The Maid of
Honor can wear a floral wreath on her head, or have a slightly
different bouquet than the other bridesmaids; for instance she
may have flowing ribbon, or a special color of ribbon. Her dress
style may differ as well. It is not necessary to distinguish her
in any of these ways either. Typically she will be your "right
hand" and stand closest to you during the ceremony, which is often
enough distinction.