Direct sound printing (DSP) is a new class of additive manufacturing processes developed in our lab, in which chemical reactions during the 3D printing process are driven by sonochemical route using cavitation bubbles induced by focused ultrasound waves. This invited paper will present methods and possibilities of printing engineering structures with DSP. In addition, this talk will cover a new area called remote distance printing (RDP) and consequent applications. RDP is a new realm introduced by DSP method in which the printing location is not accessible by common energy sources like light or heat. In this situation, ultrasound could penetrate optically opaque materials and conduct printing without direct access to the printing location. This concept opens a wide variety of applications in engineering or medical fields. The focus of this paper is the application of DSP-RDP in biomedical application to print objects inside body without open surgery in a non-invasive manner. Ultrasound penetrates skin and tissues in DSP and is focused on the printing location inside body where the printing material is injected. This work explains DSP in detail and the interaction of the sound with the printing material and how the material is transformed from liquid to solid. The process is demonstrated using a test study conducted using tissue phantoms and also real porcine tissue. This work opens new applications to 3D print with ultrasound where no other 3D printing approaches can achieve.