Gynecology provides many opportunities to utilize ultrasound in clinical practice.  Pelvic pain, uterine bleeding, and adnexal masses are reviewed in this issue.  Additionally the use of saline-infused sonohysterography, 3D ultrasound, and the pitfalls of transvaginal imaging are covered.  Lastly the application of ultrasound in the follow-up care for gynecologic cancer is reviewed.