surgery in Poland. While the Polish healthcare system has achieved significant improvements since 1989, challenges persist, particularly in funding and accessibility of specialized care. Orthopedic surgery, including shoulder and elbow procedures, has been comparatively underfunded, leading to long waiting times and a shift of procedures from the public to the private sector. The Polish Shoulder and Elbow Society (PSES), established in 2015, has successfully fostered education and research but lacks a formal framework for political advocacy. This gap limits the society's ability to influence healthcare policy and funding. The study highlights the need for increased surgeon engagement in advocacy to address funding disparities and improve patient access to specialized orthopedic care. It emphasizes the necessity for the PSES to establish formal channels for cooperation with policymakers to ensure that the concerns of shoulder surgeons are addressed. Future directions include developing structured advocacy programs and fostering greater political engagement within the medical community to improve the quality and accessibility of shoulder and elbow surgery in Poland.