Singing is a powerful form of expression, but behind the beauty of the human voice lies a complex physical effort that can sometimes lead to injury. Vocalists, especially professionals, often push their voices to the limit—sometimes without realizing the strain it causes. This chapter delves into the common injuries faced by singers, such as vocal nodules, polyps, swelling, or strain in the vocal cords. We explore how these conditions arise, from overuse, poor technique, or even emotional tension, and how they can affect a singer’s performance and well-being. We also look at how modern imaging techniques—like laryngoscopy, stroboscopy, ultrasound, and MRI—help in identifying and understanding these injuries. These tools give us a window into the voice box and help clinicians provide the right treatment. By combining medical insight with practical knowledge of the singing profession, this chapter aims to support both vocalists and voice care professionals in preventing injuries and promoting long-term vocal health.