The black and white image of a gaunt silhouette, a strand of barbed wire and an ominous watch tower was designed by Newt Heisley, a former World War II pilot. Some claim the silhouette is a profile of Heisley's son, who contracted hepatitis while training to go to Vietnam. The virus ravaged his body, leaving his features hallow and emaciated. They suggest that while staring at his son's sunken features, Heisley saw the stark image of American service members held captive under harsh conditions. Using a pencil, he sketched his son's profile, creating the basis for a symbol that would come to have a powerful impact on the nation's conscience.
By the end of the Vietnam War, more that 2,500 service members were listed by the Department of Defense as Prisoner of War (POW) or Missing in Action (MIA). In 1979, as families of the missing pressed for full accountability, Congress and the President proclaimed the first National POW/MIA Recognition Day to acknowledge the families' concerns and symbolize the steadfast resolve of the American people to never forget the men and women who gave up their freedom protecting ours. Three years later, in 1982, the POW/MIA flag became the only flag other than the Stars and Stripes to fly over the White House in Washington, D.C.
On August 10, 1990, Congress passed U.S. Public Law 101-355, designating the POW/MIA flag;
When displayed from a single flag pole, the POW/MIA flag should fly directly below, and be no larger than the United States flag. If on separate poles, the U.S. flag should always be placed to the right of the other flags. On the six national observances for which Congress has ordered display of the POW/MIA flag, it is generally flown immediately below or adjacent to the United State Flag as second in order of precedence.