A high accuracy image matching apparatus and a high accuracy image matching method using a skin marker and a feature point in a body, which uses ultrasonic probe or a radiation probe as a portion of the marker for image matching, are disclosed. As an embodiment, the high accuracy image matching apparatus and the high accuracy image matching method using a skin marker and a feature point in a body, use the ultrasonic probe or the radiation probe as a portion of marker for image matching indicating an anatomical feature point to reduce an error in operation point, and more precise operation can be possible and better operation result can be obtained by using the ultrasonic probe or a radiation probe.