In general, according to one embodiment, an ultrasonic diagnostic apparatus is used to observe a position and puncture direction of a puncture needle in an object in a paracentesis, and comprises data acquisition unit, image generation unit and a display. The data acquisition unit acquires a plurality of first ultrasound data concerning an inside of the object, acquire a plurality of second ultrasound data concerning the inside of the object, and acquire a plurality of third ultrasound data concerning the inside of the object. The image generation unit generates a tissue image displaying a living body tissue by using the first ultrasound data, generate a puncture image displaying the puncture needle based on image processing using the second ultrasound data and the third ultrasound data, and generate a composite image visualizing the living body tissue and the puncture needle by using the tissue image and the puncture image.
