Metal-organic frameworks (MOFs) are a significant class of porous, crystalline materials composed of metal ions (clusters) and organic ligands. The potential use of copper MOF (Cu-BTC) for the sonophotocatalytic degradation of Tetracycline (TC) antibiotic was investigated in this study. To enhance its catalytic efficiency, S-scheme heterojunction was created by combining Cu-BTC with Zinc tungstate (ZnWO), employing an ultrasound-assisted hydrothermal method. The results demonstrated that the Cu-BTC/ZnWO heterojunction exhibited complete removal of TC within 60 min under simultaneous irradiation of visible light and ultrasound. Interestingly, the sonophotocatalytic degradation of TC using the Cu-BTC/ZnWO heterojunction showed superior efficiency (with a synergy index of ∼0.70) compared to individual sonocatalytic and photocatalytic degradation processes using the same heterojunction. This enhancement in sonophotocatalytic activity can be attributed to the formation of an S-scheme heterojunction between Cu-BTC and ZnWO. Within this heterojunction, electrons migrated from Cu-BTC to ZnWO, facilitated by the interface between the two materials. Under visible light irradiation, the built-in electric field, band edge bending, and coulomb interaction synergistically inhibited the recombination of electron-hole pairs. Consequently, the accumulated electrons in Cu-BTC and holes in ZnWO actively participated in the redox reactions, generating free radicals that effectively attacked the TC molecules. This study offers valuable perspectives on the application of a newly developed S-scheme heterojunction photocatalyst, demonstrating its effectiveness in efficiently eliminating diverse recalcitrant pollutants via sonophotocatalytic degradation.