Inguinal hernia is the most prevalent type of abdominal wall hernia. Indirect inguinal hernia is twice as common as direct inguinal hernia. Computed tomography and magnetic resonance imaging can be used for the evaluation of inguinal hernia, but these modalities are greatly limited by their cost and availability. Ultrasound has emerged as the most convenient imaging tool for diagnosing inguinal hernia due to its advantages such as portability and absence of radiation. The present pictorial review aims to elaborate the use of ultrasound in the evaluation of inguinal hernia with particular emphasis on the regional anatomy, relevant scanning tips, identification of subtypes, application in postoperative follow-up, and diagnosis of pathologies mimicking inguinal hernia.