According to one embodiment, an X-ray diagnostic apparatus includes an X-ray source, a plurality of lead plates, attention position specifying circuitry, stop control circuitry. The X-ray source generates X-rays. The plurality of lead plates includes an aperture which narrows an irradiation range of X-rays with which an object is irradiated by the X-ray source. The attention position specifying circuitry specifies an attention position based on a line of sight of an observer. The stop control circuitry performs movement control of the plurality of lead plates based on the specified attention position.