The organisation was originally constituted as the Trekking Workers Association of Nepal (TWAN) in 1984, a structure adopted as trade unions were illegal during the rule of the absolute monarchy.
TWAN was a founding member of the General Federation of Nepalese Trade Unions (GEFONT) in 1989.
Decision-making in the union is conducted through an executive committee, which includes representatives from each of the sectors UNITRAV organises.
On 23 May 2008, UNITRAV member Dorje Khatri raised the union's flag atop Mount Everest (Sagarmatha).
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