An ultrasound diagnostic apparatus includes plural ultrasound transducers which perform transmission and reception of ultrasonic waves toward a target site of a subject containing a puncture needle. A method of transmitting and receiving an ultrasonic wave uses the ultrasound transducers. The apparatus and the method form an ultrasonic beam to be transmitted from a transmit aperture set on the ultrasound transducers, acquire information relating to a specular-reflective component of the ultrasonic beam in the puncture needle, set a first receive aperture different from the transmit aperture set on the ultrasound transducers on the basis of the information relating to the specular-reflective component of the ultrasonic beam, and process an ultrasonic echo signal received by the ultrasound transducers using the first receive aperture.