An ultrasound system capable of displaying and manipulating an ultrasound image and an exterior image, and a method for operating the same are disclosed. The system includes an ultrasound diagnosis unit (10) including a probe which sends an ultrasound signal to a target and receives a reflected ultrasound signal from the target, an exterior image storage (20) which stores exterior image data, an image processor (50) which forms an ultrasound image and an exterior image, a user input unit (40) operated to manipulate and display the reflected ultrasound signal and the exterior image data, a central processor (30) which controls the ultrasound diagnosis unit (10) and the exterior image storage (20) to allow the image processor to manipulate and form the ultrasound and exterior images, and a display unit (60) which displays the ultrasound and exterior images, a manipulated state of the ultrasound and exterior images, and an operating state of the central processor (30).
