DEFENSE SUPERIOR SERVICE MEDAL
Regulation, full size Defense Superior Service Medal.
The Defense Superior Service Medal of the United States is a senior decoration of the Department of Defense. It is awarded to members of the United States military who perform "superior meritorious service in a position of significant responsibility".
The decoration is most often presented to senior officers in the flag and general officer grades. The medal is presented in the name of the Secretary of Defense and was first created in 1976.