According to one embodiment, an X-ray diagnostic apparatus which can improve operability is provided. This apparatus comprises a top configured to move, a bed including the top, an X-ray tube configured to generate X-rays applied to an object placed on the top, a peripheral unit used around the bed, and control processing circuitry configured to generate a control signal. The peripheral unit moves in a self-propelled manner between a first position and a second position by a motor. The control processing circuitry generates a control signal for controlling the movement of the peripheral unit.