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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, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue $ 1,128.2 $ 920.9 $ 3,200.8 $ 2,677.7  
Total cost of revenue 342.6 278.6 986.6 809.3  
Cost of revenue:          
Gross profit 785.6 642.3 2,214.2 1,868.4  
Operating expenses:          
Selling, general and administrative 284.0 221.4 836.6 702.8  
Research and development 135.9 107.6 400.7 298.2  
Total operating expenses 419.9 329.0 1,237.3 1,001.0  
Income from operations 365.7 313.3 976.9 867.4  
Interest and other income, net 33.3 21.9 93.6 53.3  
Income before taxes 399.0 335.2 1,070.5 920.7  
Income tax expense 0.3 43.4 51.4 87.0  
Net income attributable to Intuitive Surgical, Inc. $ 396.8 $ 292.5 $ 1,021.6 $ 835.4  
Net income per share attributable to Intuitive Surgical, Inc.:          
Basic (in dollars per share) $ 3.44 $ 2.57 $ 8.86 $ 7.37  
Diluted (in dollars per share) $ 3.33 $ 2.45 $ 8.56 $ 7.04  
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 398.5 $ 292.2 $ 1,052.7 $ 834.2  
ASSETS          
Accounts receivable, net 639.0   639.0   $ 682.3
Prepaids and other current assets 200.8   200.8   178.8
Deferred tax assets 424.1   424.1   428.6
Intangible and other assets, net 415.7   415.7   261.0
LIABILITIES AND STOCKHOLDERS’ EQUITY          
Deferred revenue 307.6   307.6   294.3
Other accrued liabilities 303.5   303.5   231.8
Retained earnings 2,142.6   2,142.6   $ 1,521.7
Product          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue 944.8 760.9 2,666.9 2,209.2  
Total cost of revenue 277.3 225.1 807.1 654.7  
Service          
New Accounting Pronouncements or Change in Accounting Principle [Line Items]          
Total revenue 183.4 160.0 533.9 468.5  
Total cost of revenue $ 65.3 $ 53.5 $ 179.5 $ 154.6