A tool exchanger for storing a tool (10) with a holding groove (12) formed at a periphery of the tool in a plurality of tool storage parts (302) provided in a tool magazine (300) so that a tool axis becomes substantially horizontal in direction, and taking out the tool from the tool storage parts (302), the tool exchanger including: a base part (100); a slider (200) provided in a side of the tool storage parts (302) slidably relative to the base part (100) in a direction substantially parallel to the tool axis; a holder (250) attached to the slider (200) in a movable manner relative to the slider, and having an engagement part (252) which engages with the holding groove (12) of the tool; and a moving portion moving the holder (250) relative to the slider (200), wherein the moving portion includes: a handle part (260) for exerting a rotary force about an axis extending substantially parallel to the tool axis; a first cam mechanism (250, 242) moving the holder in a plane substantially perpendicular to the tool axis in accordance with a first turning operation of the handle part (260); and a second cam mechanism (161, 270) moving the holder (250) along a direction of the tool axis in accordance with a second turning operation of the handle part (260) successive to the first turning operation.