A low profile ratchet wrench incorporates a ratchet gear drive having a female section of a socket or tool drive interface. The socket incorporates a male section for attaching the socket to a ratchet drive head section. By utilizing a female section of the interface in the wrench, the projected height of the socket is reduced as compared to a standard socket. An optional female section can be a cavity provided within the male section of the socket or other tool, allowing the tool to be used on both a standard wrench and a low profile wrench. A snap ring is disposed within a recession about an engaging end of the male section. The snap ring rests against a chamfer in a peripheral edge of the female drive tool interface securing the socket with the gear. Accessories can include attaching section style adapters, size adjusting adapters, extensions, universal joints, and wobble features.