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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Sep. 30, 2015
Jun. 30, 2019
Jun. 30, 2018
Revenue:          
Total revenue $ 1,098.9 $ 909.3   $ 2,072.6 $ 1,756.8
Cost of revenue:          
Total cost of revenue 339.9 277.0   644.0 530.7
Gross profit 759.0 632.3   1,428.6 1,226.1
Operating expenses:          
Selling, general and administrative 279.2 259.8   552.6 481.4
Research and development 120.8 95.1   264.8 190.6
Total operating expenses 400.0 354.9   817.4 672.0
Income from operations 359.0 277.4   611.2 554.1
Interest and other income, net 32.8 18.2   60.3 31.4
Income before taxes 391.8 295.6   671.5 585.5
Income tax expense 75.4 41.0 $ 29.3 51.1 43.6
Net income 316.4 254.6   620.4 541.9
Less: net loss attributable to noncontrolling interest in joint venture (1.9) (0.7)   (4.4) (1.0)
Net income attributable to Intuitive Surgical, Inc. $ 318.3 $ 255.3   $ 624.8 $ 542.9
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share) $ 2.76 $ 2.25   $ 5.42 $ 4.80
Diluted (in dollars per share) $ 2.67 $ 2.15   $ 5.23 $ 4.59
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in shares) 115.4 113.5   115.2 113.2
Diluted (in shares) 119.3 118.5   119.4 118.3
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 335.1 $ 257.0   $ 654.2 $ 542.0
Product          
Revenue:          
Total revenue 922.3 753.5   1,722.1 1,448.3
Cost of revenue:          
Total cost of revenue 283.4 228.1   529.8 429.6
Service          
Revenue:          
Total revenue 176.6 155.8   350.5 308.5
Cost of revenue:          
Total cost of revenue $ 56.5 $ 48.9   $ 114.2 $ 101.1