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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Schedule of Impact of Adopting New Standard (Details) - USD ($)
$ / shares in Units, $ in Millions
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Dec. 31, 2017
Revenue:      
Product $ 694.8 $ 541.6  
Service 152.7 138.0  
Total revenue 847.5 679.6  
Cost of revenue:      
Product 201.5 165.5  
Service 52.2 44.3  
Total cost of revenue 253.7 209.8  
Gross profit 593.8 469.8  
Operating expenses:      
Selling, general and administrative 221.6 202.9  
Research and development 95.5 73.5  
Total operating expenses 317.1 276.4  
Income from operations 276.7 193.4  
Interest and other income, net 13.2 8.7  
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest 289.9 202.1  
Income tax expense 2.6 21.3  
Net income $ 287.3 $ 180.8  
Net income per share attributable to Intuitive Surgical, Inc.:      
Basic (in dollars per share) $ 2.55 $ 1.62  
Diluted (in dollars per share) $ 2.44 $ 1.57  
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 285.0 $ 181.7  
ASSETS      
Accounts receivable, net 474.9   $ 507.9
Prepaids and other current assets 105.9   99.2
Deferred tax assets 426.8   72.0
Intangible and other assets, net 203.8   195.8
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Deferred revenue 254.6   243.8
Other accrued liabilities 126.7   168.9
Other long-term liabilities 21.2   22.0
Retained earnings $ 698.0   115.0
ASC 606      
Revenue:      
Product   541.6  
Service   138.0  
Total revenue   679.6  
Cost of revenue:      
Product   165.5  
Service   44.3  
Total cost of revenue   209.8  
Gross profit   469.8  
Operating expenses:      
Selling, general and administrative   202.9  
Research and development   73.5  
Total operating expenses   276.4  
Income from operations   193.4  
Interest and other income, net   8.7  
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest   202.1  
Income tax expense   21.3  
Net income   $ 180.8  
Net income per share attributable to Intuitive Surgical, Inc.:      
Basic (in dollars per share)   $ 1.62  
Diluted (in dollars per share)   $ 1.57  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 181.7  
ASSETS      
Accounts receivable, net     507.9
Prepaids and other current assets     99.2
Deferred tax assets     72.0
Intangible and other assets, net     195.8
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Deferred revenue     243.8
Other accrued liabilities     168.9
Other long-term liabilities     333.6
Retained earnings     115.0
ASC 606 | As Previously Reported      
Revenue:      
Product   534.0  
Service   140.2  
Total revenue   674.2  
Cost of revenue:      
Product   163.8  
Service   44.3  
Total cost of revenue   208.1  
Gross profit   466.1  
Operating expenses:      
Selling, general and administrative   201.1  
Research and development   73.5  
Total operating expenses   274.6  
Income from operations   191.5  
Interest and other income, net   8.7  
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest   200.2  
Income tax expense   20.4  
Net income   $ 179.8  
Net income per share attributable to Intuitive Surgical, Inc.:      
Basic (in dollars per share)   $ 1.61  
Diluted (in dollars per share)   $ 1.56  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 180.7  
ASSETS      
Accounts receivable, net     511.9
Prepaids and other current assets     97.2
Deferred tax assets     87.3
Intangible and other assets, net     159.7
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Deferred revenue     284.5
Other accrued liabilities     169.5
Other long-term liabilities     327.1
Retained earnings     61.4
ASC 606 | Adjustments      
Revenue:      
Product   7.6  
Service   (2.2)  
Total revenue   5.4  
Cost of revenue:      
Product   1.7  
Service   0.0  
Total cost of revenue   1.7  
Gross profit   3.7  
Operating expenses:      
Selling, general and administrative   1.8  
Research and development   0.0  
Total operating expenses   1.8  
Income from operations   1.9  
Interest and other income, net   0.0  
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest   1.9  
Income tax expense   0.9  
Net income   $ 1.0  
Net income per share attributable to Intuitive Surgical, Inc.:      
Basic (in dollars per share)   $ 0.01  
Diluted (in dollars per share)   $ 0.01  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 1.0  
ASSETS      
Accounts receivable, net     (4.0)
Prepaids and other current assets     2.0
Deferred tax assets     (15.3)
Intangible and other assets, net     36.1
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Deferred revenue     (40.7)
Other accrued liabilities     (0.6)
Other long-term liabilities     6.5
Retained earnings     $ 53.6