[1] Subsequent decorations are conferred by a white enameled five-pointed star trimmed in gold device.

[2] The Lone Star Distinguished Service Medal was authorized by the Sixtieth Texas Legislature in House Bill Number 674 and approved by the Governor John Connally on 8 May 1967, effective the same date.

[2] The medal pendant is a brushed gold five-pointed star with one point up, 1+1⁄2 of an inch in circumscribing diameter.

The star is suspended by one link from a brushed gold bar, 1+3⁄8 of an inch long and 9⁄32 of an inch high, bearing the inscription "TEXAS" in raised brushed gold letters on a field of royal blue.

[2] A white enamelled five-pointed star, trimmed in gold, 3⁄8 of an inch in circumscribing diameter, is conferred for second and successive decorations.