Up to 1 MHz acousto-optics Q-switching operation was obtained in a grazing-incidence Nd:YVO4 laser. At 500 kHz repetition rate, 17.7 W of output power was obtained with 38 W of pump power when 32.4% transmissivity output coupler was used. The beam quality factors were measured as M 2 x < 4 in the x-axis direction and M 2 y < 2 in the y-axis direction. For high sable acousto-optics pulse operation, 5% transmissivity output coupler was used and 9.15 W of output power was obtained at 38 W of pump power. The peak-to-peak instability of pulse amplitude was less than ±3.3% at 489.6 kHz repetition rate.Photograph of oscilloscope traces showing the pulse series at 489.6 kHz