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ISTO is mainly structured by four decisive organs, namely:
- The Executive Committee
- The General Secretariat

ISTO also contains thematic sections, for instance the Network of Local and Regional Authorities which was created in 2006 with the purpose of stimulation of partnerships and exchange of best practices between the local and regional stakeholders active in the sector. Furthermore, there is the Alliance on Training and Research in Social and Fair Tourism, which is composed of academic researchers and organisations that are interested in the study field of social tourism. Its goal is to support the activities of the ISTO with analyses, studies and research. 

In order to answer to the needs of its regional members, the ISTO has established regional sectionssuch as: 

Below you can find an organigram clarifying the structure of ISTO: