MMSD is run by a Commission made up of eleven members. Seven are appointed by the mayor of the City of Milwaukee (subject to Common Council confirmation). At least three must be elected officials and each of the seven members must have his or her principal residence in the City of Milwaukee.
Four Commission members are appointed by the Executive Council of the Intergovernmental Cooperation Council (ICC) which is composed of the mayors and village presidents of the Milwaukee County suburban municipalities (excluding South Milwaukee). At least three of these appointees must be elected officials and each of the four members must have his or her principal residence within the District but outside of the City of Milwaukee.
Commissioners establish and enforce District policy through two standing committees: Policy, Finance & Personnel Committee and the Operations Committee.