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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, 2019
Mar. 31, 2018
Dec. 31, 2018
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Total revenue $ 973.7 $ 847.5  
Total cost of revenue 304.1 253.7  
Cost of revenue:      
Gross profit 669.6 593.8  
Operating expenses:      
Selling, general and administrative 273.4 221.6  
Research and development 144.0 95.5  
Total operating expenses 417.4 317.1  
Income from operations 252.2 276.7  
Interest and other income, net 27.5 13.2  
Income before taxes 279.7 289.9  
Income tax expense (benefit) (24.3) 2.6  
Net income attributable to Intuitive Surgical, Inc. $ 306.5 $ 287.6  
Net income per share attributable to Intuitive Surgical, Inc.:      
Basic (in dollars per share) $ 2.67 $ 2.55  
Diluted (in dollars per share) $ 2.56 $ 2.44  
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 319.1 $ 285.0  
ASSETS      
Accounts receivable, net 547.6   $ 682.3
Prepaids and other current assets 200.4   178.8
Deferred tax assets 392.4   428.6
Intangible and other assets, net 378.7   261.0
LIABILITIES AND STOCKHOLDERS’ EQUITY      
Deferred revenue 298.4   294.3
Other accrued liabilities 186.1   231.8
Retained earnings 1,696.0   $ 1,521.7
Product      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Total revenue 799.8 694.8  
Total cost of revenue 246.4 201.5  
Service      
New Accounting Pronouncements or Change in Accounting Principle [Line Items]      
Total revenue 173.9 152.7  
Total cost of revenue $ 57.7 $ 52.2