An X-ray diagnostic apparatus includes an X-ray generating unit which generates X rays, an X-ray detecting unit which detects X rays transmitted through a subject, an X-ray exposure operating unit which is operated by an operator, and a system control unit which controls the X-ray generating unit in order to start the generation of the X rays from the X-ray generating unit at a time point when a heart rate phase of the subject reaches a specified phase after the X-ray exposure operating unit is operated.