The ROE is a nonprofit association that aims to unite all those practitioners of osteopathy in Spain for their academic level as equivalent to European legislation that dictates the European Federation of Osteopaths (FEO) and to which the ROE is attached as Spanish representative in the Federation.

The FEO is made up of national registers of osteopaths in all countries of the European Community and is unique federation of Osteopaths who have representation in Parliament for the academic and professional standards of Osteopathy in all countries of the Community.