The years 2007 to 2011 were years in the active formation of alcohol politics and its changes in the creation of legislation. Therefore, this article is aimed at analysing the policy changes in the field of the Lithuanian Public Health Coalition during the period under analysis. The concept of the advocative coalition model was invoked in order to conceptualise the study. A qualitative survey was chosen as a methodological basis, in compliance with the documents analysed. The results of the study reveal that in 2006 and 2007, the structuring of the public health coalition in the field of alcohol policy began, and finalised at the end of 2011. After gathering together, the Pubic Health Coalition finally took shape in the field of alcohol policy in 2011 and 2012. In 2011, a broad coalition was formed, leading to a major conflict between the Public Health Coalition and a coalition of the alcohol industry. The latter sought to liberalise alcohol advertising, and succeeded in achieving this aim at the end of 2011. Nonetheless, the Public Health Coalition achieved its aims by strengthening and mobilising a broad coalition, and employing scientific evidence to support its position, thus achieving its strategic goals in alcohol policy.