This article investigates and compiles some of the techniques mostly used in the smoothing or suppression of speckle noise in ultrasound images. With this information, a comparison of all the methods studied is done based on an experiment, using quality metrics to test their performance and show the benefits each one can contribute. To test the methods, a synthetic, noise-free image of a kidney is created and later simulations using Field II program to corrupt it are performed. This way, the smoothing techniques can be compared using numeric metrics, taking the noise-free image as a reference. Since real ultrasound images are already noise corrupted images and real noise-free images do not exist, conventional metrics cannot be used to indicate the quality obtained with filtering. Nevertheless, we propose the use of the tendencies observed in our study in real images.