During a Medal of Honor ceremony at the White House on Thursday, President Donald Trump appeared to have difficulty attaching the medal to the recipients’ uniforms. Rather than seek assistance, Trump opted to tie the medal on with a ribbon. The incident occurred while honoring several veterans for their service. Video footage of the unusual pinning method quickly circulated online, drawing attention and commentary. The White House has not yet released a statement regarding the incident. This is not the first time Trump has faced scrutiny for his handling of formal ceremonies and protocols. The Medal of Honor is the highest award for valor in military service.