Operating a medical image recording device in the context of an image recording routine for a patient is provided. The image recording routine serves an image recording purpose. The image recording device is controlled based on operating parameters implemented by a controller of the image recording device. The operating parameters are identified completely automatically by an identification algorithm from input data describing at least the patient in the form of a patient model and/or the image recording purpose, and from a registration of the patient with a coordinates system of the image recording device. The operating parameters are used to control the image recording device. An examination region that is to be recorded for the patient and the image recording purpose are derived based on the registration.
