An X-ray diagnostic apparatus includes a bed, an X-ray generating unit, an X-ray detection unit, a support which movably supports the X-ray generating unit and the X-ray detection unit, an X-ray application switch which triggers generation of X-rays from the X-ray generating unit, an operation unit for moving the X-ray generating unit and the X-ray detection unit, an image generating unit which generates an image on the basis of an output from the X-ray detection unit, a display unit which is placed near the bed and displays the image, and a simulation image generating unit which generates a simulation image from stored data during a simulation period in accordance with operation of the X-ray application switch and operation of the operation unit.