PA USA Wrestling is an affiliate with USA Wrestling, which is the national governing body for the sport of Wrestling in the United States, and as such, it is the representative to the United States Olympic Committee (USOC) and United World Wrestling (UWW), the international federation for wrestling.  USA Wrestling is the central organization that coordinates amateur wrestling programs in the nation and works to create interest and participation in those programs.

USA Wrestling has more than 233,000 members, and Pennsylvania USA Wrestling at the current time has over 6,000, which include athletes of all ages, coaches, officials, parents and fans striving together to strengthen the sport.

Within the United States, USA Wrestling is divided into State Associations.  Each state is an affiliated organization with its own set of bylaws under which it operates.