In order to provide an X-ray fluoroscopic device that can perform X-ray fluoroscopy even when X-ray fluoroscopy is started without selecting an anatomical program, if an anatomical program has already been selected when a foot switch (10) or a hand switch (20) is turned on, an anatomical program read-out unit (83) reads out the selected anatomical program from among a plurality of anatomical programs stored in an anatomical program storage unit (81). If an anatomical program is yet to be selected when the foot switch (10) or the hand switch (20) is turned on, the anatomical program read-out unit (83) reads out a standard anatomical program stored in a standard anatomical program storage unit (82).