An endoscopic treatment tool includes: an elongated flexible insertion part, a treatment part which is disposed at a distal end part of the insertion part, a first operation member which is attached to the treatment part and is moved to the insertion part so as to operate the treatment part, a second operation member of which a distal end is attached to the first sheath, a third sheath formed with a smaller diameter than the first sheath, an operation part main body which is attached to a proximal end part of the third sheath, a first operation part which is provided in the main body of the operation part and attached to a proximal end part of the first operation member, and a second operation part which is provided in the operation part main body and attached to a proximal end part of the second operation member.