Distinguished Service Medal ( US Navy ) The Navy Distinguished Service Medal is a military decoration of the United States Navy and United States Marine Corps which was first created in 1919 . The medal is presented to recognize distinguished and exceptionally meritorious service to the United States while serving in a duty or position of great responsibility . The award is the Navy and Marine Corps equivalent to the Army Distinguished Service Medal , the Air Force Distinguished Service Medal , and the Coast Guard Distinguished Service Medal . The Navy Distinguished Service Medal was originally senior to the Navy Cross , until August 1942 when the precedence of the two decorations was reversed . Currently , it is worn after the Defense Distinguished Service Medal and before the Silver Star Medal . History . At the start of World War I , the Navy had the Medal of Honor as the only decoration with which to recognize heroism . To recognize acts deserving recognition , but at a level below that required for the Medal of Honor , the Navy Distinguished Service Medal and the Navy Cross were created by on 4 February 1919 . The law made the award retroactive to 6 April 1917 . The first award of the decoration was a posthumous presentation to Brigadier General Charles A . Doyen , USMC , on 13 March 1919 . Originally , senior in precedence to the Navy Cross , the Navy Distinguished Service Medal assumed it current place below the Navy Cross by congressional action on 7 August 1942 Criteria . The Navy Distinguished Service Medal is bestowed upon members of the Navy or Marine Corps who distinguish themselves by exceptionally meritorious service to the United States government in a duty of great responsibility . To justify this decoration , exceptional performance of duty must be clearly above that normally expected , and contributes to the success of a major command or project . Generally , the Distinguished Service Medal is awarded to officers in principal commands at sea , or in the field , whose service is of a manner to justify the award . However , this does not preclude the award of the Navy Distinguished Service Medal to any individual who meets the service requirements . The term “ great responsibility ” implies senior military responsibility , and the decoration is normally only bestowed to senior Navy Flag and Marine Corps General Officers or extremely senior enlisted positions such as the Master Chief Petty Officer of the Navy , or Sergeant Major of the Marine Corps . Appearance . The Navy Distinguished Service Medal is a gilt bronze medallion in diameter . The obverse of the medal depicts an American bald eagle in the center displaying its wings . The eagle holds an olive branch in its right talon and arrows in its left talons . The eagle is surrounded by a blue enameled ring with the words , " • UNITED • STATES • OF • AMERICA • " at the top and " • NAVY • " at the bottom . Surrounding the blue enamel ring is a gold border of scroll waves depicted moving in a clockwise direction . The medal is surmounted by a white five - pointed star , point up , the points of the star being tipped with gold balls . In the center of the star is an blue anchor , while gold rays radiate between the arms of the star . The reverse of the medal depicts a trident surrounded by a laurel wreath . The wreath is surrounded by a blue enamel ring containing the inscription " FOR DISTINGUISHED SERVICE " . Like the obverse , the blue enamel ring on the reverse is surrounded by scroll waves . The medal ' s suspension and service ribbon is navy blue with a single central stripe of yellow . Additional awards of the Navy Distinguished Service Medal are denoted by gold and silver 5 / 16 inch star s worn on the medal ' s suspension and service ribbon .