The aim of the article is to analyze the court practice in adjudicating on the authorization to provide health services to an adult patient. In the first part, interpretation problems regarding the legal regulations of this consent, reported in the doctrine of medical law, were signaled. In the second part, these problems are juxtaposed with the results of an empirical (file) study covering court proceedings for authorization to provide health services. In conclusion, detailed comments on judicial practice were formulated, including, inter alia, specifying the circle of participants in the proceedings, the manner of taking evidence and formulating the operative part of the judgment, and the desirability of maintaining the current model of the discussed court proceedings was questioned. It seems that in many cases it would be more functional for doctors themselves to make decisions on medical consent.