An ultrasonic aspirator includes a body, an aspirator wand extending from the body, a shield to cover the aspirator wand, a removable headpiece removably attached to the aspirator wand, and a guard extending past an end of the headpiece in a direction distal to the body. the aspirator also includes a generator or a detector to generate or detect electrical pulses, light sources, endoscopy, modified body angles, image navigation integration for improved visualization and optimization of the surgical field.