The current Medina County courthouse dates from 1892, but has been significantly altered in its one hundred plus years. Designed by the prolific trio of Martin, Byrne & Johnson of Colorado City, Texas, the original clock tower was removed in 1941 and in 1942 additions were constructed on each end of the building, creating its present plan.
The classical revival courthouse exhibits some influences of the Italianate style. Prominent features include the rosticated stone walls, classical portico over the entry way, a broken triangular pediment, and stone hold molds with incised eastlake designs.
The courthouse was awarded Recorded Texas Historic Landmark status in 1984.