Imaging is an indispensable diagnostic tool in gynaecological practice. Transvaginal ultrasound (TVS) is most often used in an office environment as an adjunct to clinical examination. Transabdominal ultrasound is employed in specific applications and often as a first step before TVS by non-gynaecologists, while MRI and CT are used selectively as secondary tests for specific indications. Perioperative imaging is increasingly popular in clinical practice. In the first section, the essentials of the ultrasound technique and image optimization skills will be described as well as professional attributes necessary for safe ultrasound practice. In the clinical section, the prescribed approach was based on presenting symptoms as is the case in clinical practice where patients are referred or present themselves with a complaint. It is critical for ultrasound practitioners to accurately recognize normal features easily and, likewise, in the differential diagnosis of abnormal findings, they should master the salient features that will ultimately establish a diagnosis.