Governance of the ILAE is through the Executive Committee, elected every four years. There are a number of task forces and committees reporting directly to the Executive Committee, and a number of topical commissions and task forces addressing particular topics.
- Executive Committee: President, Vice President, Secretary-General, Treasurer, and the Immediate Past President, and the Chair of each of the recognized ILAE regions as voting members for four year terms.
- Topical Commissions: In every four-year term, the President and the Executive Committee appoint Topic-Oriented Commissions and Task Forces to carry out work for the ILAE. These bodies involve individual members trans-nationally.