A blood pressure measurement device includes a wrapping strength detecting portion for detecting a wrapping strength of a cuff with respect to a measurement site. The wrapping strength detecting portion detects the wrapping strength of the cuff prior to calculation of a blood pressure value by a blood pressure calculation unit. That is, the wrapping strength of the cuff is detected based on a relationship indicated by a volume change ΔV12 of the cuff detected with a change in the detection pressure in the cuff wrapped around the measurement site from P1 to P2 and a volume change Δ23 of the cuff detected with change from P2 to P3 in a process of controlling the cuff pressure by a pressure adjustment unit.