thumb|A map of the nine ELCA regions. Note that the Slovak Zion Synod falls under Region 7 and [[the Bahamas and the Caribbean under Region 9.|222x222px]]
The Evangelical Lutheran Church in America (ELCA) consists of 65 synods which are configured into nine regional offices. Each of the synods of the ELCA elects one bishop and three synod council officers (vice president, secretary, and treasurer) at its Synod Assembly to oversee the spiritual and organizational activities of its member congregations and elect representatives to the ELCA's churchwide assembly which is in turn led by the presiding bishop. Each synod also has companion relationships with one or more international Lutheran church bodies.
Though synods mostly follow geographical lines, the Slovak Zion Synod is non-geographic and has congregations in multiple U.S. states as well as one in Canada.
Region 1 (Northwestern United States)
{| class="wikitable sortable"
!Synod name
!Area
!Bishop
!Membership
!Congregations
!Companion churches
|-
|Alaska Synod
|Alaska
|Timothy Oslovich
|7,806
|30
|29,340
|98
|23,365
|84
|18,704
|89
|26,252
|109
|28,667
|123
|34,286
|180
|20,888
|El Salvador (ILS)
Hong Kong (ELCHK)
|-
|Pacifica Synod
|Inland Empire (CA), Hawaii
|David C. Nagler
|23,384
|Malaysia (BCCM)
|-
|Grand Canyon Synod
|Arizona,
Southern Nevada
|Deborah K. Hutterer
|38,182
|Senegal (ELS)
|-
|Rocky Mountain Synod
|Colorado, New Mexico, Utah, Wyoming, West Texas
|Meghan Johnston Aelabouni
|49,652
|Madagascar (FLM: 4 synods)
|-
!Totals
!
!
!166,392
!639
!
|}
Region 3 (Minnesota and the Dakotas)
{| class="wikitable sortable"
!Synod name
!Area
!Bishop
!Membership
!Congregations
!Companion churches
|-
|Western North Dakota Synod
|Western North Dakota
|Craig A. Schweitzer
|54,946
|169
|88,328
|201
|96,880
|202
|82,479
|221
|53,584
|132
|102,163
|232
|156,316
|141
|102,414
|105
|108,067
|166
|87,686
|234
|41,541
|165
|7,156
|50
|18,197
|94
|31,507
|123
|30,345
|104
|69,073
|171
|57,139
|143
|34,956
|121
|79,208
|136
|42,754
|121
|63,259
|145
|21,487
|79
|77,924
|195
|64,208
|118
|59,143
|119
|81,011
|133
|29,513
|72
|34,448
|106
|30,565
|109
|43,760
|176
|62,108
|160
|44,966
|164
|56,262
|180
|44,875
|156
|38,163
|172
|54,403
|187
|43,888
|161
|99,369
|254
|59,786
|148
|2,916
|20
|16,892
|75
|54,163
|157
|27,130
|114
|73,915
|225
|25,571
|119
|49,897
|160
|24,834
|72
|9,501
|59
|30,212
|151
|50,501
|187
|40,105
|147
|35,062
|139
|43,302
|166
|3,538
|33