A hygienic paper roll holder that is gentle for elderly and toddlers and can be replaced without touching a used paper roll core and a replacement paper roll with a relatively simple configuration and easy operation with one hand. The paper roll holder comprises a U-shaped holder body, support parts for moving and supporting both sides of toilet paper, the support parts being attached to the U-shaped holder body, and a movable tray that has a stationary part for placing a replacement toilet paper and a holding part for temporarily holding a used core. By moving this movable tray up and down by hand, the used core supported by the support parts and the replacement toilet paper on the stationary part can be exchanged.