The league was formed less than two years after the Communist Party of Albania gained control of the country, and the sport gradually grew in popularity over the years before experiencing a rapid rise in popularity in the 1970s, leading to most cities and towns in Albania forming their own basketball clubs and building basketball grounds.

Following the fall of communism in 1991 many basketball clubs were forced to fold due to lack of any investment, which led to the decline in the popularity of the sport as a whole in the country.

This means each team plays 20 games each during the regular season.

At the end of the regular season the bottom two sides miss out on the play-offs, while the bottom club gets relegated from the Superliga to the First Division, the fifth placed side has to compete for a place in the Superliga against the second ranked team in the First Division.

The finals is played between the two winners of the Superliga play-offs, with each team taking it in turns to play at home until one side has reached three victories.