Although three-dimensional ultrasound (3DUS) has been available for more than 10 years in Indonesia, there was no publishing article from our region which systematically evaluates our experiences in this most recent ultrasound technologies and its application to obstetric. 3DUS is revolving into a technology with various range of applications in numerous fields because it helps overcome some of the key limitations related to two-dimensional imaging. It is through this review that we attempt to develop a continuous line of understanding the current diagnostic benefits of 3D and 4DUS in diagnosis of fetal abnormalities and consider the utility and role of this type of imaging in the routine clinical practice.