The Order is decorated with a miniature portrait of the sovereign which is suspended from a ribbon bow and on the reverse side of the portrait frame there is an engraving of the sovereign’s monogram. Throughout the years the color of the ribbon has been changed with each sovereign selecting their own distinctive color. The Order is customarily worn on the left side of the lady’s evening gown but there has been the occasional exception to this rule. If the lady has received more than one of the Royal Family Orders from various sovereigns the Orders are worn layered with the most recent one on the top.
The photo on the right shows Queen Elizabeth wearing the Order of her father, King George VI, on the top and the Order of her grandfather, King George V, on the bottom.