Various types of acoustic wave devices based on surface acoustic, acousto‐optic and photoacoustic effects are increasingly used for many biomedical applications. This paper reviews the basic physical phenomena of the acoustic wave propagation and photoacoustic and acousto‐optic interactions, which determine their sensing capabilities, and discusses recent applications of these devices in biology and medicine. (© 2007 WILEY‐VCH Verlag GmbH & Co. KGaA, Weinheim)