Provided are an ultrasound imaging apparatus and an operating method thereof. The ultrasound imaging apparatus may set a condition for automatically saving an ultrasound image of an object, set an ultrasound image acquisition and save mode for automatically acquiring and saving the ultrasound image of the object according to the condition, and automatically acquire, when a real-time ultrasound image of the object satisfies the condition, the ultrasound image of the object based on the ultrasound image acquisition and save mode.