<p>Clinical ultrasound in the hands of physicians is rich with experiences from various medical specialties. As point of care ultrasound has revolutionized patient care in the perioperative period, it is important to reflect on the beginnings, and the path taken to modern day portable devices. As anesthesiologists, point of care ultrasound has become embedded into all aspects of perioperative care to improve patient outcomes. Advancements in technology continue to extend the boundaries for use by anesthesiologists and redefine the standard of care in the perioperative period. This article reflects on the path of point-of-care ultrasound from its beginning to the present day and discusses future directions. A summary of key findings is shown.</p><p></p>