Ultrasound-guided surgery has become a fundamental approach in sports traumatology, allowing patients a faster recovery and fewer postoperative complications. Ultrasound is one of the most widely used instruments in the treatment of soft tissue injuries. In this article, we will explore the essential instruments used in ultrasound-guided surgery, highlighting their accessibility, their low economic cost, and their application in various areas and tissues of the musculoskeletal system, as well as the latest developments in this type of instrumentation.