[1] The role of the ITTF includes overseeing rules and regulations and seeking technological improvement for the sport of table tennis.

The ITTF is responsible for the organization of numerous international competitions, including the World Table Tennis Championships.

Toward the end of 2000, the ITTF instituted several rules changes aimed at making table tennis more viable as a televised spectator sport.

[4][5] In 2007, the governance for para table tennis was transferred from the International Paralympic Committee to the ITTF.

[7] In 2019, the ITTF created its subsidiary World Table Tennis (WTT) to manage all its commercial and events business.

Also, the president of ITTF, 8 executive vice-presidents, and 32 or less continental representatives are elected at an AGM, serving for a four-year term.

Unlike the organisations for more popular sports, the ITTF tends to recognise teams from generally unrecognised governing bodies for disputed territory.

The ITTF also approved unified Korean team to compete at the World Table Tennis Championships in 1991 and 2018.

[25] But this reaction has slowed down in 30 March 2023, stated that Russian and Belarusian players will be re-allowed to participate ITTF and WTT competitions under strict conditions of neutrality, with government or state officials, and national symbols such as flags and anthems of both countries to continue being banned in ITTF-sanctioned events.