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Consolidated Statements Of Comprehensive Income - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Statement of Comprehensive Income [Abstract]      
Net income attributable to Intuitive Surgical, Inc. $ 1,127.9 $ 670.9 $ 738.3
Other comprehensive income (loss):      
Change in foreign currency translation gains (losses) (2.6) 3.6 2.0
Available-for-sale investments (net of tax):      
Change in unrealized gains (losses) 0.3 (2.7) (4.6)
Less: Reclassification adjustment for net losses on investments 1.2 0.0 0.2
Net change 1.5 (2.7) (4.4)
Derivative instruments (net of tax):      
Change in unrealized gains (losses) 3.6 (8.6) 4.1
Less: Reclassification adjustment for (gains) losses on derivative instruments (1.0) 1.2 (0.6)
Net change 2.6 (7.4) 3.5
Employee benefit plans (net of tax):      
Change in unrealized gains (losses) 0.4 (0.3) (0.7)
Less: Reclassification adjustment for losses on employee benefit plans 0.3 0.2 0.2
Net change 0.7 (0.1) (0.5)
Other comprehensive gains (losses) 2.2 (6.6) 0.6
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 1,130.1 $ 664.3 $ 738.9