Friday's run-off vote was between Pezeshkian, the sole moderate in the original field of four candidates, and hardline former nuclear negotiator Saeed Jalili.
Pezeshkian, a 69-year-old cardiac surgeon, has pledged to promote a pragmatic foreign policy, ease tensions over now-stalled negotiations with major powers to revive a 2015 nuclear pact and improve prospects for social liberalisation and political pluralism.
Iran's incoming President Masoud Pezeshkian has pledged to promote a pragmatic foreign policy. (AP PHOTO)
However many Iranians are sceptical about his ability to fulfil his campaign promises as Supreme Leader Ayatollah Ali Khamenei, not the president, is the ultimate authority in the Islamic Republic.
"Dear people of Iran, the election is over, and this is just the beginning of our working together," Pezeshkian said in a post on social media platform X.
"A difficult road is ahead. It can only be smooth with your co-operation, empathy and trust
"I extend my hand to you and swear on my honour that I will not abandon you on this path. Do not abandon me."
Turnout was almost 50 per cent in Friday's vote, following historically low turnout in the first round ballot on June 28, when more than 60 per cent of Iranian voters abstained.
The election was called after President Ebrahim Raisi was killed in a helicopter crash in May.
Pezeshkian managed to win with a constituency - whose core was believed to be mostly the urban middle class and young - that had been widely disillusioned by years of security crackdowns that stifled any public dissent from Islamist orthodoxy.
Supreme Leader Ayatollah Ali Khamenei, not the president, is the ultimate authority in Iran. (AP PHOTO)
Videos on social media showed his supporters dancing in the streets in many cities and towns across the country and motorists honking car horns to cheer his victory.
Pezeshkian's victory lifted hopes of a thaw in Iran's relations with the West that might create openings for defusing its nuclear dispute with world powers.
The election coincided with escalating regional tension due to the conflicts between Israel and Iranian allies Hamas in Gaza and Hezbollah in Lebanon, as well as increased Western pressure on Iran over its fast-advancing nuclear program.
Under Iran's dual system of clerical and republican rule, the president cannot usher in any major policy shift on Iran's nuclear program or support for militia groups across the Middle East, since Khamenei calls all the shots on top state matters.
However, the president can influence the tone of Iran's policy and he will be closely involved in selecting the successor to Khamenei, now 85.
Backed by Iran's reformist camp led by former president Mohammad Khatami, Pezeshkian is faithful to Iran's theocratic rule and has no intention of confronting the powerful security hawks and clerical rulers.
18°C