Purpose Poland, like many other countries, is experiencing a shift in its drug policy as reflected with the decision of its government to legalise medical cannabis in 2017. This paper aims to explore the engagement of cannabis consumers with legal and illegal markets for cannabis in Poland. Design/methodology/approach Data comes from the Polish Ministry of Health and a survey of 571 cannabis users. The questionnaires were posted on Polish Facebook groups consisting of users, and other people interested in science/politics associated with cannabis. The users were asked if they currently use the illegal market to buy cannabis, and if yes then why. Findings Most respondents report that they do not engage with the illegal market for cannabis. Those who described themselves as medical users now enjoy a better access to cannabis, but even recreational users are finding ways to use the system. Some, however, continue to use the illegal market for cannabis due to reasons associated with honesty, access, price and quality of cannabis. Research limitations/implications Given a convenience sample, generalisable conclusions cannot be made on the impact of the medical cannabis policy on the illegal market for cannabis yet. However, what can be concluded is that increasingly more users are likely opting out for the regulated medical market than the traditional illegal market. This could be associated with an increasing willingness of medical practitioners to prescribe medical cannabis. Originality/value Only a handful of articles have been written on the Polish medical cannabis policy. This is the first article to show that the Polish medical cannabis policy has changed very significantly since the early enactment. Very probably contrary to the wishes of the policymakers who wanted to create a stricter model than the one in California, for example, which they named as more permissive one.