[1] The medal was issued to commemorate the 10th anniversary of the republic to persons "for [their] contributions to the re-establishment and strengthening of the independence of Lithuania in 1919–1928".

It depicts a winged female figure raising a flag in one hand and holding broken chains in another.

The reverse has an inscription in all uppercase Per amžius / budėję-laisvę / laimėjom / per aukas ir / pasišventimą / 1918-1928 (Through the ages on guard, we have won freedom through sacrifices and dedication 1918–1928).

[3] The awardee categories included:[2] During 1928–1940, more than 44,000 Lithuanian citizens and foreign nationals were awarded the medal.

[2] The medal was awarded to persons "for distinction in the cause of restoration and consolidation of the Independent State of Lithuania during the period from 1990 to 2000".