Governance
The property and affairs of the Society are managed by or under the direction of the Board of Directors. The Board is composed of 17 members: Chair of the Board, President, President-elect, Secretary/Treasurer, Immediate Past Chair of the Board, Chair and Vice-chair of the Clinical Affairs and Quality Council, Chair and Vice-chair of the Education Council, Chair and Vice-chair of the Government Relations Council, Chair and Vice-chair of the Health Policy Council, Chair and Vice-chair of the HEDI Council and Chair and Vice-chair of the Science Council.

Bylaws
The bylaws guide the Society with their business. These bylaws were approved by the Board of Directors in November 2024.
COI Policies
As a society of professionals, ASTRO seeks to maintain the undisputed primacy of certain ethical interests.
Elections
ASTRO announces 2025 elections results. The new officers' terms will begin on September 30, 2025, during the 2025 ASTRO Annual Meeting.