Point-of-care ultrasound (POCUS) has become an essential diagnostic tool for physicians, praised for its portability and safety. However, an analysis of the Canadian Medical Protective Association (CMPA) database revealed 15 medico-legal cases from 2012 to 2021 linked to POCUS, all resulting in outcomes against the physicians involved. The primary reasons for complaints included diagnostic errors and inadequate assessments. Notably, most cases stemmed from a failure to perform POCUS when necessary. To improve patient care and reduce legal risks, POCUS use must be complemented by adequate skills and thorough documentation.