Abstract Objective: To investigate patient perspectives of clinic-based musculoskeletal diagnostic ultrasound within a sports medicine out-patient clinic setting. Subjects and Methods: Questionnaire-based prospective cohort-design pilot study of patients attending a secondary care sports medicine clinic, over a 3-week period. Results: All patients who responded agreed or strongly agreed with the statement that diagnostic ultrasound used in the clinic allowed them to understand their problem better, 96% reported increased re-assurance after the ultrasound, and 96% were better able to manage their problem following the ultrasound. Overall, 64% rated clinic-based diagnostic ultrasound as very high value and a further 32% as high value. Discussion: This pilot study demonstrates high levels of patient satisfaction and value with the use of clinic-based musculoskeletal diagnostic ultrasound.