High transmission efficiency metasurface unit cells have been designed based on surface electric and magnetic impedances derived from Huygens’ principle. However, unit cells for low transmission loss (<1 dB) over a wide transmission phase range require at least three metallic layers, which complicates the unit cell design process. In this paper, we introduce high-efficiency Huygens’ metasurface unit cell topologies in double-layer FR4 printed circuit board (PCB) by implementing surface electric and magnetic current using the top and bottom metallic patterns and via drills. Eleven unit cells were optimized for wide phase coverage (−150° to 150°) with a low average transmission loss of −0.82 dB at 10 GHz. To demonstrate the high-efficiency of the designed unit cells, we designed and fabricated two focusing lenses with dimensions of near 150 × 150 mm (5λ × 5λ) to focus a spherical beam radiated from short focal distances (f = 100 and 60 mm). The fabricated focusing lens showed 12.87 and 13.58 dB focusing gain for f = 100 and 60 mm at 10 GHz, respectively, with a 1 dB fractional gain bandwidth of near 10%. We expect that the proposed focusing lens based on high-efficiency double-layer metasurface unit cells can help realize compact and high-gain focusing lens-integrated antenna systems.