On 6 January 1994 was ordained a bishop in the Basilica "St. Peter" in Rome by Pope John Paul II, in co-service with Cardinal Giovanni Battista Re and Archbishop Josip Uhach.

Manages the Catholic Exarchate of 5 September 1995 Bishop Christo Proykov chairman of the Episcopal Conference of Bulgaria by 1995.

The Episcopal Conference of Bulgaria is chairman of these committees: On 15 May 2009 he was appointed by Pope Benedict XVI as a consultant to the Dicastery for the Eastern Churches of the Roman Curia.

On 15 November 2007 a ceremony was held of the Grand Cross "Pro piis meritis Melitensi" Order of Malta of Mgr.

Through awards Order of Malta expresses its gratitude to the Catholic Church in the country for helping to introduction of medicins as humanitarian aid during the 1990s.