A manufacturing method of a seamless metal pipe includes determining whether a preceding-stage stand group is used in outer diameter reduction or in thickness reduction of a hollow shell; and performing elongating on the hollow shell, into which a mandrel bar is inserted, based on the determination. In addition, in the elongating, when the preceding-stage stand group is used in the outer diameter reduction, the hollow shell is rolled in a state where an inner surface of the hollow shell does not come into contact with the mandrel bar in the preceding-stage stand group, and the hollow shell is rolled in a state where the inner surface of the hollow shell comes into contact with the mandrel bar in the succeeding-stage stand group.