Deaf and hard of hearing students (SDHH) attending higher education institutions face several challenges and barriers in their academic access, which impede their participation during lectures, and their learning. In order to deal with these barriers, SDHH need to self-advocate. SDHH with self-advocacy skills are the ones who are aware of their needs; they communicate their needs and ask for supporting services in a positive and assertive manner. The aim of this chapter is to describe the role of self-advocacy in the communication and academic access of SDHH and point out the importance of early self-advocacy intervention in enabling children who are deaf or hard of hearing to develop self-advocacy skills before higher education.