The UIPM rules consist of the five main sections:

1. The constitution
2. Competitions (Fencing, Swimming, Jumping, Combined event, Veterans Competitions, Double event)
3. A discipline
4. Medicine
5. Advertising and Marketing

These rules are established for the effective management of the Union and for the fair competition for all participants.
Changes to the rules are made once a year in during the UIPM Congress with the approval of the majority of Federations - members of the UIPM.