Each member country with at least three members may elect a National Secretary to represent their interests in ISAPS. Candidates for National Secretary must have been a current Active member for at least two years.

The members in each country elect a National Secretary every four years. Any National Secretary may serve two (2) four-year terms if agreed upon by the country’s membership and the member in question. The maximum term of office for all National Secretaries, according to ISAPS' Bylaws, is eight (8) years.

Assistant National Secretaries are elected in countries with more than 50 members, at the discretion of the current National Secretary and the membership in that country.

The National Secretaries Chair is an ex officio member of the ISAPS Board of Directors.