This document discusses the biological effects of ultrasound. It describes thermal effects that occur when ultrasound raises tissue temperatures over 1.5°C, causing heat damage. Non-thermal effects include cavitation, where oscillating gas bubbles interact with tissues. Stable cavitation causes moderate cellular changes while inertial cavitation violently destroys bubbles and tissues. Focused ultrasound is used for thermal ablation of targeted areas and sonoporation, increasing drug efficacy in precise body regions.