Gender Reveal Ideas Using Fake Ultrasounds: 20+ Creative Ways

January 12, 2026

Gender reveals have become one of the most popular moments in pregnancy, and a fake ultrasound works as the perfect centerpiece for your big reveal. Whether you are keeping the real ultrasound private or want something custom-designed for the party, there are many creative ways to incorporate the iconic black-and-white image into your gender reveal.

I have helped coordinate dozens of these reveals over the years. Here is everything you need for an unforgettable gender reveal using a fake ultrasound.

Exciting gender reveal party scene with ultrasound displayed on an easel, pink and blue decorations, balloons, festive atmosphere

Classic Ultrasound Gender Reveals

These timeless approaches deliver emotional punch every time.

1. The Envelope Reveal

Have your ultrasound placed in a sealed envelope with “It is a Boy!” or “It is a Girl!” written inside. Frame it as a gift or hide it in a special box. The tension of opening the envelope in front of family is unmatched.

2. The Scratch-Off Reveal

Create a custom scratch-off card where guests scratch to reveal the ultrasound image with either pink or blue coloring. Have multiple cards made so everyone participates at once.

3. The Framed Ultrasound Gift

Present grandparents-to-be with a beautifully framed ultrasound. The frame mat shows pink or blue, revealing the gender the moment they see it. Tip: use a frame with “Grandma” or “Grandpa” engraved for extra emotional impact.

4. The Puzzle Reveal

Turn your ultrasound into a custom puzzle. As family members piece it together, the pink or blue border becomes the reveal. This one builds anticipation with every piece.

Photo-Based Reveals

For those who want something share-worthy, these photo-focused ideas create beautiful keepsakes.

5. The Ultrasound Silhouette Shot

Hold the ultrasound up against a sunset or backlit window for a dramatic silhouette photo. Add a pink or blue filter in editing, or have someone behind you blow pink/blue powder at the moment of reveal.

6. Sibling Holding the Secret

If you already have kids, have the older sibling hold the ultrasound while wearing a “Big Brother” or “Big Sister” shirt in the reveal color. The combination tells the whole story in one image.

7. Pet Announcement Photo

Your dog or cat wearing a bandana with “It is a…” and the ultrasound propped nearby. Bonus points if you get the pet to sit still long enough to look like they are reading it.

Blue-themed ultrasound reveal setup: ultrasound with blue ribbon, blue confetti, blue flowers on white background. Clean, celebration-ready

8. The Baby Shoes Setup

Place tiny pink or blue baby shoes next to the ultrasound. It is simple, Instagram-ready, and the combination of ultrasound with the shoes makes the moment feel more real.

Gender Reveal Party Ideas

Planning a party? These ideas use the ultrasound as the centerpiece of a bigger celebration.

9. The Balloon Pop Reveal

Display the ultrasound on an easel surrounded by black balloons filled with pink or blue confetti. At the designated moment, pop the balloons and the color bursts out around your ultrasound display.

10. The Ultrasound Cake

Have the ultrasound printed on edible paper and placed on top of a cake. When you cut into the cake, the inside is either pink or blue. Double reveal impact.

11. The Confetti Cannon Backdrop

Set up a large display of the ultrasound as your backdrop. When it is time for the reveal, confetti cannons go off, showering the ultrasound area in pink or blue. Great for photos.

12. The Piñata Reveal

A stork-shaped piñata with the ultrasound taped to its belly. When broken, pink or blue candy falls out. It is interactive, fun, and gives guests something to do.

13. Gender Reveal Boxes

Set up two large boxes labeled “Boy” and “Girl” with the ultrasound displayed between them. When opened, helium balloons fly out of the correct box. Have guests vote on which box they think will be the winner before the reveal.

Pink-themed ultrasound reveal setup: ultrasound with pink ribbon, pink confetti, pink flowers on white background. Clean, celebration-ready

Digital and Social Media Reveals

For long-distance family or those who want to share the news online, these digital ideas work well.

14. The Animated GIF Reveal

Create an animated GIF showing the ultrasound, then transitioning to reveal the gender with colored confetti animation. Perfect for texting to family who are not there in person.

15. Video Montage Reveal

Create a video showing pregnancy moments, ending with a close-up of the ultrasound transforming into pink or blue. Add music for maximum emotional impact. This is one of the most shared formats on social media.

16. Virtual Gender Reveal

Host a Zoom party where you share your screen showing the ultrasound, then do a live reveal. Everyone reacts together even from thousands of miles away. I have seen entire families across three continents participate in these.

17. TikTok-Style Reveal

Record yourself holding the ultrasound, then cut to you covered in pink or blue paint/powder. The quick cut reveal is perfect for short-form video platforms and gets strong engagement.

Unique and Creative Ideas

Want to do something nobody has ever seen before? These creative twists will make your reveal stand out.

18. The Message in a Bottle

Roll up the ultrasound with a note saying the gender and place it in a glass bottle. Perfect for beach lovers or nautical-themed reveals. Tie it with pink or blue ribbon for the extra hint.

19. The Jigsaw Card

Send family members a piece of a jigsaw puzzle. When assembled during a video call, the puzzle reveals the ultrasound with gender colors. Coordinates long-distance reveals well.

20. The Fortune Cookie Reveal

Custom fortune cookies saying “It is a Boy!” or “It is a Girl!” served alongside the ultrasound image on the table. Great for dinner party reveals.

21. The Scavenger Hunt

Create a scavenger hunt for guests with the ultrasound as the final destination. The ultrasound is displayed in a pink or blue frame, revealing the gender only when they complete the hunt.

22. Twins Double Reveal

If you are announcing twins (check out our fake twins ultrasound guide), do a two-part reveal. First reveal you are having twins with the ultrasound, then a second reveal for the genders. Maximum surprise factor.

Tip: For the most impact, use a customized fake ultrasound with gender-specific hints already built in. Some services add subtle pink or blue tinting to the image itself.

Tips for a Successful Gender Reveal

After watching dozens of these go right (and occasionally wrong), here is my advice:

Get a Quality Ultrasound

Nothing ruins a reveal faster than a blurry, obvious fake ultrasound. If you are using a novelty ultrasound, make sure it is from a reputable provider. The more realistic it looks, the more impactful the moment.

Consider Your Audience

Grandparents might love a heartfelt, quiet reveal. Your friends might prefer something wild and messy. Match the reveal style to who you are telling.

Have a Backup Plan

If you are doing something weather-dependent or tech-dependent, have a backup ready. I have seen outdoor reveals rained out and Zoom calls crash at the worst moments.

Capture the Moment

Assign someone specifically to record reactions. You will want to watch those faces over and over again. Having a dedicated person means you stay present instead of worrying about your phone.

Keep It Safe

Please avoid anything causing fires, injuries, or environmental damage. No colored explosions near dry brush. The news has enough gender reveal disaster stories.

For a high-quality fake ultrasound perfect for your gender reveal, BabyMaybe offers realistic customization options including gender-specific details and personalized patient information.

FAQ

Can I customize a fake ultrasound specifically for a gender reveal?

Yes. Many services like Baby Maybe let you add custom details including color accents, gender-specific annotations, and personalized patient information. This makes your reveal feel more authentic and special.

Is it tacky to use a fake ultrasound for a gender reveal?

Not at all. Many people use novelty ultrasounds because they want to keep their medical images private, or they want something designed specifically for display quality. The moment matters, not whether the image came from a hospital printer.

What if family members cannot attend the reveal in person?

Digital reveals are perfect for this. Video calls, shareable GIFs, or mailed puzzle pieces all work great. I have seen families successfully reveal to people across the world simultaneously.

How do I keep the gender secret until the reveal?

Order your customized ultrasound and have it shipped directly to whoever is coordinating the reveal. Some couples have a friend order it so they are genuinely surprised too.

What is the best gender reveal idea for grandparents?

Grandparents typically appreciate heartfelt, personal reveals. The framed ultrasound gift or the puzzle reveal works well because it is intimate and gives them a keepsake.

Can I combine a pregnancy announcement with a gender reveal?

Yes. If you have not announced the pregnancy yet, the ultrasound does double duty. Check out our pregnancy announcement ideas for inspiration on combining both moments.

Whatever reveal style you choose, remember the ultrasound image is the vehicle for your announcement. Sharing this milestone with the people you love is what matters. Make it yours, and enjoy the moment.

For more creative pregnancy content, check out our complete fake ultrasound guide or browse more announcement ideas.