In stereo matching system, it is efficient using segment patch, which divides the image into homogeneous region in color or similar intensity, because it preserves the disparity boundary and disparity continuity in low textured region. But many miss matching occur in the highly textured region because of the over segmentation that makes patch small and ambiguous. In this paper, in order to solve problems, we propose adaptive patch matching based on the watershed image segmentation. Performance was verified in experimental results.