The invention provides a self-adaptive focused ultrasonic treatment head, and relates to the technical field of ultrasonic equipment. The self-adaptive focused ultrasonic treatment head comprises a shell, a fixed cover, a probe and a hollow focused transducer. A first boss is arranged on the outer side wall of the bottom of the fixed cover, an external thread is arranged on the outer side wall ofthe first boss, an internal thread matched with the external thread is arranged on the inner side wall of the shell, a first through hole is formed in the middle part of the hollow focused transducerin the vertical direction, the probe penetrates through the first through hole and is arranged in the hollow focused transducer, a second boss is arranged on the outer side wall of the probe, the lower surface of the second boss is connected with the upper surface of the hollow focused transducer in a clamping mode, a spring sleeves the outer side wall of the probe, an ultrasonic coupling agent water bag is arranged at the bottom part of the hollow focused transducer, a frame is arranged on the outer side wall of the ultrasonic coupling agent water bag, and a bolt penetrates through a second through hole and a threaded groove to connect the frame and the shell. The self-adaptive focused ultrasonic treatment head has a wider application range, is simple in structure and can realize synchronous monitoring.