The Lifesaving Medal is issued in two grades, being gold and silver. "The Gold Lifesaving Medal may be awarded to an individual who performed a rescue or attempted rescue at the risk of his or her own life, and demonstrates extreme and heroic daring. The Silver Lifesaving Medal may be awarded to an individual who performed a rescue or attempted rescue where the circumstances do not sufficiently distinguish the individual to deserve the medal of gold, but demonstrate such extraordinary effort as to merit recognition. If neither the Gold nor Silver Lifesaving Medal is appropriate, then a Certificate of Valor or an appropriate Coast Guard Public Service Award may be considered."