A metal and enamel device 1 3/16 inches (3.02 cm) in width overall consisting of a silver cruciform with arched intersections superimposed by a maroon cross charged with a silver battle helmet bearing a blue wavy bend and all enclosed at the top by a maroon tripartite scroll, the ends of the scroll passing behind the bottom leg of the cruciform and bearing the inscription "HONOR" "HEAL" "HOPE" in silver letters.
Maroon and white (silver) are the colors traditionally used by the Medical Corps. The cross is an ancient symbol of aid, mercy and healing, and symbolizes the mission of the unit. The battle helmet identifies the combat support duties and the blue bend alludes to the Rhineland where the unit experienced its "baptism of fire."
The distinctive unit insignia was originally approved for the 382d Combat Support Hospital on 16 February 1979. It was redesignated for the 382d Surgical Hospital on 8 June 1984.