Ultrasound can be usefully applied as the first modality in various head neck lesions. Ultrasound enables the clinicians to diagnose most head, neck mass immediately and ultrasoundguided procedures, including fine needle aspiration, core-needle biopsy, drainage of abscess, and intraoperative localization of lesion provide the clinicians the chance to improve the quality of practice. The usefulness of ultrasound can be much amplified when ultrasound is performed by the clinicians and the first step to manipulate the ultrasound is to understand the normal ultrasound appearance of head and neck structures. The aims of this paper are to provide basic tips for ultrasound scanning of head and neck and to illustrate the ultrasonographic anatomy of head and neck.