Devices, systems, kits and methods are provided, that simplify focused ultrasound treatment. Devices comprise a supporting structure and a focused ultrasound (FUS) transducer having a central axis that is affixed to the supporting structure. Devices may further comprise an imaging ultrasound transducer and/or an x-ray aim, that may be attached to the supporting structure along the central axis of the FUS transducer. The FUS transducer is connected to a controller configured to control application of focused ultrasound by the transducer and may be associated with an imaging unit for imaging the treatment region using ultrasound and/or x-ray image data. The devices are hand held and easy to manipulate and aim correctly, utilizing coupling member(s) as well as feedback from the concurrently imaged treatment region.