An endoscope image processing apparatus includes a detection section 34 configured to receive an observation image G1 of a subject and to detect a feature region L in the observation image G1, based on a predetermined feature value for the observation image G1, a notification section 35a configured to notify, to a surgeon, detection of the feature region L through notification processing and to generate a first display image D1 in a case where the feature region L is detected by the detection section 34, and an enhancement processing section 35b configured to perform enhancement processing on the feature region L and to generate a second display image D2 in the case where the feature region L is detected by the detection section 34.