She was the 976th Dame of the Royal Order of Queen Maria Luisa. In 1923, the Pope conferred upon her the Golden Rose which was the first time this honor had been awarded to a British princess since 1555 when Pope Julius III conferred one upon Queen Mary I of England. She was also granted the Royal Order of Victoria and Albert by her grandmother, Queen Victoria. The Queen was also awarded the Spanish Red Cross Merit Order (First Class) and the jewelled breast star was paid for by a subscription undertaken by the Corps of Lady Nurses of the Spanish Red Cross.