The lieutenant-governor does not normally attend its meetings and in practice the Premier of Saskatchewan is its most powerful member, although its documents are often referred to as being issued by the Governor-in-Council.
Other members of the Cabinet, the ministers, are selected by the Premier of Saskatchewan and appointed by the Lieutenant-Governor.
As at the federal level, the most important Cabinet post after that of the Premier is Minister of Finance.
The next most powerful position is, arguably, Minister of Health, since the Ministry has a vast budget and is of central political import.
The current ministry has been in place since 2007, when the Saskatchewan Party won the general election of that year under the leadership of Brad Wall.