Methods and systems for a user to create a custom menu for medical imaging are provided. To maximize the ease of use and increase user efficiency, the user interface is tailored to a particular user or for a certain application. The user selects from various imaging parameters in a preprogrammed user interface displayed on a monitor or other display device. The selection is by collecting the desired items or by discarding undesired items. After selection, the desired items are displayed in a customized display state. This customized display state can be labeled and stored for later use. An assignable key is also provided. Imaging functions, such as a type of B-mode or Doppler imaging, are assigned to the key. Different or new functions may be later assigned to the key as the most used imaging functions change. Any customization may be different for different users of the same system, such as by saving the customization related to a log-on procedure.