Medal obverse has bust of President Andrew Johnson facing right. Reverse has two figures shaking right hands standing in front of a pedestal with the word "peace" at the center surrounded by a wreath of laurel branches. The bust of President George Washington facing right is displayed at the top of the pedestal. The figure on the left of the medal is an American Indian with bow, arrows, and pipe with scene of a buffalo hunt in the background. The figure on the right represents lady liberty draped in a toga, holding an American flag to represent the United States. At her feet are a plow, anchor, and other gear and a railroad scene in the background. The medal has a loop with flanges and center rivet for hanging.