Advances in flexible integrated circuit technology and piezoelectric materials allow high-quality stretchable piezoelectric transducers to be built in a form that is easy to integrate with the body’s soft, curved, and time-dynamic surfaces. The resulting capabilities create new opportunities for studying disease states, monitoring health/wellness, building human–machine interfaces, and performing other operations. However, more widespread application scenarios are placing new demands on the high flexibility and small size of the array. This paper provides a 8 × 8 two-dimensional flexible ultrasonic array (2D-FUA) based on laser micromachining; a novel single-layer “island bridge” structure was used to design flexible array and piezoelectric array elements to improve the imaging capability on complex surfaces. The mechanical and acoustoelectric properties of the array are characterized, and a novel laser scanning and positioning method is introduced to solve the problem of array element displacement after deformation of the 2D-FUA. Finally, a multi-modal localization imaging experiment was carried out on the multi-target steel pin on the plane and curved surface based on the Verasonics system. The results show that the laser scanning method has the ability to assist the rapid imaging of flexible arrays on surfaces with complex shapes, and that 2D-FUA has wide application potential in medical-assisted localization imaging.