The District is governed by its Board of Trustees (the "Board"). The Board consists of seven members, each of whom serves a five-year term and who are appointed as follows:

• two by the Mayor of the City of Cleveland;
  
• two by a council of governments comprised of representatives of all the suburban communities served by the District system called the Suburban Council of Governments;
  
• one by the Board of County Commissioners of Cuyahoga County;
  
• one by the appointing authority of the subdistrict with the greatest sewage flow (currently the Mayor of the City of Cleveland); and
  
• one by the appointing authority of the subdistrict with the greatest population (which is currently the Suburban Council of Governments).

The Board meets twice each month in regular public meetings to discuss and determine policy and to act upon resolutions presented by the District's staff.