The clinical confidence necessary to perform an ultrasound guided needle procedure comes from many different aspects, including training and experience levels, quality of sonographic images, and arguably the most important: the ability to visualize the needle throughout the procedure. In the aforementioned study by Dr. Kim and colleagues in Australia, they reported “this clinical study supports earlier simulation study which shows increased needle visibility, shorter procedural time and greater proceduralist satisfaction when using needle guidance device compared to free hand technique in ultrasound-guided in-plane procedure”.