There is provided an image processing apparatus which is connected to a camera head capable of imaging a left eye image and a right eye image having parallax on one screen based on light at a target site incident on an optical instrument, the apparatus including: an image processor that performs the signal processing of the left eye image and the right eye image which are imaged by the camera head; and an output controller that outputs the left eye image and the right eye image on which the signal processing is performed to a monitor, in which the image processor adjusts an extraction position of at least one of the left eye image and the right eye image in accordance with a user operation based on the left eye image and the right eye image which are displayed on the monitor.