The World Transplant Games Federation is led by a Board of Trustees and supported by management staff.
The Country Representatives elect the Board, with each Trustee being elected for a period of 4 years. Election of Trustees takes place every two years at the face-to-face Annual General Meeting.
The Board then appoints a President, Honorary Secretary and Treasurer from within the Board each for four-year terms.
The face-to-face Annual General Meeting of all the member countries is held during the Summer World Transplant Games, with an online meeting held in the intervening years. It is the biennial opportunity for all Country Representatives to meet and discuss issues and make decisions for the future.