What makes the profession of pediatrics unique is the commitment to not only treat sick and injured children, but also to work toward positive changes in the environment that contributes to children’s health. Simply stated, advocacy means speaking out on patients’ behalf. Advocacy assumes that there is a problem that needs to be changed, and it is a way to guide or effect that change. Through efforts at the individual, state, and federal level, pediatricians move from treating one patient at a time to a larger impact on a larger level. Pediatricians do have the position, credibility and power to impact change. As pediatricians become involved in advocacy, decision-makers will understand and come to rely on pediatricians as experts in children’s health and policy issues. Our advocacy includes individual, state, and federal advocacy.