An ophthalmic laser surgical apparatus includes: a laser irradiation optical system configured to irradiate a patient's eye with surgical laser; a fixation unit configured to fix the patient's eye on the laser irradiation optical system; an interface unit including an optical member configured to cover at least the cornea of the patient's eye; a tomography unit configured to capture a tomographic image of the anterior segment of the patient's eye; and a monitoring unit configured to monitor a position of the fixation unit and/or the interface unit with respect to the patient's eye based on the tomographic image captured by the tomography unit.