Ultrasonic wave technologies have been widely used in ultrasonic washing machines, ultrasonic surgery, ultrasonic welding machines, ultrasonic sensors, and medical instruments. Ultrasonic surgery can be realized through the cavitation effect of ultrasonic waves. In this study, piezoelectric ceramics were manufactured to achieve the optimum design of a piezoelectric vibrator in a handheld generator for ultrasonic surgery. The best specimen showed the excellent piezoelectric properties of kp＝0.624, Qm＝1,531, and d₃₃＝356 pC/N. Numerical modeling based on the finite element method was performed to find the resonance frequency, the anti-resonance frequency, and the displacement properties of the handheld ultrasonic generator. Maximum displacement was observed in the six-step piezoelectric vibrator at 6.36 μm.