A machine tool includes a base, a table, a main spindle, and a trunnion unit. The table is installed on the base. A tool is mounted to the main spindle. The main spindle is caused to approach a workpiece on the table along an up-down direction. The trunnion unit is configured to rotatably hold the table on which the workpiece is placed using a rotation axis along a front-rear direction as a center. The trunnion unit is disposed movable in a right-left direction.