The visual quality of medical image is an important factor for diagnosis accuracy. Therefore, the methods to improve the quality of medical image have studied. Among them, frequency domain filter is very powerful method to impove the visual quality of image. In this paper, the X-ray medical image using optimized high-pass filter was improved edges. The result image was improved edge and contrast of flat area using optimized high frequency emphasis filter. At last, the result image is to minimize the noise using the minimum mean square error(MMSE) filter. As a result, the proposed method has enhanced contrast and edge of the image in the contrast of existing filters, with the noise canceling effect.