Abstract: Equine vocalization and acoustic sounds can communicate a horse’s emotional state, physiological state, and situation to other individuals, including other horses and humans. These vocalizations and acoustic sounds can be divided into several types. The whinny, nicker, squeal, blow, snore, snort, roar, and groan are typical types of horse vocalizations and acoustic sounds. The sound localization thresholds of horses are markedly poorer than those of other large mammals, such as humans and elephants. The audiogram of horse has shown their best sensitivity and hearing range in which it perceives sound. Laryngeal diseases, such as laryngeal hemiplegia, dorsal displacement of the soft palate, and alar fold paralysis, can cause laryngeal sounds in the upper airway. The analyses of horses’ vocalizations and laryngeal sounds that are reviewed in this article were conducted with computer-aided analysis programs using spectrograms and spectra that evaluate several parameters, including amplitude, fundamental frequency, duration, and formants. Laryngeal sound analysis could be a useful method for diagnosing upper airway diseases. This article presents a review of the literature describing scientific analyses of horse vocalizations and acoustic sounds to elucidate equine acoustic communications and aid in the development of horse-human bonds.