This treatment tool for an endoscope is provided with a sheath which is inserted into a treatment tool insertion channel, a treatment unit which can project from or retract into the distal end of the sheath, and an operating body, wherein the operating body is provided with: a distal fixing unit which can be fixed to a proximal opening of the treatment tool insertion channel; a middle part which is connected to the proximal end of the sheath and moves forwards and backwards in the longitudinal direction of the sheath with respect to the distal fixing unit; a proximal operation unit to which the proximal end of the treatment unit is connected and which slides on the middle part; a fixing member which is provided on the operating body; and a support member which is provided on the operating body. The distal fixing unit and the middle part are connected by one being inserted into the other to create partial overlap therebetween in the longitudinal direction. The support member is rotatably engaged with whichever of the distal fixing unit and the middle part is arranged on the outside. The support member is configured to be capable of attaching the fixing member at an arbitrary position in the circumferential direction of the operating body.L'invention concerne un outil de traitement pour endoscope comportant: une gaine destinée à être insérée à l'intérieur d'un canal d'insertion de l'outil de traitement; une partie de traitement rétractable située à l'extrémité avant de la gaine; et un corps d'actionnement. Le corps d'actionnement comporte: une partie de fixation d'extrémité avant pouvant être fixée sur la partie ouverture côté extrémité de base du canal d'insertion de l'outil de traitement; une partie intermédiaire dans le prolongement de l'extrémité de base de la gaine qui s'avance ou se retire en direction de l'axe longitudinal de la gaine, par rapport à la partie de fixation d'extrémité avant; une partie d'actionnement d'extrémité de base coulissant par rapport à l