An image management apparatus and method, and a program for observation, which are able to set an appropriate process of displaying a series of medical images without relying on experience and know-how of a user and an individual image extraction algorithm. An image management apparatus has: an interface unit 101 that acquires image data corresponding to a series of medical images； and an observation process information setting unit 118 that sets, based on operation information composed of first feature data of each medical image included in the series of medical images and second feature data associated with information related to a predetermined operation performed with respect to a screen on which the medical image has been displayed and/or information related to the predetermined information, information related to a display operation executed when the series of medical images are displayed on a screen.
