Abstract: A cover for a pre-cordial stethoscope provides protection for the stethoscope and reduces external noise contamination. The cover fits closely on the stethoscope body and includes a slot for receiving a tubular fitting which extends from the stethoscope body to transmit the monitored sounds. A shell presenting an internal vacuum chamber may be interposed between the cover and stethoscope body for enhanced noise suppression. Different embodiments of the cover are provided for adult and infant pre-cordial stethoscopes.