A medical image recording apparatus for recording observed images of a subject outputted from a medical instrument, includes: an image arithmetic portion which generates feature images by highlighting specific features contained in the observed images; a display portion which displays inputted display images; a display image switching portion which switches the display images outputted to the display portion to either the observed images or images including the feature images generated by the image arithmetic portion; and an image information recording portion which records, as an image file, image-relevant information including timing information at execution of image switching by the display image switching portion and image generation information for generating the feature images and image information of the observed images.