It was established in 1974 and the first took place in , Cypress, in May 1974. At the beginning it consisted of the , the churches, and the churches. In 1990, the seven churches of the region joined the council. The churches are represented by 94 members, who meet every four years.

The council has in Amman, , , and Limassol. An elected with a general secretary is responsible for the of the council during each interim period. In 2003, Guirgis Saleh, a Coptic theologian and professor, was elected general secretary.

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