The grey-head surgeonfish has its dorsal fin supported by 9 spines and between 24 and 27 soft rays while its anal fin is supported by 3 spines and 22-25 soft rays. It also has a anterior gill raker count of between 21 and 25. The overall colour of the body is pale to dark brown, with slightly irregular, horizontal, dotted bluelines thinner than the brown spaces between them. There are blue lines on the head below the eye and on the gill cover which run parallel to the snout. There is a black spot with a diameter less than half that of the eye at the posterior of both the dorsal and anal fins. There is frequently a thick whitish bar on the caudal peduncle. The dorsal and anal fins have horizontal reddish brown bands and a slender blue margin.