Disclosed is a focused ultrasound operation apparatus that comprises: an operation hand piece that includes a handle unit that is used as a handle for a user a cartridge that includes an ultrasound treatment unit, which generates a focused ultrasound, and has the shape of a circular cylinder or bar, the cartridge being attached to, and detached from, the operation hand piece a window provided on the cartridge to pass the focused ultrasound generated by the ultrasound treatment unit and a driver that drives the ultrasound treatment unit to move the ultrasound treatment unit forward and backward, wherein the focused ultrasound operation apparatus further comprises at least one of a detector that detects whether the cartridge is normally placed within the vagina, an image probe that performs imaging of a skin tissue at a predetermined depth from the skin surface of the vagina, and a buffer part formed of a flexible material.