
The NSS was formed in 1941 by a group of individuals from the Washington, D.C., area. The society has since grown to more than 12,000 members who belong to 200 "grottos," or local chapters, in 45 states. These grottos bring cavers together within their local areas, and many lead field trips to explore nearby caves and hold social and conservation-focused events.

The NSS sponsors an annual convention and also participates in international speleological events and meetings. In addition, individual grottos hold various events ranging from caving trips to skills training classes. The society also lends its support to cavers and cave owners, initiates cave conservation legislation, encourages responsible management of federal and state-owned caves and surrounding lands, and provides cave management symposia and workshops to land owners and managers.

To achieve its goal of cave conservation, the NSS supports affiliated organizations and activities. These organizations include NSS conservancies, which are organizations that own, lease, or manage caves, and conservation task forces, which are groups of members or an organization that has been established to investigate and resolve an identified conservation issue. The society also supports projects and expeditions such as the Caves of Montana Project, which is dedicated to finding, exploring, and surveying caves in the state of Montana.
Education is also a large component of the NSS mission. The society publishes cave-related books and journals on topics including caving skills and cave rescue, surveying, conservation, history, and photography. The NSS also owns the nation's largest speleological library, located at its Huntsville headquarters and open to the public; it promotes educational programs such as cave rescue courses and a cave-diving instruction program. Members also provide educational programs to schools and youth groups and collaborate with organizations such as the National Park Service to develop materials and training programs for educators. The society's Junior Speleological Society provides special activities and training for cavers under seventeen.
Funding for annual NSS expenses comes from membership dues, donations, and profits from the Huntsville bookstore. In addition to supporting the operations of the NSS, the money is used to provide grants to support research, conservation, education, exploration, and cave science. Grants and loans are used to purchase land to protect caves.
Alabama has eight grottoes, each of which has active membership programs ranging from field trips to educational programs. The large number of caves in the state offers Alabama grotto members a variety of locations for cave exploration within easy driving distance. The state grottoes have been instrumental in the discovery, mapping, and clean-up of several state caves. Grottoes also have participated in cave bat inventories in Bankhead National Forest and in discovering new populations of gray bats and Indiana bats and previously unknown species and populations of endangered cave shrimp. Alabama grottoes often collaborate with the Southeastern Cave Conservancy, Inc., a Georgia-based nonprofit group that works to preserve caves in Tennessee, Alabama, and Georgia.