The present invention relates to an adaptive medical image transmission device and method which consider communication state and residual power. The adaptive medical image transmission method induces an image receiving device to post-process a result of medical image processing performed by a medical image transmission device by: receiving medical image data by means of a probe sensing communication throughput indicative of a communication state between the image transmission device and the image receiving device variably determining a data rate required to transmit data on the basis of a preset data rate based on the sensed communication throughput performing medical image processing by selecting a signal path which satisfies the determined data rate with respect to the medical image data and transmitting the result of the medical image processing to the image receiving device according to the determined data rate.