A system for providing focused ultrasound may include a focused ultrasound probe including at least one transducer. At least one variable volume fluid bladder may be positioned between at least a portion of the transducer and tissue to be treated. The system may further include a reservoir containing fluid and a first pump operatively connected to the bladder and the reservoir. The first pump may be configured to move fluid into the bladder. A second pump may be operatively connected to the bladder and the reservoir. The second pump may be configured to move fluid out of the bladder.
