The college is governed by a
Board of Regents, a Board of Governors, and a variety of local ACS Chapters. The Board of Regents formulates policy and directs the affairs of the college. The Board of Governors acts as the liaison between the Board of Regents and the Fellows. The local ACS Chapters exert the college's influence at the community level.
Patricia L. Turner began serving as the executive director and
chief executive officer of the college in January 2022. She is currently on the faculty in the department of surgery at the
University of Chicago Medicine. == Fellow of the American College of Surgeons ==