An ultrasound transducer with a F-number less than 1.0 has been used in many fields such as non-destructive testing, medical treatment, particle manipulation, and so on. Traditional focusing technologies such as self-focusing structure and lens sets suffer from undesired surface cavitation due to large cavity depth, difficulties in fabrication, and most of designs have a fixed focal depth. This paper presents a small F-number ultrasound transducer design using a combination of acoustic lens and phased array, its fabrication process is not complicated, and focal depth is adjustable when applying different time delays. The design methods, including analytical expression, empirical equation and numerical results, are elaborated in this paper, followed by fabrication and tests. Simulations and experimental results prove that this dual-focused transducer can reach a changeable F-number as small as 0.72. The cavity depth of the transducer is relatively small (1.1 λ) compared to existing focusing transducers (4 ∼ 10 λ), which is not prone to unexpected surface cavitation. Moreover, the array in transducer has no grating lobes with an expanded pitch of 1.43 λ, which not only increase the fill factor and effective area but also further reduces the fabrication difficulty, especially in high frequency applications.