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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 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Dec. 31, 2017
Revenue:          
Product $ 753.5 $ 618.9 $ 1,448.3 $ 1,160.5  
Service 155.8 139.9 308.5 277.9  
Total revenue 909.3 758.8 1,756.8 1,438.4  
Cost of revenue:          
Product 228.1 184.7 429.6 350.2  
Service 48.9 44.0 101.1 88.3  
Total cost of revenue 277.0 228.7 530.7 438.5  
Gross profit 632.3 530.1 1,226.1 999.9  
Operating expenses:          
Selling, general and administrative 259.8 185.6 481.4 388.5  
Research and development 95.1 84.6 190.6 158.1  
Total operating expenses 354.9 270.2 672.0 546.6  
Income from operations 277.4 259.9 554.1 453.3  
Interest and other income, net 18.2 10.1 31.4 18.8  
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest 295.6 270.0 585.5 472.1  
Income tax expense 41.0 47.0 43.6 68.3  
Net income attributable to Intuitive Surgical, Inc. $ 255.3 $ 223.0 $ 542.9 $ 403.8  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share) $ 2.25 $ 2.01 $ 4.80 $ 3.62  
Diluted (in dollars per share) $ 2.15 $ 1.94 $ 4.59 $ 3.50  
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 257.0 $ 221.2 $ 542.0 $ 402.9  
ASSETS          
Accounts receivable, net 532.5   532.5   $ 507.9
Prepaids and other current assets 189.6   189.6   99.2
Deferred tax assets 415.4   415.4   72.0
Intangible and other assets, net 221.3   221.3   195.8
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Deferred revenue 272.1   272.1   243.8
Other accrued liabilities 164.1   164.1   168.9
Retained earnings $ 948.1   $ 948.1   115.0
ASC 606          
Revenue:          
Product   618.9   1,160.5  
Service   139.9   277.9  
Total revenue   758.8   1,438.4  
Cost of revenue:          
Product   184.7   350.2  
Service   44.0   88.3  
Total cost of revenue   228.7   438.5  
Gross profit   530.1   999.9  
Operating expenses:          
Selling, general and administrative   185.6   388.5  
Research and development   84.6   158.1  
Total operating expenses   270.2   546.6  
Income from operations   259.9   453.3  
Interest and other income, net   10.1   18.8  
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest   270.0   472.1  
Income tax expense   47.0   68.3  
Net income attributable to Intuitive Surgical, Inc.   $ 223.0   $ 403.8  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share)   $ 2.01   $ 3.62  
Diluted (in dollars per share)   $ 1.94   $ 3.50  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 221.2   $ 402.9  
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   614.2   1,148.2  
Service   142.0   282.2  
Total revenue   756.2   1,430.4  
Cost of revenue:          
Product   184.3   348.1  
Service   44.0   88.3  
Total cost of revenue   228.3   436.4  
Gross profit   527.9   994.0  
Operating expenses:          
Selling, general and administrative   185.8   386.9  
Research and development   84.6   158.1  
Total operating expenses   270.4   545.0  
Income from operations   257.5   449.0  
Interest and other income, net   10.1   18.8  
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest   267.6   467.8  
Income tax expense   46.1   66.5  
Net income attributable to Intuitive Surgical, Inc.   $ 221.5   $ 401.3  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share)   $ 2.00   $ 3.60  
Diluted (in dollars per share)   $ 1.92   $ 3.47  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 219.7   $ 400.4  
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   4.7   12.3  
Service   (2.1)   (4.3)  
Total revenue   2.6   8.0  
Cost of revenue:          
Product   0.4   2.1  
Service   0.0   0.0  
Total cost of revenue   0.4   2.1  
Gross profit   2.2   5.9  
Operating expenses:          
Selling, general and administrative   (0.2)   1.6  
Research and development   0.0   0.0  
Total operating expenses   (0.2)   1.6  
Income from operations   2.4   4.3  
Interest and other income, net   0.0   0.0  
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest   2.4   4.3  
Income tax expense   0.9   1.8  
Net income attributable to Intuitive Surgical, Inc.   $ 1.5   $ 2.5  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share)   $ 0.01   $ 0.02  
Diluted (in dollars per share)   $ 0.02   $ 0.03  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 1.5   $ 2.5  
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