A bishop is a senior role in many Methodist denominations. The bishop's role is typically called the "episcopacy", based on the Greek word episkopos (επισκοπος), which literally means overseer. Superintendent is another translation of episkopos but in most Methodist denominations this is a role distinct from bishop. The first Methodist bishops were appointed in America, and many Methodist denominations, such as the Free Methodist Church, recognize the office of bishop. Others, such as the Fellowship of Independent Methodist Churches, do not have bishops.

Thomas Coke was the first Methodist bishop. Born in Brecon, Wales, he was ordained as a priest in 1772, but expelled from his Anglican pulpit of South Petherton for being a Methodist. Coke met John Wesley in 1776. He later co-founded Methodism in America and then established the Methodist missions overseas, which in the 19th century spread around the world.