Provided are an imaging device operation device, an operation method, and a program that can simply and rapidly operate a pan/tilt mechanism such that an imaging unit is located at a desired position. A pan/tilt operation device includes a touch panel in which a touch centering detection region is set, predetermined pan angle rotation instruction regions are set on the left and right sides of the touch centering detection region, and predetermined tilt angle rotation instruction regions are set on the upper and lower sides of the touch centering detection region, a touch centering instruction unit, a predetermined pan angle rotation instruction unit that outputs an instruction to pan a pan/tilt mechanism at a predetermined pan angle, and a predetermined tilt angle rotation instruction unit that outputs an instruction to tilt the pan/tilt mechanism at a predetermined tilt angle.