The Union presents awards at the annual World Conference and the General Assembly of members, which takes place during the conference. The Union Medal, The Union's highest honour, and honorary membership are awards given by the membership through the Board of Directors. Both recognise very distinguished careers in TB and lung health and long-time involvement in The Union.

The Karel Styblo Public Health Prize, The Union Scientific Prize and The Union Young Investigator Prize recognise contributions to TB, asthma, HIV, child lung health, tobacco control and related lung conditions. Individuals (and organisations, in the case of the Styblo Prize) may be nominated for these awards. 

The Stephen Lawn TB-HIV Research Leadership Prize was established in 2016 through a global partnership between the TB Centre in London, UK, the Desmond Tutu HIV Centre in Cape Town, South Africa and The Union. It acknowledges young researchers (under 40 years old) conducting promising work focused on reducing the disease burden of TB and HIV/AIDS in Africa.

The annual Christmas Seal Exhibition and Contest is a popular feature of the World Conference, honouring this 111-year old tradition of selling seals to benefit TB and lung disease. Constituent and Organisational Members are invited to participate each year.

Award nominations are now closed for 2018.