Disclosed herein is an ultrasonic diagnostic apparatus and ultrasonic image processing method. The ultrasonic diagnostic apparatus includes an ultrasonic transmission unit An ultrasonic probe emits An ultrasonic reception unit An image processing unit A sound velocity determination unit and A control unit. Accordingly, there is an advantage in that the actual sound velocity of a reflected wave is estimated, so that high-quality ultrasonic images can be provided, and the time required for the estimation of a sound velocity can be reduced.