In this paper, we propose a new post formation adaptive image filtering technique, to be called the homogeneous region growing mean filter, in order to reduce speckle noise with edge preservation in medical ultrasonic images. First, to find a proper seed region, an initially assumed seed region, which is larger than the average speckle size around a given filtering point, is successively contracted according to a certain local homogeneity criterion. Once the seed region is determined, the next step is to grow the homogeneous region successively based on some measures of local homogeneity and similarity of the neighboring region. The output of the proposed filter for each filtering point is obtained from the arithmetic mean of the grown locally homogeneous region. Several simulation results are presented to illustrate the performance of the proposed filter. They show that the proposed technique effectively smoothes ultrasonic speckle and completely suppresses isolated impulsive noise over the entire texture in addition to preserving the edge information.