An endoscopic puncture needle (10) includes a sheath (12) having flexibility, a hollow outer needle (32), an outer needle moving member (40), an inner needle (34), an inner needle moving member (42), and an operation portion (16). The outer needle moves along an axial direction of the sheath in the sheath, and is retractable with respect to a distal end of the sheath. The outer needle moving member is arranged at a proximal end portion of the outer needle, and moves the outer needle with respect to the sheath. The inner needle moves in the outer needle along the axial direction of the sheath, and is retractable with respect to a distal end of the outer needle. The inner needle moving member is arranged at a proximal end portion of the inner needle, and moves the inner needle with respect to the outer needle. The operation portion is arranged at a proximal end portion of the sheath, and operates the outer needle moving member and the inner needle moving member.