$countries = ['russia' => 'Россия', 'neverland' => 'Небыляндия'];
foreach($countries as $key => $value){
echo "<option value=\"{$key}\">{$value}</option>";
}
$selected = [];
foreach($_POST["country"] as $country) {
$selected[] = $countries[$country];
}
$email_content .= implode(', ', $selected);