The Board consists of 21 members which include 12 Directors, six Senior Directors, two Directors-Elect, and one Public Director. All Directors serve one seven-year term with most serving an additional three years as Senior Directors. The Public Director may serve two three-year terms.
Nominations come from the American Orthopaedic Association, the American Academy of Orthopaedic Surgeons, and the American Medical Association. Each organization nominates six physicians two out of every three years and the Board elects two Director-Elects each year.