A gold color metal and enamel device 1 3/16 inches (3.02 cm) in height overall consisting of a gold unicorn's head on top of the vertical arm of a red Greek cross pointed at the foot and bearing a gold fleam, all in front of and extending below a maroon annulet with the unicorn's head between the inscription "RESTORE" to the left and "TO SERVE" to the right in gold letters. All open areas within the annulet are of white.
Maroon and white are the colors used for the Army Medical Department and a red cross is symbolic of assistance. The annulet simulates a wheel, and a cross pointed at the foot is a symbol for a movable aid station; together they refer to the unit's mobility and capabilities. The fleam (ancient surgical lancet) and cross symbolize the overall healing process of the medical services.
The distinctive unit insignia was originally approved for the 807th Surgical Hospital on 19 July 1974. It was redesignated for the 807th Combat Support Hospital on 4 November 1976. The insignia was redesignated for the 807th Surgical Hospital on 29 February 1984.