He began his military career under John I Albert (Polish: Jan I Olbracht), King of Poland. He took part in successful campaigns against the Tatars and Grand Duchy of Moscow. For his victory near Ochakiv against Mehmed I Giray's forces he was awarded with the title of Grand Hetman of Lithuania. He was the first person to receive this title. However, during a war with Muscovy he was defeated in the Battle of Vedrosha (1500) and held captive for three years. In 1503, he managed to escape and joined king Sigismund I the Old, who allowed him to resume his post as a hetman. As one of the main military leaders (alongside Polish generals Mikołaj Firlej and Mikołaj Kamieniecki) of the alliance he continued to wage war against the Grand Duchy of Moscow and in 1512 achieved a great victory against the Tatars in the Battle of Wisniowiec.
In 1514, another war with the Grand Duchy of Moscow started and he became the commander in chief of all the Polish and Lithuanian forces (amounting to up to 35,000 soldiers). Among his subordinates were Jerzy Radziwiłł, Janusz Świerczowski [pl], Witold Sampoliński and the future Hetman of the Crown Jan Tarnowski. On 8 September 1514 he achieved a significant victory in the Battle of Orsha, defeating the army of Vasili III of Russia.[3] However, in 1517, his attempt to besiege the Russian fortress of Opochka became a serious defeat that destroyed any hopes to reconquer Smolensk.
He died in 1530 as a well-respected military commander. Despite his steady loyalty to CatholicPoland as well as an old feud with an OrthodoxMuscovy, Ostroh himself remained a devout Orthodox in traditions of his family. He gave generously for construction of Eastern Orthodox churches and sponsored the creation of many church-affiliated schools for the Orthodox children. As one of the wealthiest Orthodox nobles he was buried in the Dormition Cathedral of the Kyiv Pechersk Lavra in Kyiv.[4]