The Order of Malta has been a religious Order since 1113, the year it was recognised by Pope Paschal II. As a religious Order, it is linked to the Holy See, but at the same time it is independent as a sovereign subject of international law.
In this respect the religious character of the Order coexists with its full sovereignty. The Grand Master is at the same time head of a sovereign State and head of a religious Order. In this second capacity the Holy Roman Church gives him the rank of Cardinal.
The Order of Malta is a lay religious Order according to Canon Law, where some of its members are religious - they have professed the three vows of poverty, chastity, and obedience - and others have taken a special vow of obedience, while the great majority of the knights and dames are lay members. The Grand Master of the Order is elected from among the Professed Knights of Perpetual Vows.
The eight-pointed Cross which symbolises the Order represents the eight Beatitudes and is thus a visual memento of its spirituality.

According to the Constitutional Charter, members of the Order are required to maintain exemplary Christian behaviour in their private and public life, contributing to the maintenance of the Order's traditions.
According to Constitutional Charter rules, the Pope appoints a Cardinal as his representative to the Order, the Cardinalis Patronus, whose duty it is to promote the spiritual interests of the Order and of its members and to maintain relations with the Holy See.
The Pope also appoints the Prelate of the Order from the three candidates proposed by the Grand Master. The Prelate is the ecclesiastic superior of the Order's clergy.

The Order remains true to its inspiring principles: defence of the Faith and service to the suffering. Its members share the same vocation and strive together for solidarity, justice and peace, based on the teaching of the Gospels and in the closest communion with the Holy See. They are involved in active and dynamic charity supported by prayer. No Knight or Dame is such by privilege of birth or merits acquired, but for having answered to the call to be where there is a material or moral need, where there is suffering.

Wherever they settled, the Knights Hospitallers always established first a Hospital and Hospice and then, if they needed to, built defence fortifications. What does being a Hospitaller mean in the Third Millennium? It means dedicating oneself to easing suffering and to bringing the balm of Christian charity to the sick, anywhere in the world, not only in hospitals but also in private homes and nursing homes in the shantytowns of destitute populations. The Order does not only dedicate itself to the sick, but to the socially isolated, the victims of persecution and the refugees of any race and religious faith as well.