An acoustic wave diagnostic apparatus includes: an image display unit that displays an acquired acoustic wave image; a measurement item designation receiving unit that receives designation of a measurement item relevant to a measurement target; a detection measurement algorithm setting unit that sets a detection measurement algorithm based on the received measurement item; a position designation receiving unit that receives designation of a position of the measurement target on an acoustic wave image displayed on the image display unit; and a measurement unit that, in a case where the designation of the position is received, detects the measurement target based on the received position and the detection measurement algorithm and performs measurement for the detected measurement target.