Pb-based ferroelectrics and piezoelectrics in the form of bulk polycrystalline, textured ceramics, single crystals, and composites, have been used in sensors, actuators, and other electromechanical devices. However, the toxicity of these materials has been a major concern around the globe for the past few decades. The report of high piezoelectric activity in the BaTiO3 (BT), (Bi0.5Na0.5)TiO3 (BNT), and (K0.5,Na0.5)NbO3 (KNN) and binary and ternary systems with other compounds have given hopes for alternatives to Pb-based materials. Recent modifications of KNN-based compositions with BaZrO3 in combination with (Bi0.5,K0.5)Hf O3 result in excellent electromechanical properties. Therefore, increased research in Pb-free materials brings hope for practical applications close to reality. In this review article, the recent developments on BT, BNT, and KNN-based soft and hard Pb-free piezoelectric compositions with a range of electromechanical properties for transducer applications will be reviewed. Several examples in the development of lead-free high-frequency ultrasound transducers will be presented.