Point-of-care ultrasound (POCUS) is a transformative tool for anesthesiology in low- and middle-income countries (LMICs), where limited access to advanced medical imaging, unreliable power, and scarce resources hinder patient care. This technology's portability, affordability, and diagnostic versatility address critical gaps, enabling better preoperative assessment, intraoperative monitoring, and emergency interventions. POCUS facilitates procedures such as catheter placement and nerve blocks, diagnoses conditions such as pneumothorax, and evaluates cardiac function, all without ionizing radiation. Training initiatives, including hands-on workshops and tele-mentoring, empower providers in resource-limited settings. By integrating POCUS into anesthesiology practices, LMICs can enhance patient outcomes and elevate healthcare delivery.