Ultrasonication was applied in combination with a hydrophobe for the copper-mediated atom transfer radical polymerization of n-butyl methacrylate in an aqueous dispersed system. A controlled polymerization was successfully achieved, as demonstrated by a linear correlation between the molecular weights and the monomer conversion. The polydispersities of the polymers were small (weight-average molecular weight/number-average molecular weight < 1.5). The influence of several factors, including ultrasonication, the amount of the surfactant, and the nature of the initiator, on the polymerization kinetics, molecular weight, and particle size was studied. The polymerization rate and molecular weights were independent of the number of particles and only depended on the atom transfer equilibrium. The final particle size, however, was a function of all the parameters.