A surgical operation imaging device is disclosed. The surgical operation imaging device has an endoscope having a camera that generates image data, a manipulator that moves the endoscope, and a viewing device that presents a moving image based on the image data. The surgical operation imaging device also has a controller that controls the manipulator and the endoscope based on a plurality of operating states and an operating element coupled with the controller. The operating element has a first switching state and a second switching state. A selected operating state is selected from the plurality of operating states based on the operating element switching between the first switching state and the second switching state. The selected operating state is changed based on the operating element switching between the first switching state and the second switching state.
