How is a bishop called?

When the stake president feels directed to release a bishop, he fasts and prays for inspiration to know whom the Lord has chosen as his replacement. When he feels he has identified the Lord’s choice, the stake president then sends a recommendation to the First Presidency for approval. (There’s actually a form the stake president fills in and sends to the First Presidency.) The First Presidency and Quorum of the Twelve Apostles then prayerfully consider the person recommended by the stake president. Once the person recommended is approved, the stake president can extend the call to the potential bishop and ask his wife for her support. If he is worthy and accepts the call, the new bishop is then presented to the ward for their sustaining vote and is ordained and set apart, usually by the stake president.