Flight Surgeon Badge is given to the members of Military who are both qualified medical officers and certified flight surgeons.To be awarded the Flight Surgeon Badge, a service member must be a commissioned officer who holds a designation as a medical staff officer. Following the completion of initial military medical training, a service member must undergo further study in Aerospace Medicine. Upon completion of a medical residency, those eligible for the Flight Surgeon Badge must next undergo basic air operations training consistent with that of a qualified aircrew member.
Once all requirements have been met, a service member must complete a probationary periods to include a series of in-flight missions and medical skills evaluation. Only at the end of this lengthy process with the service member will be awarded the Flight Surgeon Badge.

The United States Navy and Coast Guard issue the Flight Surgeon Badge in a single degree. There is no Marine Corps equivalent since the United States Marines do not maintain a separate medical corps and utilize naval personnel for these tasks.
It should also be noted that the Flight Surgeon Badge is only presented to qualified medical personnel who have undergo the full amount of required training. Enlisted and Warrant personnel, who serve in the temporary position of flight surgeon during certain in-flight missions, are not eligible for the decoration.