The invention concerns shock wave therapy device (1) with a shock wave therapy source (2) that is configured to emit a focused shock wave (4) onto a target (7) in a body of a patient (5), with an imaging device (10), which is configured to visualize the target (7), with a control unit, which is configured to move the target (7) relative to the emitted shock wave (4), with a respiration detector (13), which is configured to detect the respiration of a patient (5) and configured to produce a respiration signal, characterized by the control unit being configured to control the movement of the target (7) in accordance with a predefined movement pattern.