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In 1898, he used Janusz Korczak as a pen name in the Ignacy Jan Paderewski Literary Contest. The name originated from the book O Janaszu Korczaku i pięknej Miecznikównie by Józef Ignacy Kraszewski. In the 1890s he studied in the Flying University. During the years 1898–1904 Korczak studied medicine at the University of Warsaw and also wrote for several Polish language newspapers. After graduation, he became a pediatrician. In 1905−1912 Korczak worked at Bersohns and Baumans Children's Hospital in Warsaw. During the Russo-Japanese War, in 1905–06 he served as a military doctor. Meanwhile, his book Child of the Drawing Room (Dziecko salonu) gained him some literary recognition.

In 1907–08, Korczak went to study in Berlin. While working for the Orphans' Society in 1909, he met Stefania Wilczyńska, his future closest associate. In 1911–1912, he became a director of Dom Sierot in Warsaw, an orphanage of his own design for Jewish children. He hired Wilczyńska as his assistant. There he formed a kind-of-a-republic for children with its own small parliament, court, and a newspaper. He reduced his other duties as a doctor. Some of his descriptions of the summer camp for Jewish children in this period and subsequently were later published in his Fragmenty Utworów and have been translated into English.

During World War I, in 1914 Korczak became a military doctor with the rank of lieutenant. He served again as a military doctor in the Polish Army with the rank of major during the Polish-Soviet War, but after a brief stint in Łódź was assigned to Warsaw. After the wars, he continued his practice in Warsaw. Korczak was a lifelong bachelor and had no biological children of his own.