The Lutheran Churches of the Reformation teaches that the Bible is the only authoritative and error-free source for doctrine. It subscribes to the Lutheran Confessions (the Book of Concord) not in-so-far-as but because it is an accurate presentation of what Scripture teaches. It teaches that Jesus is the center of Scripture and the only way to eternal salvation, and that the Holy Spirit uses the gospel alone in Word and Sacraments (Baptism and Holy Communion) to bring people to faith in Jesus as Savior and keep them in that faith, strengthening them in their daily life of sanctification.
The doctrine of the Lutheran Churches of the Reformation is summarized in Franz August Otto Pieper's Brief Statement of the Doctrinal Position of the Missouri Synod and Wallace H. McLaughlin's We All Believe in One True God: A Summary of Biblical Doctrine.
The Lutheran Churches of the Reformation publishes One Accord, a monthly devotional and news magazine, and The Faithful Word, a quarterly theological journal.
The Martin Luther Institute of Sacred Studies, or M.L.I.S.S., in Decatur, Indiana is the seminary and teacher's college of the LCR.
The LCR is governed through annual conventions where delegates of the congregations vote. Doctrinal resolutions must be unanimous, or those in the minority will be suspended from the LCR. The day-to-day business of the LCR is run by the Council, whose members are elected to three year terms, commissions, and committees.
For missions, the LCR has a missionary-at-large to serve those who have moved away from their congregations and other like-minded Lutherans. Abroad, the LCR supports congregations in Nigeria and Kenya and has trained pastors for the Lutheran Churches of the Reformation in Nigeria.
The LCR has also held seminars to train pastors in the Democratic Republic of the Congo.
As of March 2009, about 1,300 people are baptized members of LCR congregations.
The congregations in the LCR and the Concordia Lutheran Conference were organized as the Orthodox Lutheran Conference, or OLC, in 1951.  The OLC split in 1956 after Prof. Paul E. Kretzmann, suspended church-fellowship with some congregations after they charged him with teaching error in class. These congregations formed the Concordia Lutheran Conference , while the others, along with Kretzmann, joined with more conservatives leaving the Lutheran Church - Missouri Synod to organize as the LCR.
The LCR discussed church-fellowship with the Wisconsin Evangelical Lutheran Synod in the 1960s, but declared that the differences regarding the doctrine of Church and Ministry were divisive of church-fellowship in July 1970.
The Fellowship of Lutheran Congregations, FLC is a group of congregations that left the LCR in 1979 after a dispute concerning the proper procedure of excommunication. The congregations of the FLC joined the Concordia Lutheran Conference circa 2004.
For a time in the 1990s, the LCR was in official church-fellowship with the Illinois Lutheran Conference, or ILC. The ILC was organized in 1979 after three congregations left in protest when a pastor was suspended from the Wisconsin Evangelical Lutheran Synod because of claims he made regarding the King James Version of the Bible. There was controversy between the ILC and the LCR regarding the "appearance of evil" (1 Thessalonians 5:22) and the doctrine of Church and Ministry. The LCR severed the fellowship because of differences discovered during the controversy over the "appearance of evil".
In February 2006, five congregations and four pastors suspended church-fellowship with the rest of the LCR when, in the wake of a disagreement regarding the doctrine of the ministry, an LCR congregation was dissolved through legal action by certain members, most of whom were female, who disagreed with their pastor. This led to accusations of female suffrage by one side and legalism by the other. The LCR was never asked by both sides of the congregation to adjudicate the division. The congregations that suspended fellowship in February 2006 later withdrew their membership from the Lutheran Churches of the Reformation in April 2006 after a special convention called to address the controversy refused to discuss the matter of female suffrage and the aforementioned dissolution. A position paper titled The Ministry and Auxiliary Office with Respect to Legalism , which was presented at that conference in an attempt to resolve the controversy, has since been adopted unanimously by the remaining congregations of the LCR. Another LCR position paper titled Liberty or Death  written to draw attention to different kinds of legalism was subsequently adopted in July 2007. Those congregations that withdrew membership with the LCR have declared church-fellowship with each other  and have since organized the Orthodox Lutheran Confessional Conference or OLCC . A sixth congregation, in Hudson, MI, later withdrew from the LCR over the same issues, and remains independent.
The LCR believes that the local congregation is the only divinely ordained church organization, and does not refer to synods or denominations as churches. This separates the group from some other conservative Lutherans such as the Wisconsin Evangelical Lutheran Synod.
The congregations of the LCR use the King James Version of the Bible for all public uses, the 1943 "Blue" edition of Luther's Small Catechism in confirmation instruction, and The Lutheran Hymnal, 1941. The LCR does not, however, hold to the King James Only position, since it recognizes the traditional Hebrew and Greek, for the Old and New Testaments respectively, to be authoritative over any translation.
In 1990, the LCR passed a resolution titled "Procreation" stating that birth control, in all forms, is sin, although the denomination "allow(s) for"..."exceptional cases (casuistry)", for example, when the woman's life or health is at risk.
Congregations of the LCR follow 1 Timothy 2:12 in practicing male-only suffrage in congregational voter's assemblies. This represents alignment with the most conservative Lutheran bodies in the U.S., and departs significantly from its parent body, the LCMS, which permits its congregations local discretion on the matter.
The Lutheran Churches of the Reformation, hold to Brief Statement of 1932, which confirms the long-held traditional beliefs of the Lutheran Church as documented in the Book of Concord, including: inerrency of Scripture, Divine creation in six days, a young earth, the divine institution of the local congregation, the divine institution of the local office of the ministry, closed fellowship, and of the antichrist.