Medical image fusion is an important technique to address the limited depth of the optical lens for a completely informative focused image. It can well improve the accuracy of diagnosis and assessment of medical problems. However, the difficulty of many traditional fusion methods in preserving all the significant features of the source images compromises the clinical accuracy of medical problems. Thus, we propose a novel medical image fusion method with a low-level feature to deal with the problem. We decompose the source images into base layers and detail layers with local binary pattern operators for obtaining low-level features. The low-level features of the base and detail layers are applied to construct weight maps by using saliency detection. The weight map optimized by fast guided filtering guides the fusion of base and detail layers to maintain the spatial consistency between the source images and their corresponding layers. The recombination of the fused base and detail layers constructs the final fused image. The experimental results demonstrated that the proposed method achieved a state-of-the-art performance for multifocus images.