The document presents a novel medical image stitching approach using ant colony optimization (ACO) to enhance the accuracy and efficiency of stitching x-ray images. It addresses the limitations of classical methods such as SIFT and SURF, which are slow and less effective for high-resolution images, by implementing a faster feature-based technique. The proposed method integrates image enhancement, feature extraction, correlation, RANSAC algorithm, and alpha blending to produce high-quality stitched images suitable for medical diagnostics.