It is unicameral in its composition and elects the premier and the provincial cabinet from among the leading party or coalition members in the parliament.

Thami Ntuli of the Inkatha Freedom Party was elected Premier of KwaZulu-Natal at the first sitting of the provincial legislature on 14 June 2024.

The fields include matters as health, education (except universities), agriculture, housing, environmental protection, and development planning.

The seats are then filled by members in accordance with lists submitted by the parties before the election.

The following table shows the composition of the legislature after past elections and floor-crossing periods.