Background: The worldwide prevalence of hyperuricemia and burden of gout is reportedly increased in last few decades. Several studies reported the association between hyperuricemia and prevalence gout and also reports that the association of hyperuricemia with cardiovascular disease and its outcomes. Studies also reports the early treatment measures have been shown benefits in disease outcome. Materials and Methods: The present prospective study was carried out in Department of Orthopedics at New Civil Hospital Surat. The study duration was of one year from July 2022 to June 2023. A sample size of 200 was calculated at 90% confidence interval at 10% of maximum allowable error. Results: In the present study, tophi deposition was studied by the ultrasound examination and all the hyperechoic aggregates findings were analyzed and recorded. We found that intra-tendinous tophus was the most common presentation in our study. In our study, we found that intra-tendinous tophus is most common in patellar tendon among 18 (9%) patients which is followed by involvement of quadriceps tendon among16 (8%) patients and involvement of Achilles tendon and peroneus tendon among 6 (3%) cases respectively. other than isolated intra-tendinous tophus involvement more than one tendon involvement was also reported in present study. We found tophi in both quadriceps and Achilles tendon among14 (7%) patients which is followed by involvement of both quadriceps and patellar tendon among 10 (5%) patients and 6 (3%) patients had involvement of both patellar and Achilles tendon. Conclusion: We concluded from the present study that Involvement of patellar tendon was the most common presentation which is followed by Quadriceps and Achilles tendon.