After having been raised to the dignity of archimandrite, Archim. Georgy was elected by the [[Holy Synod]] of the [[Church of Russia]] as bishop of the Eparchy of Nizhny Novgorod on [[December 26]], 2002. His [[consecration of a bishop| consecration]] was presided over by Patr. Alexei II of Moscow at [[Cathedral of Christ the Saviour (Moscow)|Christ the Savior Cathedral]] in Moscow on [[February 2]], 2003. Bp. Georgy was elevated to [[archbishop]] on [[February 24]], 2006.
On [[March 15]], 2012, the [[Holy Synod]] of the Russian Orthodox Church established the Ecclesiastical Province (metropolia) of Nizhny Novgorod that included the dioceses of Vyksa, Gorodets, Lyskovo and Nizhny Novgorod. Abp. Georgy of Nizhny Novgorod and Arzamas was then consecrated Metropolitan of Metropolia of Nizhny Novgorod and Arzamas on [[March 18]], 2012, by Patriarch [[Kyrill (Gundyayev) of Moscow|Kirill of Moscow]] at Christ the Savior Cathedral.