The elections took place on October 10–11, 1922 to replace the Constituent Assembly, which adopted the final constitution on August 1, 1922.

The Seimas elected Aleksandras Stulginskis as the President of Lithuania and Ernestas Galvanauskas, as the new Prime Minister, was entrusted to form a new cabinet of ministers.

However, no coalition could muster a majority and the Seimas was in a deadlock: Galvanauskas formed two cabinets, and both got 38 votes for and against.

On November 20, 1922 the Seimas authorized Klaipėda Revolt, which started in January.

On March 15, 1923, in part reacting to the January revolt the Conference of Ambassadors confirmed a new demarcation line between Poland and Lithuania and western powers considered Vilnius dispute settled despite Lithuanian protests.