The name of the title was changed to Hero of the Czechoslovak Socialist Republic in 1960.
It was awarded 31 times to some Czechoslovak war heroes, to the general and later president Ludvík Svoboda, to the Czechoslovak president Gustáv Husák, to the Czech cosmonaut Vladimír Remek, to various Soviet generals and marshals, and to Leonid Brezhnev.
The Hero was always also awarded the Order of Klement Gottwald in similar fashion to how a Hero of the Soviet Union was also always awarded the Order of Lenin, a Hero of the People's Republic of Bulgaria was also awarded the Order of Georgi Dimitrov, and a Hero of the German Democratic Republic was also awarded the Order of Karl Marx.
The medal was worn on the left breast side above all the Czechoslovak awards or their ribbons, always in natura and in front of the Gold Star of the Hero of Socialist Labor (Czechoslovakia) [cs].
The title was canceled as a result of the 1989 Velvet Revolution, when the government of the new Czech and Slovak Federative Republic on 7 October 1990 enacted a law setting up a new, de-communized honors system.