It is a member of the International Fitness and Bodybuilding Federation.

It organises Pakistani championships for each sport branch, and selects national teams for international competitions.

[citation needed] The PBBF organized its first event, titled Mr. Lahore (later renamed to Mr. Punjab) in 1952.

Another competition, Mr. Pakistan, was held in Lahore in the same year.

December of 1953 saw bodybuilders from various cities including Dhaka, Karachi, Lahore, Quetta, Rawalpindi, and Sialkot compete in the second edition of Mr. Pakistan, with Miss Joan Hunt and Miss Great Britain 1952 acting as judges.