The first Latter Day Saint patriarchal blessings were performed by Joseph Smith Sr., the father of Joseph Smith, who ordained his father to the role of patriarch on December 18, 1833, with a mission to provide "father's blessings" to those in the priesthood without fathers.
De første patriarkalske velsignelser blev givet af Joseph Smith, Sr., Joseph Smiths far, som havde ordineret sin far til patriark d. 18. december 1833, med en mission til at give en fars velsignelse til dem med præstedømmet uden fædre.