An automatic preparation system according to embodiments includes a work table, a robot, and a jig. The robot is disposed near the work table and includes a plurality of arms. The jig is provided on the work table and rotatably holds a syringe. The robot, after taking out the syringe from a syringe storage case and attaching the syringe to the jig, operates the arms in a cooperative manner to perform a preparation of a medication using the syringe.