Sonochemistry, or the study of chemical processes caused by ultrasonic vibrations, has emerged as a transformational instrument in the pharmaceutical research. This review investigates the industrial uses and developments of sonochemical techniques in the pharmaceutical industry, focusing on their involvement in drug synthesis, formulation, extraction, and nanoparticle creation. When in comparison to traditional procedures, ultrasonic stimulation allows for faster reactions, higher yields, and lower energy use. Sonochemistry in drug formulation allows for the development of new delivery methods such as liposomes, nanoparticles, and emulsions with high stability and bioavailability. Furthermore, ultrasonic-assisted extraction procedures provide an effective and environmentally responsible way to isolate bioactive chemicals from natural sources. The manufacture of pharmaceutical nanoparticles via sonochemical techniques exhibits perfect control over particle size and distribution, which is critical for targeted drug administration and therapeutic effectiveness.