According to an aspect of the present invention, in a medium conveyance apparatus which securely supports and conveys a medium, by providing a function for applying a back tension to the medium, in a guide section which forms a guide for supporting the medium in a medium conveyance unit, it is possible to apply a back tension to the medium of which at least a portion is securely supported by the medium conveyance unit, thereby restricting the occurrence of creasing and floating when the medium is securely supported by the medium conveyance unit and maintaining the flatness of the medium which is securely supported by the medium conveyance unit.