Three-dimensional ultrasound imaging is a new, exciting technology that allows physicians to use ultrasound to view pathology as a volume, thereby enhancing comprehension of patient anatomy. In this paper, a brief history of the 3-D ultrasound imaging is described in accordance with the development of transducer technology. Then, two representative types of 3-D imaging transducers are reviewed with description of the concept and operation principle of each type: mechanical transducer and matrix array transducer. The mechanical transducer is detailed into free-hand scanning and sequential scanning types. Advantages of each transducer over the other and the technical issues for further performance enhancement are also presented.