The present invention relates to a treatment device using high frequency and provides a treatment device using high frequency comprising: a main body comprising a high frequency generation portion inside a contact type hand piece comprising a first electrode portion for providing high frequency energy generated in the high frequency generation portion to the surface of the skin, and is detachably formed at an fastening portion of the main body an invasive hand piece comprising a second electrode portion for providing high frequency energy generated in the high frequency generation portion to the inside of the skin, and is detachably formed at an fastening portion of the main body and a control portion for controlling the high frequency energy provided from the high frequency generation portion to the first electrode portion or the second electrode portion.