PROBLEM TO BE SOLVED: To improve operability of a medical image photographing device.SOLUTION: A medical image photographing device 100 comprises: a database 6 that stores operation information for each user; an application section 2 that retrieves the operation information for the user from the database 6 and changes either an operation layout configuration of a user interface or a target function of a shortcut operation; a medical image photographing section 10 that photographs a medical image on the basis of an operation by the user; and user information acquisition means 71 that acquires the operation information for the user on the basis of the operation by the user. The device 100 photographs the medical image on the basis of the operation by the user, uses the user information acquisition means 71 to acquire the operation information for the user, and then updates the operation information for the user stored in the database 6, on the basis of the acquired operation information.