•Ultrasonic effects on flotation are observed and reviewed.•Mechanisms of ultrasonic effects are discussed from the perspectives of cavitation and acoustic radiation force.•Devices and methods of ultrasonic treatment are classified and compared.•Promising applications of ultrasound in flotation are proposed. Ultrasound technology is widely applied in the flotation process. From the perspective of the theory of ultrasound, this article explains the effects and applications of ultrasound in the flotation process. To obtain a clear understanding of ultrasonic effects, we observe the phenomena of ultrasound using a high-speed camera and a CCD camera, and investigate potential applications in flotation. From these different phenomena, the ultrasonic effects are classified into three types of effect: the transient cavitation effect, stable cavitation effect, and acoustic radiation force effect. Based on these effects, the applications of ultrasound to mineral flotation are reviewed, including slime coating removal, oxidation film removal, desulfuration, tiny bubble generation, flotation reagent dispersion, and aggregation. In addition, the ultrasonic equipment and treatment methods applied in flotation are classified and compared based on their characteristics. Finally, we propose some potential directions in the study of the stable cavitation effect and acoustic radiation force effect, which are important, but are seldom mentioned in previous reports.