In recent years ultrasound technology has become a very important tool in diagnosis and treatment for orthopedic surgeons. This paper delves into the detailed aspects of preparing for ultrasound procedures and the wide range of transducer technologies used in this field. It outlines the essential elements of ultrasound-guided surgery, such as a thorough grasp of ultrasound parameters like frequency, depth, focus adjustment, gain, and Doppler mode. A comprehensive knowledge of anatomy and recognition of typical ultrasound patterns in common musculoskeletal structures are crucial for effective surgical intervention to prevent complications during surgery.