According to one embodiment, an X-ray diagnostic apparatus includes an X-ray tube, an X-ray detection unit, an X-ray filter, an input unit, and an X-ray filter support unit. The X-ray tube generates X-rays. The X-ray detection unit detects the X-rays transmitted through a subject. The X-ray filter is arranged between the X-ray tube and the object and has an opening. The X-ray filter support unit supports the X-ray filter so as to make the X-ray filter movable in an imaging axis direction of the X-rays.