The medal's obverse bears female figure holding stylized caduceus in one hand, other held high, pointing to the right; symbols of industry and agriculture including steam train, telegraph wires, factories, corn cobs in background and at figure's feet. Around, TRANS-MISSISSIPPI AND INTERNATIONAL EXPOSITION. / OMAHA; below, U.S.A / 1898
The medal's reverse bears wreath fashioned from two branches. Below, S.D. CHILDS & CO. ENGRAVERS. CHICAGO.
The circular medal was struck by S. D. Childs & Co. of Chicago.