A rotary actuator has a hollow motor and hollow reduction gears arranged coaxially on either side of the hollow motor. A rotary shaft is arranged so as to pass through a hollow motor shaft of the hollow motor. The hollow reduction gears have hollow input shafts connected to the shaft ends on either sides of the hollow motor shaft. The hollow reduction gears have hollow output shafts connected to sections of the rotary shaft protruding from both ends of the hollow motor shaft. The connection position of the hollow output shaft with respect to the rotary shaft can be adjusted in the rotational direction. A load is rotationally driven by the rotary shaft. By increasing the axial length of the hollow motor, it is possible to obtain a small-diameter rotary actuator having a rotational output with large torque.