A navigation support system for medical instruments comprises a signal processing unit with an input for real-time video image signals from an optical instrument, input for instrument position signals and access to tomography image data, and output for outputting image signals. The signal processing unit generates output image signals from the image signals, the image data and the position signals and generates the output image signals such that the real-time video image signals are displayed permanently centrally on an image display unit connected to the navigation support system in a round or oval central image display of an overall image, wherein the central image display extends at least in one direction of extension across more than half of the overall image and that the secondary images generated by tomography image data, in dependence on the instrument position signals, are displayed adjacent to or partially superimposed over the central image display.
