Point-of-care ultrasonography (POCUS) allows for real-time bedside imaging and interpretation, enhancing clinical decision-making by addressing focused clinical questions. Historically confined to procedural guidance in nephrology, POCUS is gaining traction for broader diagnostic applications, including comprehensive hemodynamic assessment. This narrative review examines the expanding role of POCUS in nephrology, highlighting its potential to improve patient care and streamline diagnostics while acknowledging associated risks.