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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 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue $ 920.9 $ 807.8 $ 2,677.7 $ 2,246.2  
Total cost of revenue 278.6 239.7 809.3 678.2  
Cost of revenue:          
Gross profit 642.3 568.1 1,868.4 1,568.0  
Operating expenses:          
Selling, general and administrative 221.4 204.1 702.8 592.6  
Research and development 107.6 83.4 298.2 241.5  
Total operating expenses 329.0 287.5 1,001.0 834.1  
Income from operations 313.3 280.6 867.4 733.9  
Interest and other income, net 21.9 10.8 53.3 29.6  
Income before taxes 335.2 291.4 920.7 763.5  
Income tax expense (benefit) 43.4 (7.2) 87.0 61.1  
Net income attributable to Intuitive Surgical, Inc. $ 292.5 $ 298.6 $ 835.4 $ 702.4  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share) $ 2.57 $ 2.67 $ 7.37 $ 6.29  
Diluted (in dollars per share) $ 2.45 $ 2.56 $ 7.04 $ 6.06  
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 292.2 $ 299.2 $ 834.2 $ 702.1  
ASSETS          
Accounts receivable, net 580.4   580.4   $ 507.9
Prepaids and other current assets 166.2   166.2   99.2
Deferred tax assets 411.5   411.5   72.0
Intangible and other assets, net 237.4   237.4   195.8
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Deferred revenue 281.0   281.0   243.8
Other accrued liabilities 179.8   179.8   168.9
Retained earnings 1,234.0   1,234.0   115.0
Product          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue 760.9 663.2 2,209.2 1,823.7  
Total cost of revenue 225.1 195.4 654.7 545.6  
Service          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue 160.0 144.6 468.5 422.5  
Total cost of revenue $ 53.5 44.3 $ 154.6 132.6  
ASC 606          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   807.8   2,246.2  
Total cost of revenue   239.7   678.2  
Cost of revenue:          
Gross profit   568.1   1,568.0  
Operating expenses:          
Selling, general and administrative   204.1   592.6  
Research and development   83.4   241.5  
Total operating expenses   287.5   834.1  
Income from operations   280.6   733.9  
Interest and other income, net   10.8   29.6  
Income before taxes   291.4   763.5  
Income tax expense (benefit)   (7.2)   61.1  
Net income attributable to Intuitive Surgical, Inc.   $ 298.6   $ 702.4  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share)   $ 2.67   $ 6.29  
Diluted (in dollars per share)   $ 2.56   $ 6.06  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 299.2   $ 702.1  
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 | Product          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   663.2   1,823.7  
Total cost of revenue   195.4   545.6  
ASC 606 | Service          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   144.6   422.5  
Total cost of revenue   44.3   132.6  
ASC 606 | As Previously Reported          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   806.1   2,236.5  
Total cost of revenue   239.3   675.7  
Cost of revenue:          
Gross profit   566.8   1,560.8  
Operating expenses:          
Selling, general and administrative   204.8   591.7  
Research and development   83.4   241.5  
Total operating expenses   288.2   833.2  
Income from operations   278.6   727.6  
Interest and other income, net   10.8   29.6  
Income before taxes   289.4   757.2  
Income tax expense (benefit)   (8.1)   58.4  
Net income attributable to Intuitive Surgical, Inc.   $ 297.5   $ 698.8  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share)   $ 2.66   $ 6.26  
Diluted (in dollars per share)   $ 2.55   $ 6.03  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 298.1   $ 698.5  
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 | As Previously Reported | Product          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   659.3   1,807.5  
Total cost of revenue   195.0   543.1  
ASC 606 | As Previously Reported | Service          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   146.8   429.0  
Total cost of revenue   44.3   132.6  
ASC 606 | Adjustments          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   1.7   9.7  
Total cost of revenue   0.4   2.5  
Cost of revenue:          
Gross profit   1.3   7.2  
Operating expenses:          
Selling, general and administrative   (0.7)   0.9  
Research and development   0.0   0.0  
Total operating expenses   (0.7)   0.9  
Income from operations   2.0   6.3  
Interest and other income, net   0.0   0.0  
Income before taxes   2.0   6.3  
Income tax expense (benefit)   0.9   2.7  
Net income attributable to Intuitive Surgical, Inc.   $ 1.1   $ 3.6  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share)   $ 0.01   $ 0.03  
Diluted (in dollars per share)   $ 0.01   $ 0.03  
Total comprehensive income attributable to Intuitive Surgical, Inc.   $ 1.1   $ 3.6  
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
ASC 606 | Adjustments | Product          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   3.9   16.2  
Total cost of revenue   0.4   2.5  
ASC 606 | Adjustments | Service          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue   (2.2)   (6.5)  
Total cost of revenue   $ 0.0   $ 0.0