Ultrasonic processing of fermented milk products has created much interest in current research on dairy products. This has been employed in cultured milk products to enhance the emulsification of milk fat and to intensify the fermentation process. Benefits including remarkable product stability, reduced processing time and enhanced quality are being recorded. Ultrasound (US) altered the colour and flavour profile of milk; however, the effect of USinduced fermentation on the synthesis of flavour compounds in milk has not been reported in the literature. This review paper presents a comprehensive scenario on the impact of power US on García, 2011). Depending on the conditions used such as amplitude, temperature, pressure, and the composition of the medium, several mechanisms can be activated including increase of the temperature, surface instability, generation of agitation and friction, increase of mass transfer, generation of free radicals and disruption of cell materials (Ashokkumar, 2011; Martini, 2013b; Salazar, Chávez, Turó, & García-Hernández, 2009). 3. Application of power ultrasound in lactic fermentation of milk Application of both low power ultrasound (LPU) and power US in fermentation has been reported in the literature. LPU has power intensities below 1 Wcm-2 and is commonly used for non-destructive analysis in the food industry to characterise food components, often on quality assurance lines and to monitor fermentation processes (Novoa-Díaz et al., 2014) and is not a focus for this review paper. On the other hand, PU (with power intensities above 10 Wcm-2) alone (sonication) or in combination with external pressure (manosonication), heat