It is said that the original miracle working Mother of God of Tikhvin was situated in Constantinople until it disappeared and started appearing hovering above water in many areas around Lake Ladoga. It eventually appeared hovering over the shore of River Tikhvin, where people prayed to it and it healed a lot of people. It is one of the most popular icons styles depicting the Mother of God. This specific Tihkvin style icon is a replication of the original and it is the oldest icon in the cathedral, dating back to the 18th century.