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In 1923, Fr. Theodosius was elected [[Metropolitan]] [[Archbishop]] of Tyre and Sidon in south Lebanon, a position he held for 25 years. In 1948, Metr. Theodosius was appointed by the [[Holy Synod]] of the Church of Antioch to lead the Archdiocese of Tripoli.
During 10351935, Metr. Theodosius guided the election of a new [[archbishop]] for the Syrian Orthodox in North America that resulted in the [[consecration of a bishop|consecration]] of [[Antony (Bashir) of New York|Antony (Bashir)]].
On [[November 14]], 1958, Metr. Theodosius was elected Patriarch of Antioch as Theodosius VI, succeeding Patr. [[Alexander III (Tahan) of Antioch|Alexander III (Tahan)]], after having served as [[locum tenens]] following Patr. Alexander's death on [[June 17]], 1958.