An ultrasound coupling device for transmitting ultrasound waves from an ultrasound transducer to a test specimen, especially to a human or animal body, the coupling device having (a) a gel pad (2) for transmitting the ultrasound waves, (b) a support (3) having i) a transducer side (T), ii) a body side (B), and iii) an aperture (11) through the transducer side and the body side of the support (3), (c) the support (3) being provided with an adhesive element (13) on the body side, and (d) the gel pad (2) being received within the aperture (11) such that the gel pad (2) is adapted to contact the human or animal body when the body side of the support contacts the human or animal body.