Superb microvascular imaging (SMI) with Doppler luminance (Aplio i800, Canon Medical Systems, Tokyo, Japan) is a new color Doppler, which shows three-dimensional SMI information on a two-dimensional gray-scale image by shading based on the amplitude of the color Doppler signal. Moreover, we can obtain more precise vasculature of fetal organs and the placenta using an 18 MHz probe. In this picture-based article, cutting-edge SMI with Doppler luminance features of fetal peripheral vessels and normal and abnormal placentas are presented. Also, to aid investigations of fetal and placental circulations, the present and future applicability of SMI with Doppler luminance is considered.