IBE is governed by the General Assembly of its voting chapters (members) and by its International Executive Committee.
The International Executive Committee consists of a President, Secretary General, Treasurer, seven regional Vice-Presidents, the Immediate Past President, and three members of the International League Against Epilepsy (ILAE) Executive Committee.
The President, Secretary General and Treasurer are elected by an international ballot of the voting chapters. A Vice-President is elected by the voting chapters within each IBE Regional Committee. The appointment of the Immediate Past President is ratified by a simple majority vote of voting chapters.
The term of office of the International Executive Committee is four years. No one may serve more than four full or partial consecutive elected terms on the International Executive Committee. The President and the Immediate Past President shall serve one full term. The Vice-Presidents, the Secretary General and the Treasurer may serve a maximum of two consecutive terms.