This article identifies two priorities for action for Australians living with osteoarthritis.

The three priorities in advanced care for osteoarthritis include surgical decision making, referral for evidence-informed non-surgical alternatives and surgical services.

The lack of implementable policies that promote osteoarthritis prevention exposes Australians and the public health system to an enormous burden.

The updated Osteoarthritis of the Knee Clinical Care Standard is an important tool that can support best practice care for people presenting with suspected knee osteoarthritis.