An ultrasound imaging system (102) includes a probe (104) with a transducer array (106) with at least one transducer element (108). The ultrasound imaging system further includes a console (112) with a controller (124) and an echo processor. The ultrasound imaging system further includes a display monitor (122). The ultrasound imaging system further includes a touch screen user interface (128), including: a touch panel (130) with a first major surface (402, 1402) and a first recess (408, 1408) in the first major surface； and at least one touch sensitive control (134) disposed in the recess. A method includes sensing a first physical contact with a touch control recessed in a surface of a touch screen user interface, generating a signal indicative of the gesture, sensing a second physical contact with the touch control recessed in the surface of the touch screen user interface, and performing a predetermined action based on the first and second physical contact.
