PROBLEM TO BE SOLVED: To provide an image processing device whereby visibility of a surgical thread can be enhanced.SOLUTION: An image processing device 12 is provided with an image acquiring part 52 for acquiring a first image captured under an illumination condition in which a surgical thread emits fluorescent color and a second image captured under an illumination condition including at least visible light as images of an operative part in which the surgical thread emits fluorescent color, and a synthesis part for generating a synthesis image in which a region of the surgical thread in the first image is synthesized with the second image. The present technique can be applied in a surgical system or the like, for example.SELECTED DRAWING: Figure 2COPYRIGHT: (C)2017,JPO&INPIT【課題】手術糸の視認性を向上させる画像処理装置を提供する。【解決手段】画像処理装置12は、蛍光発色する手術糸を用いた術部の画像として、手術糸が蛍光発色する照明条件下で撮像された第1の画像と、少なくとも可視光を含む照明条件下で撮像された第2の画像とを取得する画像取得部52と、第1の画像の手術糸の領域を、第2の画像に合成した合成画像を生成する合成部とを備える。手術システム等に適用できる。【選択図】図2