Patrick Alan Lilley was born on August 2, 1953, in Inglewood, California. He was spotted by a talent agent at the age of seven, which led to a series of appearances in television commercials and guest appearances on TV shows. In 1961 he made his feature-film debut in the 20th Century Fox comedy–fantasy The Two Little Bears, in which he co-starred with Eddie Albert and Jane Wyatt.
Over the next two years, Patrick went on to appear in guest-starring roles on numerous television series, including Ben Casey, Alcoa Premiere, Bonanza, My Favorite Martian, Mister Ed, and Rawhide and recurring roles on The Real McCoys and General Hospital. These roles would have him appear opposite headliners including Judy Garland, Burt Lancaster, and Sidney Poitier.
When recounting how he began his acting career, Patrick explained "I owe my career to my sister. She was the one who got me started and gave me all the encouragement. She always wanted to be an actress and was on the casting call sheet one day. She was asked if there were any other children at home. She told them about me, and I got some small roles, then some bigger ones..."

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