<SEC-DOCUMENT>0001035267-20-000071.txt : 20200408
<SEC-HEADER>0001035267-20-000071.hdr.sgml : 20200408
<ACCEPTANCE-DATETIME>20200408091736
ACCESSION NUMBER:		0001035267-20-000071
CONFORMED SUBMISSION TYPE:	8-K
PUBLIC DOCUMENT COUNT:		15
CONFORMED PERIOD OF REPORT:	20200408
ITEM INFORMATION:		Results of Operations and Financial Condition
ITEM INFORMATION:		Financial Statements and Exhibits
FILED AS OF DATE:		20200408
DATE AS OF CHANGE:		20200408

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			INTUITIVE SURGICAL INC
		CENTRAL INDEX KEY:			0001035267
		STANDARD INDUSTRIAL CLASSIFICATION:	ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
		IRS NUMBER:				770416458
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		8-K
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-30713
		FILM NUMBER:		20781273

	BUSINESS ADDRESS:	
		STREET 1:		1020 KIFER ROAD
		CITY:			SUNNYVALE
		STATE:			CA
		ZIP:			94086
		BUSINESS PHONE:		4085232100

	MAIL ADDRESS:	
		STREET 1:		1020 KIFER ROAD
		CITY:			SUNNYVALE
		STATE:			CA
		ZIP:			94086
</SEC-HEADER>
<DOCUMENT>
<TYPE>8-K
<SEQUENCE>1
<FILENAME>isrg-20200408.htm
<DESCRIPTION>8-K
<TEXT>
<XBRL>
<?xml version="1.0" ?><!--XBRL Document Created with Wdesk from Workiva--><!--Copyright 2020 Workiva--><!--r:e41ead4d-6707-46d6-959d-1487d9a867d9,g:fecafaa9-21d8-4c3b-bd50-b85d6ee9e903,d:6f86f54559a74141b6f9355589adce4c--><html xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:dei="http://xbrl.sec.gov/dei/2019-01-31" xmlns="http://www.w3.org/1999/xhtml" xmlns:xbrli="http://www.xbrl.org/2003/instance" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:ix="http://www.xbrl.org/2013/inlineXBRL" xmlns:ixt="http://www.xbrl.org/inlineXBRL/transformation/2015-02-26" xmlns:ixt-sec="http://www.sec.gov/inlineXBRL/transformation/2015-08-31"><head><meta http-equiv="Content-Type" content="text/html"/>


<title>isrg-20200408</title></head><body><div style="display:none"><ix:header><ix:hidden><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:EntityCentralIndexKey" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y180L2ZyYWc6MmFlM2Q5MTQ1NzNkNDZlZmE4NjhkNTcwNTViMjJhOGQvdGFibGU6YWZmMzY0NWY5MjQ2NGZmM2I1N2ZjMWFkODM2ZjhlZjMvdGFibGVyYW5nZTphZmYzNjQ1ZjkyNDY0ZmYzYjU3ZmMxYWQ4MzZmOGVmM18zLTEtMS0xLTA_fa0c7606-0cc0-4c19-a2ca-11b96289ef68">0001035267</ix:nonNumeric><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt:booleanfalse" name="dei:AmendmentFlag" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y180L2ZyYWc6MmFlM2Q5MTQ1NzNkNDZlZmE4NjhkNTcwNTViMjJhOGQvdGFibGU6YWZmMzY0NWY5MjQ2NGZmM2I1N2ZjMWFkODM2ZjhlZjMvdGFibGVyYW5nZTphZmYzNjQ1ZjkyNDY0ZmYzYjU3ZmMxYWQ4MzZmOGVmM182LTEtMS0xLTA_29e548c2-ed63-4a75-b995-213c84c4511f">FALSE</ix:nonNumeric></ix:hidden><ix:references><link:schemaRef xlink:type="simple" xlink:href="isrg-20200408.xsd"></link:schemaRef></ix:references><ix:resources><xbrli:context id="icf41407070484a6b834b135acb31e1da_D20200408-20200408"><xbrli:entity><xbrli:identifier scheme="http://www.sec.gov/CIK">0001035267</xbrli:identifier></xbrli:entity><xbrli:period><xbrli:startDate>2020-04-08</xbrli:startDate><xbrli:endDate>2020-04-08</xbrli:endDate></xbrli:period></xbrli:context><xbrli:context id="idc20b9183ca545fea1d668a38317a8db_D20200409-20200409"><xbrli:entity><xbrli:identifier scheme="http://www.sec.gov/CIK">0001035267</xbrli:identifier></xbrli:entity><xbrli:period><xbrli:startDate>2020-04-09</xbrli:startDate><xbrli:endDate>2020-04-09</xbrli:endDate></xbrli:period></xbrli:context></ix:resources></ix:header></div><div id="i6f86f54559a74141b6f9355589adce4c_1"></div><div style="height:42.75pt;width:100%;"><div><span><br/></span></div></div><div style="text-align:center;margin-top:3pt;"><span><br/></span></div><div style="text-align:center;margin-top:3pt;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.853%;"><tr><td style="width:1.0%;"></td><td style="width:98.000%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;border-top:1pt solid #000000;border-bottom:1pt solid #000000;padding-left:1pt;padding-right:1pt;"></td></tr></table></div><div style="text-align:center;margin-top:12pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:18pt;font-weight:700;line-height:120%;">UNITED STATES</span></div><div style="text-align:center;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:18pt;font-weight:700;line-height:120%;">SECURITIES AND EXCHANGE COMMISSION</span></div><div style="text-align:center;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%;">Washington, D.C.&#160;20549</span><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">&#160;</span></div><div style="text-align:center;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:19.444%;"><tr><td style="width:1.0%;"></td><td style="width:98.000%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;border-bottom:1pt solid #000000;padding-left:1pt;padding-right:1pt;"></td></tr></table></div><div style="text-align:center;margin-top:6pt;margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:18pt;font-weight:700;line-height:120%;">FORM <ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:DocumentType" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMTk3_e294f67d-c939-44ae-bdd0-8ba176466ccd">8-K</ix:nonNumeric></span><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">&#160;</span></div><div style="text-align:center;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:19.444%;"><tr><td style="width:1.0%;"></td><td style="width:98.000%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;border-top:1pt solid #000000;padding-left:1pt;padding-right:1pt;"></td></tr></table></div><div style="text-align:center;margin-top:3pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%;">CURRENT REPORT</span></div><div style="text-align:center;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%;">Pursuant to Section&#160;13 or 15(d)</span></div><div style="text-align:center;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%;">of The Securities Exchange Act of 1934</span></div><div style="text-align:center;margin-top:9pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%;">Date of Report (Date of earliest event reported): <ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt:datemonthdayyearen" name="dei:DocumentPeriodEndDate" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMDk5NTExNjI5MDI4_55ee42ca-861d-481b-9dff-557ac754343c">April&#160;8, 2020</ix:nonNumeric> </span></div><div style="text-align:center;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:19.444%;"><tr><td style="width:1.0%;"></td><td style="width:98.000%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;border-bottom:1pt solid #000000;padding-left:1pt;padding-right:1pt;"></td></tr></table></div><div style="text-align:center;margin-top:9pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:24pt;font-weight:700;line-height:120%;"><ix:nonNumeric contextRef="idc20b9183ca545fea1d668a38317a8db_D20200409-20200409" name="dei:EntityRegistrantName" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMTk4_c9f60302-21db-4813-8bfc-5ce0e59cee0f">INTUITIVE SURGICAL, INC.</ix:nonNumeric></span></div><div style="text-align:center;margin-bottom:9pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;">(Exact name of registrant as specified in its charter)</span></div><div style="text-align:center;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:19.444%;"><tr><td style="width:1.0%;"></td><td style="width:98.000%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;border-top:1pt solid #000000;padding-left:1pt;padding-right:1pt;"></td></tr></table></div><div style="text-align:center;"><span><br/></span></div><div style="text-align:center;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.561%;"><tr><td style="width:1.0%;"></td><td style="width:23.403%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:9.894%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:23.403%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:9.894%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:23.406%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="idc20b9183ca545fea1d668a38317a8db_D20200409-20200409" format="ixt-sec:stateprovnameen" name="dei:EntityIncorporationStateCountryCode" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6OWZmYTIyMzUzODYxNDE1OGJlY2Q4Yzk1NTYyZWQ2MzcvdGFibGVyYW5nZTo5ZmZhMjIzNTM4NjE0MTU4YmVjZDhjOTU1NjJlZDYzN18wLTAtMS0xLTA_7f252a24-d0b2-48e7-8070-d1a98da2b2de">Delaware</ix:nonNumeric></span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:EntityFileNumber" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6OWZmYTIyMzUzODYxNDE1OGJlY2Q4Yzk1NTYyZWQ2MzcvdGFibGVyYW5nZTo5ZmZhMjIzNTM4NjE0MTU4YmVjZDhjOTU1NjJlZDYzN18wLTItMS0xLTA_3a63b7e9-81f2-4f0b-a588-d5be38c02072">000-30713</ix:nonNumeric></span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:EntityTaxIdentificationNumber" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6OWZmYTIyMzUzODYxNDE1OGJlY2Q4Yzk1NTYyZWQ2MzcvdGFibGVyYW5nZTo5ZmZhMjIzNTM4NjE0MTU4YmVjZDhjOTU1NjJlZDYzN18wLTQtMS0xLTA_df591a32-bb2a-495b-a5c3-e8ca40c47aa7">77-0416458</ix:nonNumeric></span></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">(State or other jurisdiction<br/>of incorporation)</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">(Commission<br/>File Number)</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">(I.R.S. Employer<br/>Identification No.)</span></td></tr></table></div><div style="text-align:center;margin-top:9pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:EntityAddressAddressLine1" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMTk5_7b866645-400a-4f19-8113-2085b65df998">1020 Kifer Road</ix:nonNumeric></span></div><div style="text-align:center;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:EntityAddressCityOrTown" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjAw_162757bb-e7ed-495e-a60c-d1d37e3601d1">Sunnyvale</ix:nonNumeric>, <ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt-sec:stateprovnameen" name="dei:EntityAddressStateOrProvince" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjAx_80f02cb0-53b3-4ac5-afb7-6f1e9231d60f">California</ix:nonNumeric>&#160;<ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:EntityAddressPostalZipCode" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjA1_30f05538-73bd-496c-9817-c6d50374c0b0">94086</ix:nonNumeric></span></div><div style="text-align:center;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-weight:700;line-height:120%;">(Address of principal executive offices) (zip code)</span></div><div style="text-align:center;margin-top:9pt;margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;">Registrant&#8217;s telephone number, including area code: (<ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:CityAreaCode" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjAy_849d2aee-1b42-4de1-8cbe-5cdb4fc54e2c">408</ix:nonNumeric>)&#160;<ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:LocalPhoneNumber" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjAz_5e95d601-09f5-4e09-8634-93bd2f2fe98d">523-2100</ix:nonNumeric></span></div><div style="text-align:center;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:19.444%;"><tr><td style="width:1.0%;"></td><td style="width:98.000%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;border-top:1pt solid #000000;padding-left:1pt;padding-right:1pt;"></td></tr></table></div><div style="text-align:center;"><span><br/></span></div><div style="text-align:justify;margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:</span></div><div><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.853%;"><tr><td style="width:1.0%;"></td><td style="width:1.953%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:94.047%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Wingdings',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt:booleanfalse" name="dei:WrittenCommunications" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6MGQxMzZhYmI2NzU2NGE1MjkxYTUwNjgwYzY2OWI3OTIvdGFibGVyYW5nZTowZDEzNmFiYjY3NTY0YTUyOTFhNTA2ODBjNjY5Yjc5Ml8wLTAtMS0xLTA_d7e033bb-761a-4b80-9bac-fb638f33d50f">&#168;</ix:nonNumeric></span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)</span></td></tr></table></div><div><span><br/></span></div><div><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.853%;"><tr><td style="width:1.0%;"></td><td style="width:1.953%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:94.047%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Wingdings',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt:booleanfalse" name="dei:SolicitingMaterial" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6NGU5MWI4NTJiZDEwNDU2Mzg3M2M4ZTg2ODU3NmFhNjAvdGFibGVyYW5nZTo0ZTkxYjg1MmJkMTA0NTYzODczYzhlODY4NTc2YWE2MF8wLTAtMS0xLTA_6c70c0b5-5b32-46cd-9bbc-7be82d898523">&#168;</ix:nonNumeric></span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)</span></td></tr></table></div><div><span><br/></span></div><div><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.853%;"><tr><td style="width:1.0%;"></td><td style="width:1.953%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:94.047%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Wingdings',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt:booleanfalse" name="dei:PreCommencementTenderOffer" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6YThlYjA2OGU1OGU1NDU5MzkyMjMwMDY2MzFlNTdlNzIvdGFibGVyYW5nZTphOGViMDY4ZTU4ZTU0NTkzOTIyMzAwNjYzMWU1N2U3Ml8wLTAtMS0xLTA_7cc4bf58-87c3-495f-9905-755de402b2eb">&#168;</ix:nonNumeric></span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))</span></td></tr></table></div><div><span><br/></span></div><div><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.853%;"><tr><td style="width:1.0%;"></td><td style="width:1.953%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:94.047%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Wingdings',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt:booleanfalse" name="dei:PreCommencementIssuerTenderOffer" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6OTg3MjgyYTVmMjg3NGZkZGI2NjdjNTFkNjI5YzU5MzYvdGFibGVyYW5nZTo5ODcyODJhNWYyODc0ZmRkYjY2N2M1MWQ2MjljNTkzNl8wLTAtMS0xLTA_a63c6c31-f560-41d4-bbba-096beeed6ecc">&#168;</ix:nonNumeric></span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:top;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))</span></td></tr></table></div><div style="text-align:center;"><span><br/></span></div><div style="text-align:center;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.853%;"><tr><td style="width:1.0%;"></td><td style="width:35.481%;"></td><td style="width:1.0%;"></td><td style="width:0.1%;"></td><td style="width:1.556%;"></td><td style="width:0.1%;"></td><td style="width:1.0%;"></td><td style="width:21.426%;"></td><td style="width:1.0%;"></td><td style="width:0.1%;"></td><td style="width:1.996%;"></td><td style="width:0.1%;"></td><td style="width:1.0%;"></td><td style="width:33.141%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Title&#160;of&#160;each&#160;class</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:1pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Trading&#160;Symbol(s)</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:1pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Name&#160;of&#160;each&#160;exchange&#160;on&#160;which&#160;registered</span></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;border-top:1pt solid #000000;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:Security12bTitle" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6NzhmOTI1MWNkMjAxNDdiZmJiZWEzZTA3N2E2ZGUzNTQvdGFibGVyYW5nZTo3OGY5MjUxY2QyMDE0N2JmYmJlYTNlMDc3YTZkZTM1NF8xLTAtMS0xLTA_a9a6915b-8c94-48d5-b453-c677a55f34f5">Common Stock, par value $0.001 per share</ix:nonNumeric></span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:1pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;border-top:1pt solid #000000;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" name="dei:TradingSymbol" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6NzhmOTI1MWNkMjAxNDdiZmJiZWEzZTA3N2E2ZGUzNTQvdGFibGVyYW5nZTo3OGY5MjUxY2QyMDE0N2JmYmJlYTNlMDc3YTZkZTM1NF8xLTItMS0xLTA_61196aa9-0990-43d5-9f0f-8b2ea3456eb2">ISRG</ix:nonNumeric></span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:1pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:center;vertical-align:bottom;border-top:1pt solid #000000;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt-sec:exchnameen" name="dei:SecurityExchangeName" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6NzhmOTI1MWNkMjAxNDdiZmJiZWEzZTA3N2E2ZGUzNTQvdGFibGVyYW5nZTo3OGY5MjUxY2QyMDE0N2JmYmJlYTNlMDc3YTZkZTM1NF8xLTQtMS0xLTA_8583f2ab-d1c5-4921-93c0-4d2102753a11">The Nasdaq Global Select Market</ix:nonNumeric></span></td></tr></table></div><div style="text-align:justify;margin-top:6pt;margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (&#167;230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (&#167;240.12b-2 of this chapter).</span></div><div style="text-align:justify;margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">Emerging growth company </span><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Wingdings',sans-serif;font-size:10pt;font-weight:400;line-height:120%;"><ix:nonNumeric contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408" format="ixt:booleanfalse" name="dei:EntityEmergingGrowthCompany" id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjA0_45fa73e1-7e36-47b7-870e-a1d8d1e52a4f">&#168;</ix:nonNumeric></span><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">&#160;&#160;</span></div><div style="margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.&#160;</span><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Wingdings',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">&#168;</span><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">&#160;&#160;</span></div><div style="margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.853%;"><tr><td style="width:1.0%;"></td><td style="width:98.000%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;border-top:1pt solid #000000;border-bottom:1pt solid #000000;padding-left:1pt;padding-right:1pt;"></td></tr></table></div><div><span><br/></span></div><hr style="page-break-after:always"/><div id="i6f86f54559a74141b6f9355589adce4c_7"></div><div style="height:42.75pt;width:100%;"><div><span><br/></span></div></div><div style="margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.707%;"><tr><td style="width:1.0%;"></td><td style="width:8.703%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:87.297%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Item&#160;2.02.</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><div style="text-indent:-108pt;padding-left:108pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%;">Results of Operations and Financial Condition.</span></div></td></tr></table></div><div style="text-align:justify;margin-top:5pt;margin-bottom:5pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">On April 8, 2020, Intuitive Surgical, Inc. (&#8220;Intuitive&#8221;) issued a press release announcing certain unaudited preliminary operational results for the quarter ended March 31, 2020, and provided an update on the impact of COVID-19 on Intuitive. A copy of the press release is furnished hereto as Exhibit 99.1.</span></div><div style="text-align:justify;margin-bottom:6pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">The information in this Current Report on Form 8-K, including Exhibit 99.1, shall not be deemed &#8220;filed&#8221; for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the &#8220;Exchange Act&#8221;), or otherwise subject to the liabilities under that section and shall not be deemed to be incorporated by reference into any filing of Intuitive under the Securities Act of 1933, as amended, or the Exchange Act.</span></div><div id="i6f86f54559a74141b6f9355589adce4c_10"></div><div><span><br/></span></div><div style="margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.707%;"><tr><td style="width:1.0%;"></td><td style="width:8.703%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:87.297%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Item&#160;9.01.</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><div style="text-indent:-108pt;padding-left:108pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%;">Financial Statements and Exhibits.</span></div></td></tr></table></div><div style="margin-top:5pt;-sec-extract:summary;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">d) Exhibits.</span></div><div style="margin-top:9pt;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:99.707%;"><tr><td style="width:1.0%;"></td><td style="width:8.703%;"></td><td style="width:1.0%;"></td><td colspan="3" style="display:none;"></td><td style="width:1.0%;"></td><td style="width:87.297%;"></td><td style="width:1.0%;"></td><td colspan="3" style="display:none;"></td><td colspan="3" style="display:none;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Exhibit&#160;No.</span></td><td colspan="3" style="display:none;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:700;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Description</span></td><td colspan="3" style="display:none;"></td><td colspan="3" style="display:none;"></td></tr><tr><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="display:none;"></td><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="display:none;"></td><td colspan="3" style="display:none;"></td></tr><tr><td colspan="2" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:0%;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">99.1&#160;</span></td><td style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:right;vertical-align:bottom;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="display:none;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><div><span style="background-color:rgb(255,255,255, 0.0);color:#0000ff;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%;text-decoration: underline;"><a style="background-color:rgb(255,255,255, 0.0);color:#0000ff;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%;text-decoration: underline;-sec-extract:exhibit;" href="a20200331ex-991prelimi.htm">Press release issued by Intuitive Surgical, Inc., </a><a style="background-color:rgb(255,255,255, 0.0);color:#0000ff;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%;text-decoration: underline;-sec-extract:exhibit;" href="a20200331ex-991prelimi.htm">dated April 8, 2020.</a> </span></div></td><td colspan="3" style="display:none;"></td><td colspan="3" style="display:none;"></td></tr><tr><td colspan="2" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:0%;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">104&#160;</span></td><td style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:right;vertical-align:bottom;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="display:none;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Cover Page Interactive Data File (embedded within the Inline XBRL document)</span></td><td colspan="3" style="display:none;"></td><td colspan="3" style="display:none;"></td></tr></table></div><div style="margin-top:9pt;"><span><br/></span></div><div><span><br/></span></div><div style="position:relative;width:100%;height:42.75pt;"><div style="position:absolute;bottom:0;width:100%;"><div><span><br/></span></div></div></div><hr style="page-break-after:always"/><div id="i6f86f54559a74141b6f9355589adce4c_13"></div><div style="height:42.75pt;width:100%;"><div><span><br/></span></div></div><div style="text-align:center;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;">SIGNATURES</span></div><div style="text-align:justify;margin-top:9pt;margin-bottom:12pt;"><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.  </span></div><div style="margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:100.000%;"><tr><td colspan="3" style="display:none;"></td><td style="width:1.0%;"></td><td style="width:20.222%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:16.567%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:2.093%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:47.853%;"></td><td style="width:1.0%;"></td><td style="width:1.0%;"></td><td style="width:3.265%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="display:none;"></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="6" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">INTUITIVE SURGICAL, INC.</span></td><td colspan="3" style="display:none;"></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td></tr><tr><td colspan="3" style="display:none;"></td><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="6" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="display:none;"></td><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="height:3pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td></tr><tr><td colspan="3" style="display:none;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Date:  April 8, 2020</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">By:</span></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:10pt;font-weight:400;font-style:italic;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">/s/ Marshall L. Mohr</span></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td></tr><tr><td colspan="3" style="display:none;"></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;border-top:1pt solid #000000;padding-left:1pt;padding-right:1pt;"><div><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%;">&#160;&#160;&#160;&#160; Name:</span><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%;">&#160;Marshall L. Mohr</span></div></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td></tr><tr><td colspan="3" style="display:none;"></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><span style="font-size:8pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">&#160;</span></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><div><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%;">&#160;&#160;&#160;&#160; Title:</span><span style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%;"> Executive Vice President and Chief Financial Officer</span></div></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td></tr></table></div><div><span><br/></span></div><div style="position:relative;width:100%;height:42.75pt;"><div style="position:absolute;bottom:0;width:100%;"><div><span><br/></span></div></div></div></body></html>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-99.1
<SEQUENCE>2
<FILENAME>a20200331ex-991prelimi.htm
<DESCRIPTION>EX-99.1
<TEXT>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd"><html><head>
<!-- Document created using Wdesk -->
<!-- Copyright 2020 Workiva -->
<title>Document</title></head><body><div id="ie8ddcc29a0e4406da26604fef3e4980c_1"></div><div style="height:90pt;width:100%;"><div><font><br></font></div></div><div style="text-align:right;margin-bottom:12pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;">Exhibit 99.1</font></div><div style="text-align:center;margin-bottom:9pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;">Intuitive Announces Preliminary First Quarter Results&#59; Provides Update on COVID-19 Impact</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;">SUNNYVALE, Calif., April 08, 2020</font><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;"> &#8211; Intuitive (the &#8220;Company&#8221;) (Nasdaq&#58; ISRG), a global technology leader in minimally invasive care and the pioneer of robotic-assisted surgery, today announced certain unaudited preliminary first quarter 2020 operational results. Full financial results for the Company&#8217;s first quarter of 2020 will be provided on the Company&#8217;s earnings call scheduled for April 16, 2020.</font></div><div style="text-indent:-18pt;padding-left:36pt;text-align:justify;margin-bottom:3pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">&#8226;</font><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;padding-left:14.5pt;">First quarter 2020 estimated worldwide da Vinci procedures increased approximately 10% compared with the first quarter of 2019.  </font></div><div style="text-indent:-18pt;padding-left:36pt;text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">&#8226;</font><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;padding-left:14.5pt;">The Company shipped 237 da Vinci Surgical Systems in the first quarter of 2020 compared with 235 in the first quarter of 2019.  </font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">As previously disclosed in an 8-K filed on March 16, 2020, the Company experienced disruption of procedures in countries with healthcare systems impacted early by the COVID-19 outbreak. The Company indicated that procedure volume and system placement disruption would expand as the COVID-19 pandemic intensified, and the total impact of these disruptions could have a material impact on our financial results. In the latter half of March, the Company experienced a significant decline in procedure volume and postponements of system placements in the U.S. and Western Europe, as healthcare systems in those areas diverted resources to meet the increasing demands of managing COVID-19.</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">The Company is withdrawing its full year 2020 financial and procedure guidance. As the COVID-19 pandemic expands, unprecedented measures to slow the spread of the virus have been taken by governments and health care authorities globally, including the deferral of elective medical procedures and social contact restrictions, which have had, and will likely continue to have, a significant negative impact on our operations and financial results. Due to the uncertain scope and duration of the pandemic, and uncertain timing of global recovery and economic normalization, we cannot at this time estimate the future impact on our operations and financial results.</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">The Company is scheduled to report its first quarter 2020 results during a conference call on April 16, 2020, at which point the Company will discuss the first quarter 2020 financial results. Dial-in and webcast access information for both of these events are also available in the Investor Relations section of the Intuitive website.</font></div><div style="text-align:justify;margin-top:9pt;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;">About Intuitive</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">Intuitive&#160;(Nasdaq&#58; ISRG), headquartered in Sunnyvale, California, is a global technology leader in minimally invasive care and the pioneer of robotic-assisted surgery. At Intuitive, we believe that minimally invasive care is life-enhancing care. Through ingenuity and intelligent technology, we expand the potential of physicians to heal without constraints.</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">Intuitive brings more than two decades of leadership in robotic-assisted surgical technology and solutions to its offerings and develops, manufactures, and markets the da Vinci</font><sup style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:400;line-height:120%;vertical-align:top;">&#174;</sup><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;"> surgical system and the Ion</font><sup style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:400;line-height:120%;vertical-align:top;">TM</sup><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;"> endoluminal system.</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">Da Vinci</font><sup style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:400;line-height:120%;vertical-align:top;">&#174;</sup><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">, da Vinci X</font><sup style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:400;line-height:120%;vertical-align:top;">&#174;</sup><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">, da Vinci Xi</font><sup style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:400;line-height:120%;vertical-align:top;">&#174;</sup><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">, Ion</font><sup style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:400;line-height:120%;vertical-align:top;">TM</sup><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">, and SynchroSeal</font><sup style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:400;line-height:120%;vertical-align:top;">TM</sup><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;"> are trademarks or registered trademarks of Intuitive Surgical, Inc.</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">For more information, please visit the Company's website at </font><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;text-decoration: underline;">www.intuitive.com</font><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">.</font></div><div style="text-align:justify;margin-top:9pt;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%;">Forward-Looking Statements</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">The Company has not filed its Form 10-Q for the first quarter of 2020. As a result, all financial and operational results described in this press release should be considered preliminary and are subject to change to reflect any necessary corrections or adjustments, or changes in operational data and accounting estimates, that are identified prior to the time that the Company is in a position to complete these filings. Actual results could differ materially from these preliminary results.</font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">This press release contains forward-looking statements, including statements regarding the Company&#8217;s unaudited preliminary financial and operational results for the first quarter of 2020 and the expected impact of the COVID-19. </font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">These forward-looking statements are necessarily estimates reflecting the best judgment of the Company&#8217;s management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the forward-looking statements. </font></div><div style="text-align:justify;margin-bottom:6pt;"><font style="background-color:rgb(255,255,255, 0.0);color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;">These forward-looking statements should, therefore, be considered in light of various important factors, including, but not limited to, the following&#58; the ability of the Company to obtain accurate procedure volume in the midst of the COVID-19 pandemic, completion of the Company&#8217;s final closing procedures, final adjustments, and other developments that may arise in the course of review procedures&#59; the risk that the COVID-19 pandemic could lead to material delays and cancellations of procedures, curtailed or delayed capital spending by hospitals and disruption to our supply chain, closures of our facilities, delays in surgeon training, delays in gathering clinical evidence, or diversion of management and other resources to respond to the COVID-19 outbreak&#59; the impact of global and regional economic and credit market conditions on healthcare spending&#59; the risk that the COVID-19 virus disrupts local economies and causes economies to enter prolonged recessions&#59; healthcare reform legislation in the United States and its impact on hospital spending, reimbursement and fees levied on certain medical device revenues&#59; changes in hospital admissions and actions by payers to limit or manage surgical procedures&#59; the timing and success of product development and market acceptance of developed products&#59; the results of any collaborations, in-licensing arrangements, joint ventures, strategic alliances, or partnerships, including the joint venture with Shanghai Fosun Pharmaceutical (Group) Co., Ltd.&#59; the Company's completion of and ability to successfully integrate acquisitions&#59; procedure counts&#59; regulatory approvals, clearances and restrictions or any dispute that may occur with any regulatory body&#59; guidelines and recommendations in the healthcare and patient communities&#59; intellectual property positions and litigation&#59; competition in the medical device industry and in the specific markets of surgery in which the Company operates&#59; risks associated with our operations outside of the United States&#59; unanticipated manufacturing disruptions or the inability to meet demand for products&#59; the Company's reliance on sole and single source suppliers&#59; the results of legal proceedings to which the Company is or may become a party&#59; product liability and other litigation claims&#59; adverse publicity regarding the Company and the safety of the Company&#8217;s products and adequacy of training&#59; the Company&#8217;s ability to expand into foreign markets&#59; the impact of changes to tax legislation, guidance, and interpretations&#59; changes in tariffs, trade barriers, and regulatory requirements&#59; and other risk factors under the heading &#8220;Risk Factors&#8221; in the Company&#8217;s report on Form 10-K for the year ended December 31, 2019, as updated by the Company&#8217;s other filings with the Securities and Exchange Commission. Statements using words such as &#8220;estimates,&#8221; &#8220;projects,&#8221; &#8220;believes,&#8221; &#8220;anticipates,&#8221; &#8220;plans,&#8221; &#8220;expects,&#8221; &#8220;intends,&#8221; &#8220;may,&#8221; &#8220;will,&#8221; &#8220;could,&#8221; &#8220;should,&#8221; &#8220;would,&#8221; &#8220;targeted,&#8221; and similar words and expressions are intended to identify forward-looking statements. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release. The Company undertakes no obligation to publicly update or release any revisions to these forward-looking statements, except as required by law.</font></div><div style="margin-top:6pt;margin-bottom:6pt;"><table style="margin-left:auto;margin-right:auto;border-collapse:collapse;text-align:left;text-indent:0pt;display:inline-table;width:100.000%;"><tr><td style="width:1.0%;"></td><td style="width:48.398%;"></td><td style="width:1.0%;"></td><td style="width:0.1%;"></td><td style="width:0.916%;"></td><td style="width:0.1%;"></td><td style="width:1.0%;"></td><td style="width:46.486%;"></td><td style="width:1.0%;"></td></tr><tr><td colspan="3" style="height:14pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="height:14pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="height:14pt;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td></tr><tr><td colspan="3" style="padding-top:2px;padding-bottom:2px;background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><font style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);">Contact&#58; <br>Investor Relations<br>408-523-2161</font></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"></td><td colspan="3" style="background-color:rgb(255,255,255, 0.0);text-align:left;vertical-align:bottom;padding-left:1pt;padding-right:1pt;"><font style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"><font style="font-size:10pt;font-weight:400;font-family:'Times New Roman',sans-serif;color:#000000;background-color:rgb(255,255,255, 0.0);"></font></font></td></tr></table></div><div style="margin-top:6pt;margin-bottom:6pt;"><font><br></font></div><div style="position:relative;width:100%;height:72pt;"><div style="position:absolute;bottom:0;width:100%;"><div style="text-align:center;"><font><br></font></div></div></div></body></html>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-101.SCH
<SEQUENCE>3
<FILENAME>isrg-20200408.xsd
<DESCRIPTION>XBRL TAXONOMY EXTENSION SCHEMA DOCUMENT
<TEXT>
<XBRL>
<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with Wdesk from Workiva-->
<!--Copyright 2020 Workiva-->
<!--r:e41ead4d-6707-46d6-959d-1487d9a867d9,g:fecafaa9-21d8-4c3b-bd50-b85d6ee9e903-->
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:isrg="http://www.intuitivesurgical.com/20200408" attributeFormDefault="unqualified" elementFormDefault="qualified" targetNamespace="http://www.intuitivesurgical.com/20200408">
  <xs:import namespace="http://fasb.org/us-gaap/2019-01-31" schemaLocation="http://xbrl.fasb.org/us-gaap/2019/elts/us-gaap-2019-01-31.xsd"/>
  <xs:import namespace="http://www.w3.org/1999/xlink" schemaLocation="http://www.xbrl.org/2003/xlink-2003-12-31.xsd"/>
  <xs:import namespace="http://www.xbrl.org/2003/instance" schemaLocation="http://www.xbrl.org/2003/xbrl-instance-2003-12-31.xsd"/>
  <xs:import namespace="http://www.xbrl.org/2003/linkbase" schemaLocation="http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd"/>
  <xs:import namespace="http://xbrl.sec.gov/dei/2019-01-31" schemaLocation="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd"/>
  <xs:annotation>
    <xs:appinfo>
      <link:linkbaseRef xmlns:xlink="http://www.w3.org/1999/xlink" xlink:arcrole="http://www.w3.org/1999/xlink/properties/linkbase" xlink:href="isrg-20200408_cal.xml" xlink:role="http://www.xbrl.org/2003/role/calculationLinkbaseRef" xlink:type="simple"/>
      <link:linkbaseRef xmlns:xlink="http://www.w3.org/1999/xlink" xlink:arcrole="http://www.w3.org/1999/xlink/properties/linkbase" xlink:href="isrg-20200408_def.xml" xlink:role="http://www.xbrl.org/2003/role/definitionLinkbaseRef" xlink:type="simple"/>
      <link:linkbaseRef xmlns:xlink="http://www.w3.org/1999/xlink" xlink:arcrole="http://www.w3.org/1999/xlink/properties/linkbase" xlink:href="isrg-20200408_lab.xml" xlink:role="http://www.xbrl.org/2003/role/labelLinkbaseRef" xlink:type="simple"/>
      <link:linkbaseRef xmlns:xlink="http://www.w3.org/1999/xlink" xlink:arcrole="http://www.w3.org/1999/xlink/properties/linkbase" xlink:href="isrg-20200408_pre.xml" xlink:role="http://www.xbrl.org/2003/role/presentationLinkbaseRef" xlink:type="simple"/>
      <link:roleType id="Cover" roleURI="http://www.intuitivesurgical.com/role/Cover">
        <link:definition>0001001 - Document - Cover</link:definition>
        <link:usedOn>link:presentationLink</link:usedOn>
        <link:usedOn>link:calculationLink</link:usedOn>
        <link:usedOn>link:definitionLink</link:usedOn>
      </link:roleType>
    </xs:appinfo>
  </xs:annotation>
</xs:schema>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-101.CAL
<SEQUENCE>4
<FILENAME>isrg-20200408_cal.xml
<DESCRIPTION>XBRL TAXONOMY EXTENSION CALCULATION LINKBASE DOCUMENT
<TEXT>
<XBRL>
<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with Wdesk from Workiva-->
<!--Copyright 2020 Workiva-->
<!--r:e41ead4d-6707-46d6-959d-1487d9a867d9,g:fecafaa9-21d8-4c3b-bd50-b85d6ee9e903-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.intuitivesurgical.com/role/Cover" xlink:type="simple" xlink:href="isrg-20200408.xsd#Cover"/>
  <link:calculationLink xlink:role="http://www.intuitivesurgical.com/role/Cover" xlink:type="extended"/>
</link:linkbase>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-101.DEF
<SEQUENCE>5
<FILENAME>isrg-20200408_def.xml
<DESCRIPTION>XBRL TAXONOMY EXTENSION DEFINITION LINKBASE DOCUMENT
<TEXT>
<XBRL>
<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with Wdesk from Workiva-->
<!--Copyright 2020 Workiva-->
<!--r:e41ead4d-6707-46d6-959d-1487d9a867d9,g:fecafaa9-21d8-4c3b-bd50-b85d6ee9e903-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xbrldt="http://xbrl.org/2005/xbrldt" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/all" xlink:type="simple" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#all"/>
  <link:arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/hypercube-dimension" xlink:type="simple" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#hypercube-dimension"/>
  <link:arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/dimension-default" xlink:type="simple" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#dimension-default"/>
  <link:arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/dimension-domain" xlink:type="simple" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#dimension-domain"/>
  <link:arcroleRef arcroleURI="http://xbrl.org/int/dim/arcrole/domain-member" xlink:type="simple" xlink:href="http://www.xbrl.org/2005/xbrldt-2005.xsd#domain-member"/>
  <link:roleRef roleURI="http://www.intuitivesurgical.com/role/Cover" xlink:type="simple" xlink:href="isrg-20200408.xsd#Cover"/>
  <link:definitionLink xlink:role="http://www.intuitivesurgical.com/role/Cover" xlink:type="extended" id="ic40dfc2f5d6a4a5098fce75bc1dbdae9_09887f07-7739-425c-ae0d-f4a76d5101b7"/>
</link:linkbase>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-101.LAB
<SEQUENCE>6
<FILENAME>isrg-20200408_lab.xml
<DESCRIPTION>XBRL TAXONOMY EXTENSION LABEL LINKBASE DOCUMENT
<TEXT>
<XBRL>
<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with Wdesk from Workiva-->
<!--Copyright 2020 Workiva-->
<!--r:e41ead4d-6707-46d6-959d-1487d9a867d9,g:fecafaa9-21d8-4c3b-bd50-b85d6ee9e903-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedPeriodStartLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedPeriodStartLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/netLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/net-2009-12-16.xsd#netLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedNetLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedNetLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedTerseLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedTerseLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedPeriodEndLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedPeriodEndLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedLabel"/>
  <link:roleRef roleURI="http://www.xbrl.org/2009/role/negatedTotalLabel" xlink:type="simple" xlink:href="http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd#negatedTotalLabel"/>
  <link:labelLink xlink:role="http://www.xbrl.org/2003/role/link" xlink:type="extended">
    <link:label id="lab_dei_WrittenCommunications_66b30fe9-651b-41ec-8502-0f927cc1665c_terseLabel_en-US" xlink:label="lab_dei_WrittenCommunications" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Written Communications</link:label>
    <link:label id="lab_dei_WrittenCommunications_label_en-US" xlink:label="lab_dei_WrittenCommunications" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Written Communications</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_WrittenCommunications"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_WrittenCommunications" xlink:to="lab_dei_WrittenCommunications" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_PreCommencementTenderOffer_27481c28-7cf6-4492-9f0e-d2212a2b5b67_terseLabel_en-US" xlink:label="lab_dei_PreCommencementTenderOffer" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Pre-commencement Tender Offer</link:label>
    <link:label id="lab_dei_PreCommencementTenderOffer_label_en-US" xlink:label="lab_dei_PreCommencementTenderOffer" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Pre-commencement Tender Offer</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_PreCommencementTenderOffer"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_PreCommencementTenderOffer" xlink:to="lab_dei_PreCommencementTenderOffer" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityIncorporationStateCountryCode_1a46bd75-313c-465e-833a-a6bc35e9c985_terseLabel_en-US" xlink:label="lab_dei_EntityIncorporationStateCountryCode" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Incorporation, State or Country Code</link:label>
    <link:label id="lab_dei_EntityIncorporationStateCountryCode_label_en-US" xlink:label="lab_dei_EntityIncorporationStateCountryCode" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Incorporation, State or Country Code</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityIncorporationStateCountryCode" xlink:to="lab_dei_EntityIncorporationStateCountryCode" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityAddressCityOrTown_d084a9d6-fcae-4b5e-80c6-0cbfa90c0fd9_terseLabel_en-US" xlink:label="lab_dei_EntityAddressCityOrTown" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, City or Town</link:label>
    <link:label id="lab_dei_EntityAddressCityOrTown_label_en-US" xlink:label="lab_dei_EntityAddressCityOrTown" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, City or Town</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityAddressCityOrTown"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityAddressCityOrTown" xlink:to="lab_dei_EntityAddressCityOrTown" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_SolicitingMaterial_26bc2dcd-430c-4888-ac70-f9d444050fa2_terseLabel_en-US" xlink:label="lab_dei_SolicitingMaterial" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Soliciting Material</link:label>
    <link:label id="lab_dei_SolicitingMaterial_label_en-US" xlink:label="lab_dei_SolicitingMaterial" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Soliciting Material</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_SolicitingMaterial"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_SolicitingMaterial" xlink:to="lab_dei_SolicitingMaterial" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityAddressAddressLine1_24931da1-9ff8-4006-9af9-6915df7c7cc3_terseLabel_en-US" xlink:label="lab_dei_EntityAddressAddressLine1" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, Address Line One</link:label>
    <link:label id="lab_dei_EntityAddressAddressLine1_label_en-US" xlink:label="lab_dei_EntityAddressAddressLine1" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, Address Line One</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityAddressAddressLine1"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityAddressAddressLine1" xlink:to="lab_dei_EntityAddressAddressLine1" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_SecurityExchangeName_fd76b369-3acc-4f37-ad2b-fa23c89d22a2_terseLabel_en-US" xlink:label="lab_dei_SecurityExchangeName" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Security Exchange Name</link:label>
    <link:label id="lab_dei_SecurityExchangeName_label_en-US" xlink:label="lab_dei_SecurityExchangeName" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Security Exchange Name</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_SecurityExchangeName"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_SecurityExchangeName" xlink:to="lab_dei_SecurityExchangeName" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_CityAreaCode_b62947ec-2a2c-4d5f-9c28-3f5b8a2f8bbc_terseLabel_en-US" xlink:label="lab_dei_CityAreaCode" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">City Area Code</link:label>
    <link:label id="lab_dei_CityAreaCode_label_en-US" xlink:label="lab_dei_CityAreaCode" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">City Area Code</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_CityAreaCode"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_CityAreaCode" xlink:to="lab_dei_CityAreaCode" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_CoverAbstract_label_en-US" xlink:label="lab_dei_CoverAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Cover [Abstract]</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_CoverAbstract"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_CoverAbstract" xlink:to="lab_dei_CoverAbstract" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityCentralIndexKey_a37fa3f8-390f-4b17-83a0-ed91d1bced51_terseLabel_en-US" xlink:label="lab_dei_EntityCentralIndexKey" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Central Index Key</link:label>
    <link:label id="lab_dei_EntityCentralIndexKey_label_en-US" xlink:label="lab_dei_EntityCentralIndexKey" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Central Index Key</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityCentralIndexKey"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityCentralIndexKey" xlink:to="lab_dei_EntityCentralIndexKey" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityTaxIdentificationNumber_76c38f11-e657-4ad1-bad9-1c0dfb296727_terseLabel_en-US" xlink:label="lab_dei_EntityTaxIdentificationNumber" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Tax Identification Number</link:label>
    <link:label id="lab_dei_EntityTaxIdentificationNumber_label_en-US" xlink:label="lab_dei_EntityTaxIdentificationNumber" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Tax Identification Number</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityTaxIdentificationNumber" xlink:to="lab_dei_EntityTaxIdentificationNumber" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityFileNumber_4b1545f4-66d5-419d-b227-a8e8db134d81_terseLabel_en-US" xlink:label="lab_dei_EntityFileNumber" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity File Number</link:label>
    <link:label id="lab_dei_EntityFileNumber_label_en-US" xlink:label="lab_dei_EntityFileNumber" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity File Number</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityFileNumber"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityFileNumber" xlink:to="lab_dei_EntityFileNumber" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_DocumentType_f6c70081-a541-4a65-81ea-5a34168c2806_terseLabel_en-US" xlink:label="lab_dei_DocumentType" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Document Type</link:label>
    <link:label id="lab_dei_DocumentType_label_en-US" xlink:label="lab_dei_DocumentType" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Document Type</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_DocumentType"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_DocumentType" xlink:to="lab_dei_DocumentType" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityEmergingGrowthCompany_0d48a5cf-96c9-427a-a9db-cea6e30f4bc5_terseLabel_en-US" xlink:label="lab_dei_EntityEmergingGrowthCompany" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Emerging Growth Company</link:label>
    <link:label id="lab_dei_EntityEmergingGrowthCompany_label_en-US" xlink:label="lab_dei_EntityEmergingGrowthCompany" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Emerging Growth Company</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityEmergingGrowthCompany" xlink:to="lab_dei_EntityEmergingGrowthCompany" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_Security12bTitle_f534b655-492b-4210-8662-89ce5078d903_terseLabel_en-US" xlink:label="lab_dei_Security12bTitle" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Title of 12(b) Security</link:label>
    <link:label id="lab_dei_Security12bTitle_label_en-US" xlink:label="lab_dei_Security12bTitle" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Title of 12(b) Security</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_Security12bTitle"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_Security12bTitle" xlink:to="lab_dei_Security12bTitle" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_AmendmentFlag_28f0db52-89a8-4002-b014-2dbcab0ce35b_terseLabel_en-US" xlink:label="lab_dei_AmendmentFlag" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Amendment Flag</link:label>
    <link:label id="lab_dei_AmendmentFlag_label_en-US" xlink:label="lab_dei_AmendmentFlag" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Amendment Flag</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_AmendmentFlag"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_AmendmentFlag" xlink:to="lab_dei_AmendmentFlag" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_LocalPhoneNumber_1352a98d-b46c-4df7-a137-d2af5472e499_terseLabel_en-US" xlink:label="lab_dei_LocalPhoneNumber" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Local Phone Number</link:label>
    <link:label id="lab_dei_LocalPhoneNumber_label_en-US" xlink:label="lab_dei_LocalPhoneNumber" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Local Phone Number</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_LocalPhoneNumber"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_LocalPhoneNumber" xlink:to="lab_dei_LocalPhoneNumber" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityAddressStateOrProvince_d77a9133-c6e3-4076-865b-37a570e712fd_terseLabel_en-US" xlink:label="lab_dei_EntityAddressStateOrProvince" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, State or Province</link:label>
    <link:label id="lab_dei_EntityAddressStateOrProvince_label_en-US" xlink:label="lab_dei_EntityAddressStateOrProvince" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, State or Province</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityAddressStateOrProvince"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityAddressStateOrProvince" xlink:to="lab_dei_EntityAddressStateOrProvince" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityAddressPostalZipCode_49287a98-c7f9-424c-a64d-e473334cfedd_terseLabel_en-US" xlink:label="lab_dei_EntityAddressPostalZipCode" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, Postal Zip Code</link:label>
    <link:label id="lab_dei_EntityAddressPostalZipCode_label_en-US" xlink:label="lab_dei_EntityAddressPostalZipCode" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Address, Postal Zip Code</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityAddressPostalZipCode"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityAddressPostalZipCode" xlink:to="lab_dei_EntityAddressPostalZipCode" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_TradingSymbol_607fad83-ba85-412f-b1d9-d079b1f18065_terseLabel_en-US" xlink:label="lab_dei_TradingSymbol" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Trading Symbol</link:label>
    <link:label id="lab_dei_TradingSymbol_label_en-US" xlink:label="lab_dei_TradingSymbol" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Trading Symbol</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_TradingSymbol"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_TradingSymbol" xlink:to="lab_dei_TradingSymbol" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_PreCommencementIssuerTenderOffer_a345925c-c565-45e3-bd81-bc4d2f9ee85a_terseLabel_en-US" xlink:label="lab_dei_PreCommencementIssuerTenderOffer" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Pre-commencement Issuer Tender Offer</link:label>
    <link:label id="lab_dei_PreCommencementIssuerTenderOffer_label_en-US" xlink:label="lab_dei_PreCommencementIssuerTenderOffer" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Pre-commencement Issuer Tender Offer</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_PreCommencementIssuerTenderOffer" xlink:to="lab_dei_PreCommencementIssuerTenderOffer" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_DocumentPeriodEndDate_29795b1b-a868-41f8-a868-2af35d77c4af_terseLabel_en-US" xlink:label="lab_dei_DocumentPeriodEndDate" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Document Period End Date</link:label>
    <link:label id="lab_dei_DocumentPeriodEndDate_label_en-US" xlink:label="lab_dei_DocumentPeriodEndDate" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Document Period End Date</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_DocumentPeriodEndDate"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_DocumentPeriodEndDate" xlink:to="lab_dei_DocumentPeriodEndDate" xlink:type="arc" order="1"/>
    <link:label id="lab_dei_EntityRegistrantName_ce79041e-7133-4697-b470-65beb1c723b4_terseLabel_en-US" xlink:label="lab_dei_EntityRegistrantName" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Registrant Name</link:label>
    <link:label id="lab_dei_EntityRegistrantName_label_en-US" xlink:label="lab_dei_EntityRegistrantName" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xmlns:xml="http://www.w3.org/XML/1998/namespace" xml:lang="en-US">Entity Registrant Name</link:label>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityRegistrantName"/>
    <link:labelArc xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_dei_EntityRegistrantName" xlink:to="lab_dei_EntityRegistrantName" xlink:type="arc" order="1"/>
  </link:labelLink>
</link:linkbase>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EX-101.PRE
<SEQUENCE>7
<FILENAME>isrg-20200408_pre.xml
<DESCRIPTION>XBRL TAXONOMY EXTENSION PRESENTATION LINKBASE DOCUMENT
<TEXT>
<XBRL>
<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with Wdesk from Workiva-->
<!--Copyright 2020 Workiva-->
<!--r:e41ead4d-6707-46d6-959d-1487d9a867d9,g:fecafaa9-21d8-4c3b-bd50-b85d6ee9e903-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.intuitivesurgical.com/role/Cover" xlink:type="simple" xlink:href="isrg-20200408.xsd#Cover"/>
  <link:presentationLink xlink:role="http://www.intuitivesurgical.com/role/Cover" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_a36ba608-4394-43ae-aea5-555c9ca557df" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_DocumentType"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_DocumentType_a36ba608-4394-43ae-aea5-555c9ca557df" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_9221c837-ba49-44dc-ab0e-a4828da95d7c" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_DocumentPeriodEndDate_9221c837-ba49-44dc-ab0e-a4828da95d7c" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_22cb9d4f-9c28-4f90-bd28-7fd7bc892698" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityRegistrantName_22cb9d4f-9c28-4f90-bd28-7fd7bc892698" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_a1630237-8f98-40f2-9749-b131d77b2c94" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityIncorporationStateCountryCode_a1630237-8f98-40f2-9749-b131d77b2c94" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_cc57616a-3e83-4fce-91b2-921f067c762b" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityFileNumber_cc57616a-3e83-4fce-91b2-921f067c762b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_43d88587-d487-474a-981a-329472a8aab4" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityTaxIdentificationNumber_43d88587-d487-474a-981a-329472a8aab4" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_a62dca26-0341-4b37-8114-905acb6304e2" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityAddressAddressLine1_a62dca26-0341-4b37-8114-905acb6304e2" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_c3cdbed8-6f31-4d42-be9a-dbcd37905ef2" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityAddressCityOrTown_c3cdbed8-6f31-4d42-be9a-dbcd37905ef2" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_6a1e02a3-ddbd-4702-8da3-22d4697f37f9" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityAddressStateOrProvince_6a1e02a3-ddbd-4702-8da3-22d4697f37f9" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_75522b37-7631-46be-a352-36f6ffe0fc99" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityAddressPostalZipCode_75522b37-7631-46be-a352-36f6ffe0fc99" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_cf1dd353-ee6e-4505-8580-27ea61ea5644" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_CityAreaCode_cf1dd353-ee6e-4505-8580-27ea61ea5644" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_17c47e79-17a4-4aea-8f29-83d4e89147a6" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_LocalPhoneNumber_17c47e79-17a4-4aea-8f29-83d4e89147a6" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_4c795359-f141-49d3-ba48-9917938331f2" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_WrittenCommunications_4c795359-f141-49d3-ba48-9917938331f2" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_0f9b2823-7642-4dce-9e68-53a9918a4299" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_SolicitingMaterial_0f9b2823-7642-4dce-9e68-53a9918a4299" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_1848a17a-4d97-410e-bc83-727ad49f540b" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_PreCommencementTenderOffer_1848a17a-4d97-410e-bc83-727ad49f540b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_95e620e3-e776-4eac-8fc9-e8ca05ad9e54" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_95e620e3-e776-4eac-8fc9-e8ca05ad9e54" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_beaf5985-548f-4123-b72c-994dea1f377d" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_Security12bTitle_beaf5985-548f-4123-b72c-994dea1f377d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_afe240ff-a85d-40da-abbd-f96a84390a7b" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_TradingSymbol_afe240ff-a85d-40da-abbd-f96a84390a7b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_19eb28bf-9b08-451c-9054-9f1c566b92ca" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_SecurityExchangeName_19eb28bf-9b08-451c-9054-9f1c566b92ca" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_7fa7697b-b2aa-44d4-a13d-68bf16c7179a" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityEmergingGrowthCompany_7fa7697b-b2aa-44d4-a13d-68bf16c7179a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_604f94c4-2a2f-4219-a7cc-d3cdf62e6fe3" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_EntityCentralIndexKey_604f94c4-2a2f-4219-a7cc-d3cdf62e6fe3" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_43067192-3f6f-455e-9b55-7746c83b8277" xlink:href="https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_1649f064-638b-47d2-ac33-fb8a669b7588" xlink:to="loc_dei_AmendmentFlag_43067192-3f6f-455e-9b55-7746c83b8277" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
</XBRL>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>EXCEL
<SEQUENCE>8
<FILENAME>Financial_Report.xlsx
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
begin 644 Financial_Report.xlsx
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MMWF\81AU8\K(XK%T-8943OTJDH\ Q:X831F:3LTXXFBD(3^ G/,6+V2?$9/
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MZP^_LW#HG-_Z?VQ\$C0U_+H+\P502P,$%     @ ,4J(4)E<G",0!@  G"<
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M.AQG0GS/]O:1I24RS^_Y"NM./&<?5I:P7<_/Y)Z,<B.[W?98??9/1VXCUZG
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M'8+\B]A!!)T1B56?MT#1+="!SN[H#*<SE,X&>G9'S[S]042."V2H0 ;H"T\
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M/*G%V;CATH[5>/X<)T9VT]DZF0_XVS]02P,$%     @ ,4J(4.*(6I!< @
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MZ<&8A6#O[I5TXH\<P_?,?P!02P,$%     @ ,4J(4/_ )@B]    A0(  !H
M  !X;"]?<F5L<R]W;W)K8F]O:RYX;6PN<F5L<ZV200J#,!  OR)Y0%=MZ:&H
MIUZ\MOU T-6(FH3LENKOFWI10:$'+PEAP\Q DCRPD]P83:JQ% Q]IRD5BMG>
M *A0V$LZ&8O:3RKC>LG^Z&JPLFAEC1"'X17<DB&R9,D,\C(5+B\C$;RDJY%3
M 4,''^-:4HA,,&W1R0O\E='B/WI354V!=U.\>]2\43$+!&P'Q7,0*>FP?+)K
M=$U'AZS@>S'G10R/'1Y?,5'W])=9SUZ",*V'O\E$_37 ZM=E7U!+ P04
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MH%W\S<A'2NU!7PW_R?(+4$L! A0#%     @ ,4J(4!\CSP/     $P(   L
M             ( !     %]R96QS+RYR96QS4$L! A0#%     @ ,4J(4"?H
MAPZ"    L0   !               ( !Z0   &1O8U!R;W!S+V%P<"YX;6Q0
M2P$"% ,4    "  Q2HA0'ZM;0^\    K @  $0              @ &9 0
M9&]C4')O<',O8V]R92YX;6Q02P$"% ,4    "  Q2HA0F5R<(Q &  "<)P
M$P              @ &W @  >&PO=&AE;64O=&AE;64Q+GAM;%!+ 0(4 Q0
M   ( #%*B%"N9S@UL (  .P+   8              "  ?@(  !X;"]W;W)K
M<VAE971S+W-H965T,2YX;6Q02P$"% ,4    "  Q2HA0XHA:D%P"   #!@
M%               @ '>"P  >&PO<VAA<F5D4W1R:6YG<RYX;6Q02P$"% ,4
M    "  Q2HA0NJ$YBM<!   R!@  #0              @ %L#@  >&PO<W1Y
M;&5S+GAM;%!+ 0(4 Q0    ( #%*B% P _>^-P$  "("   /
M  "  6X0  !X;"]W;W)K8F]O:RYX;6Q02P$"% ,4    "  Q2HA0_\ F"+T
M  "% @  &@              @ '2$0  >&PO7W)E;',O=V]R:V)O;VLN>&UL
M+G)E;'-02P$"% ,4    "  Q2HA0"X_8 R$!  !7!   $P
M@ ''$@  6T-O;G1E;G1?5'EP97-=+GAM;%!+!08     "@ * ( "   9%
"   !

end
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>9
<FILENAME>R1.htm
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
<html>
<head>
<title></title>
<link rel="stylesheet" type="text/css" href="report.css">
<script type="text/javascript" src="Show.js">/* Do Not Remove This Comment */</script><script type="text/javascript">
							function toggleNextSibling (e) {
							if (e.nextSibling.style.display=='none') {
							e.nextSibling.style.display='block';
							} else { e.nextSibling.style.display='none'; }
							}</script>
</head>
<body>
<span style="display: none;">v3.20.1</span><table class="report" border="0" cellspacing="2" id="idp6635104672">
<tr>
<th class="tl" colspan="1" rowspan="1"><div style="width: 200px;"><strong>Cover<br></strong></div></th>
<th class="th"><div>Apr. 09, 2020</div></th>
<th class="th"><div>Apr. 08, 2020</div></th>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_CoverAbstract', window );"><strong>Cover [Abstract]</strong></a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">&#160;<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_DocumentType', window );">Document Type</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">8-K<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_DocumentPeriodEndDate', window );">Document Period End Date</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">Apr.  08,  2020<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityRegistrantName', window );">Entity Registrant Name</a></td>
<td class="text">INTUITIVE SURGICAL, INC.<span></span>
</td>
<td class="text">&#160;<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityIncorporationStateCountryCode', window );">Entity Incorporation, State or Country Code</a></td>
<td class="text">DE<span></span>
</td>
<td class="text">&#160;<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityFileNumber', window );">Entity File Number</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">000-30713<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityTaxIdentificationNumber', window );">Entity Tax Identification Number</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">77-0416458<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityAddressAddressLine1', window );">Entity Address, Address Line One</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">1020 Kifer Road<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityAddressCityOrTown', window );">Entity Address, City or Town</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">Sunnyvale<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityAddressStateOrProvince', window );">Entity Address, State or Province</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">CA<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityAddressPostalZipCode', window );">Entity Address, Postal Zip Code</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">94086<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_CityAreaCode', window );">City Area Code</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">408<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_LocalPhoneNumber', window );">Local Phone Number</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">523-2100<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_WrittenCommunications', window );">Written Communications</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_SolicitingMaterial', window );">Soliciting Material</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_PreCommencementTenderOffer', window );">Pre-commencement Tender Offer</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_PreCommencementIssuerTenderOffer', window );">Pre-commencement Issuer Tender Offer</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_Security12bTitle', window );">Title of 12(b) Security</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">Common Stock, par value $0.001 per share<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_TradingSymbol', window );">Trading Symbol</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">ISRG<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_SecurityExchangeName', window );">Security Exchange Name</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">NASDAQ<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityEmergingGrowthCompany', window );">Entity Emerging Growth Company</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">false<span></span>
</td>
</tr>
<tr class="ro">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_EntityCentralIndexKey', window );">Entity Central Index Key</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">0001035267<span></span>
</td>
</tr>
<tr class="re">
<td class="pl " style="border-bottom: 0px;" valign="top"><a class="a" href="javascript:void(0);" onclick="top.Show.showAR( this, 'defref_dei_AmendmentFlag', window );">Amendment Flag</a></td>
<td class="text">&#160;<span></span>
</td>
<td class="text">false<span></span>
</td>
</tr>
</table>
<div style="display: none;">
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_AmendmentFlag">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the XBRL content amends previously-filed or accepted submission.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_AmendmentFlag</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_CityAreaCode">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Area code of city</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_CityAreaCode</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_CoverAbstract">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Cover page.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_CoverAbstract</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:stringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_DocumentPeriodEndDate">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>The end date of the period reflected on the cover page if a periodic report. For all other reports and registration statements containing historical data, it is the date up through which that historical data is presented.  If there is no historical data in the report, use the filing date. The format of the date is CCYY-MM-DD.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_DocumentPeriodEndDate</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:dateItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_DocumentType">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>The type of document being provided (such as 10-K, 10-Q, 485BPOS, etc). The document type is limited to the same value as the supporting SEC submission type, or the word 'Other'.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_DocumentType</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:submissionTypeItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityAddressAddressLine1">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Address Line 1 such as Attn, Building Name, Street Name</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityAddressAddressLine1</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityAddressCityOrTown">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Name of the City or Town</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityAddressCityOrTown</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityAddressPostalZipCode">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Code for the postal or zip code</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityAddressPostalZipCode</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityAddressStateOrProvince">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Name of the state or province.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityAddressStateOrProvince</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:stateOrProvinceItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityCentralIndexKey">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>A unique 10-digit SEC-issued value to identify entities that have filed disclosures with the SEC. It is commonly abbreviated as CIK.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Regulation 12B<br> -Number 240<br> -Section 12<br> -Subsection b-2<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityCentralIndexKey</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:centralIndexKeyItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityEmergingGrowthCompany">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Indicate if registrant meets the emerging growth company criteria.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Regulation 12B<br> -Number 240<br> -Section 12<br> -Subsection b-2<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityEmergingGrowthCompany</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityFileNumber">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Commission file number. The field allows up to 17 characters. The prefix may contain 1-3 digits, the sequence number may contain 1-8 digits, the optional suffix may contain 1-4 characters, and the fields are separated with a hyphen.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityFileNumber</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:fileNumberItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityIncorporationStateCountryCode">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Two-character EDGAR code representing the state or country of incorporation.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityIncorporationStateCountryCode</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:edgarStateCountryItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityRegistrantName">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>The exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Regulation 12B<br> -Number 240<br> -Section 12<br> -Subsection b-2<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityRegistrantName</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_EntityTaxIdentificationNumber">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>The Tax Identification Number (TIN), also known as an Employer Identification Number (EIN), is a unique 9-digit value assigned by the IRS.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Regulation 12B<br> -Number 240<br> -Section 12<br> -Subsection b-2<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_EntityTaxIdentificationNumber</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:employerIdItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_LocalPhoneNumber">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Local phone number for entity.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_LocalPhoneNumber</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:normalizedStringItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_PreCommencementIssuerTenderOffer">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 13e<br> -Subsection 4c<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_PreCommencementIssuerTenderOffer</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_PreCommencementTenderOffer">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 14d<br> -Subsection 2b<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_PreCommencementTenderOffer</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_Security12bTitle">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Title of a 12(b) registered security.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 12<br> -Subsection b<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_Security12bTitle</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:securityTitleItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_SecurityExchangeName">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Name of the Exchange on which a security is registered.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Number 240<br> -Section 12<br> -Subsection d1-1<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_SecurityExchangeName</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:edgarExchangeCodeItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_SolicitingMaterial">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Exchange Act<br> -Section 14a<br> -Number 240<br> -Subsection 12<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_SolicitingMaterial</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_TradingSymbol">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Trading symbol of an instrument as listed on an exchange.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>No definition available.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_TradingSymbol</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>dei:tradingSymbolItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
<table border="0" cellpadding="0" cellspacing="0" class="authRefData" style="display: none;" id="defref_dei_WrittenCommunications">
<tr><td class="hide"><a style="color: white;" href="javascript:void(0);" onclick="top.Show.hideAR();">X</a></td></tr>
<tr><td><div class="body" style="padding: 2px;">
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">- Definition</a><div><p>Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.</p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ References</a><div style="display: none;"><p>Reference 1: http://www.xbrl.org/2003/role/presentationRef<br> -Publisher SEC<br> -Name Securities Act<br> -Number 230<br> -Section 425<br></p></div>
<a href="javascript:void(0);" onclick="top.Show.toggleNext( this );">+ Details</a><div style="display: none;"><table border="0" cellpadding="0" cellspacing="0">
<tr>
<td><strong> Name:</strong></td>
<td style="white-space:nowrap;">dei_WrittenCommunications</td>
</tr>
<tr>
<td style="padding-right: 4px;white-space:nowrap;"><strong> Namespace Prefix:</strong></td>
<td>dei_</td>
</tr>
<tr>
<td><strong> Data Type:</strong></td>
<td>xbrli:booleanItemType</td>
</tr>
<tr>
<td><strong> Balance Type:</strong></td>
<td>na</td>
</tr>
<tr>
<td><strong> Period Type:</strong></td>
<td>duration</td>
</tr>
</table></div>
</div></td></tr>
</table>
</div>
</body>
</html>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>10
<FILENAME>FilingSummary.xml
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
<XML>
<?xml version='1.0' encoding='utf-8'?>
<FilingSummary>
  <Version>3.20.1</Version>
  <ProcessingTime/>
  <ReportFormat>html</ReportFormat>
  <ContextCount>2</ContextCount>
  <ElementCount>95</ElementCount>
  <EntityCount>1</EntityCount>
  <FootnotesReported>false</FootnotesReported>
  <SegmentCount>0</SegmentCount>
  <ScenarioCount>0</ScenarioCount>
  <TuplesReported>false</TuplesReported>
  <UnitCount>0</UnitCount>
  <MyReports>
    <Report instance="isrg-20200408.htm">
      <IsDefault>false</IsDefault>
      <HasEmbeddedReports>false</HasEmbeddedReports>
      <HtmlFileName>R1.htm</HtmlFileName>
      <LongName>0001001 - Document - Cover</LongName>
      <ReportType>Sheet</ReportType>
      <Role>http://www.intuitivesurgical.com/role/Cover</Role>
      <ShortName>Cover</ShortName>
      <MenuCategory>Cover</MenuCategory>
      <Position>1</Position>
    </Report>
    <Report>
      <IsDefault>false</IsDefault>
      <HasEmbeddedReports>false</HasEmbeddedReports>
      <LongName>All Reports</LongName>
      <ReportType>Book</ReportType>
      <ShortName>All Reports</ShortName>
    </Report>
  </MyReports>
  <InputFiles>
    <File doctype="8-K" original="isrg-20200408.htm">isrg-20200408.htm</File>
    <File>a20200331ex-991prelimi.htm</File>
    <File>isrg-20200408.xsd</File>
    <File>isrg-20200408_cal.xml</File>
    <File>isrg-20200408_def.xml</File>
    <File>isrg-20200408_lab.xml</File>
    <File>isrg-20200408_pre.xml</File>
  </InputFiles>
  <SupplementalFiles/>
  <BaseTaxonomies>
    <BaseTaxonomy>http://xbrl.sec.gov/dei/2019-01-31</BaseTaxonomy>
  </BaseTaxonomies>
  <HasPresentationLinkbase>true</HasPresentationLinkbase>
  <HasCalculationLinkbase>true</HasCalculationLinkbase>
</FilingSummary>
</XML>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>11
<FILENAME>report.css
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
/* Updated 2009-11-04 */
/* v2.2.0.24 */

/* DefRef Styles */
..report table.authRefData{
	background-color: #def;
	border: 2px solid #2F4497;
	font-size: 1em;
	position: absolute;
}

..report table.authRefData a {
	display: block;
	font-weight: bold;
}

..report table.authRefData p {
	margin-top: 0px;
}

..report table.authRefData .hide {
	background-color: #2F4497;
	padding: 1px 3px 0px 0px;
	text-align: right;
}

..report table.authRefData .hide a:hover {
	background-color: #2F4497;
}

..report table.authRefData .body {
	height: 150px;
	overflow: auto;
	width: 400px;
}

..report table.authRefData table{
	font-size: 1em;
}

/* Report Styles */
..pl a, .pl a:visited {
	color: black;
	text-decoration: none;
}

/* table */
..report {
	background-color: white;
	border: 2px solid #acf;
	clear: both;
	color: black;
	font: normal 8pt Helvetica, Arial, san-serif;
	margin-bottom: 2em;
}

..report hr {
	border: 1px solid #acf;
}

/* Top labels */
..report th {
	background-color: #acf;
	color: black;
	font-weight: bold;
	text-align: center;
}

..report th.void	{
	background-color: transparent;
	color: #000000;
	font: bold 10pt Helvetica, Arial, san-serif;
	text-align: left;
}

..report .pl {
	text-align: left;
	vertical-align: top;
	white-space: normal;
	width: 200px;
	white-space: normal; /* word-wrap: break-word; */
}

..report td.pl a.a {
	cursor: pointer;
	display: block;
	width: 200px;
	overflow: hidden;
}

..report td.pl div.a {
	width: 200px;
}

..report td.pl a:hover {
	background-color: #ffc;
}

/* Header rows... */
..report tr.rh {
	background-color: #acf;
	color: black;
	font-weight: bold;
}

/* Calendars... */
..report .rc {
	background-color: #f0f0f0;
}

/* Even rows... */
..report .re, .report .reu {
	background-color: #def;
}

..report .reu td {
	border-bottom: 1px solid black;
}

/* Odd rows... */
..report .ro, .report .rou {
	background-color: white;
}

..report .rou td {
	border-bottom: 1px solid black;
}

..report .rou table td, .report .reu table td {
	border-bottom: 0px solid black;
}

/* styles for footnote marker */
..report .fn {
	white-space: nowrap;
}

/* styles for numeric types */
..report .num, .report .nump {
	text-align: right;
	white-space: nowrap;
}

..report .nump {
	padding-left: 2em;
}

..report .nump {
	padding: 0px 0.4em 0px 2em;
}

/* styles for text types */
..report .text {
	text-align: left;
	white-space: normal;
}

..report .text .big {
	margin-bottom: 1em;
	width: 17em;
}

..report .text .more {
	display: none;
}

..report .text .note {
	font-style: italic;
	font-weight: bold;
}

..report .text .small {
	width: 10em;
}

..report sup {
	font-style: italic;
}

..report .outerFootnotes {
	font-size: 1em;
}
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>12
<FILENAME>isrg-20200408_htm.xml
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
<XML>
<?xml version="1.0" encoding="utf-8"?>
<xbrl
  xmlns="http://www.xbrl.org/2003/instance"
  xmlns:dei="http://xbrl.sec.gov/dei/2019-01-31"
  xmlns:link="http://www.xbrl.org/2003/linkbase"
  xmlns:xlink="http://www.w3.org/1999/xlink">
    <link:schemaRef xlink:href="isrg-20200408.xsd" xlink:type="simple"/>
    <context id="icf41407070484a6b834b135acb31e1da_D20200408-20200408">
        <entity>
            <identifier scheme="http://www.sec.gov/CIK">0001035267</identifier>
        </entity>
        <period>
            <startDate>2020-04-08</startDate>
            <endDate>2020-04-08</endDate>
        </period>
    </context>
    <context id="idc20b9183ca545fea1d668a38317a8db_D20200409-20200409">
        <entity>
            <identifier scheme="http://www.sec.gov/CIK">0001035267</identifier>
        </entity>
        <period>
            <startDate>2020-04-09</startDate>
            <endDate>2020-04-09</endDate>
        </period>
    </context>
    <dei:EntityCentralIndexKey
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y180L2ZyYWc6MmFlM2Q5MTQ1NzNkNDZlZmE4NjhkNTcwNTViMjJhOGQvdGFibGU6YWZmMzY0NWY5MjQ2NGZmM2I1N2ZjMWFkODM2ZjhlZjMvdGFibGVyYW5nZTphZmYzNjQ1ZjkyNDY0ZmYzYjU3ZmMxYWQ4MzZmOGVmM18zLTEtMS0xLTA_fa0c7606-0cc0-4c19-a2ca-11b96289ef68">0001035267</dei:EntityCentralIndexKey>
    <dei:AmendmentFlag
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y180L2ZyYWc6MmFlM2Q5MTQ1NzNkNDZlZmE4NjhkNTcwNTViMjJhOGQvdGFibGU6YWZmMzY0NWY5MjQ2NGZmM2I1N2ZjMWFkODM2ZjhlZjMvdGFibGVyYW5nZTphZmYzNjQ1ZjkyNDY0ZmYzYjU3ZmMxYWQ4MzZmOGVmM182LTEtMS0xLTA_29e548c2-ed63-4a75-b995-213c84c4511f">false</dei:AmendmentFlag>
    <dei:DocumentType
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMTk3_e294f67d-c939-44ae-bdd0-8ba176466ccd">8-K</dei:DocumentType>
    <dei:DocumentPeriodEndDate
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMDk5NTExNjI5MDI4_55ee42ca-861d-481b-9dff-557ac754343c">2020-04-08</dei:DocumentPeriodEndDate>
    <dei:EntityRegistrantName
      contextRef="idc20b9183ca545fea1d668a38317a8db_D20200409-20200409"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMTk4_c9f60302-21db-4813-8bfc-5ce0e59cee0f">INTUITIVE SURGICAL, INC.</dei:EntityRegistrantName>
    <dei:EntityIncorporationStateCountryCode
      contextRef="idc20b9183ca545fea1d668a38317a8db_D20200409-20200409"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6OWZmYTIyMzUzODYxNDE1OGJlY2Q4Yzk1NTYyZWQ2MzcvdGFibGVyYW5nZTo5ZmZhMjIzNTM4NjE0MTU4YmVjZDhjOTU1NjJlZDYzN18wLTAtMS0xLTA_7f252a24-d0b2-48e7-8070-d1a98da2b2de">DE</dei:EntityIncorporationStateCountryCode>
    <dei:EntityFileNumber
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6OWZmYTIyMzUzODYxNDE1OGJlY2Q4Yzk1NTYyZWQ2MzcvdGFibGVyYW5nZTo5ZmZhMjIzNTM4NjE0MTU4YmVjZDhjOTU1NjJlZDYzN18wLTItMS0xLTA_3a63b7e9-81f2-4f0b-a588-d5be38c02072">000-30713</dei:EntityFileNumber>
    <dei:EntityTaxIdentificationNumber
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6OWZmYTIyMzUzODYxNDE1OGJlY2Q4Yzk1NTYyZWQ2MzcvdGFibGVyYW5nZTo5ZmZhMjIzNTM4NjE0MTU4YmVjZDhjOTU1NjJlZDYzN18wLTQtMS0xLTA_df591a32-bb2a-495b-a5c3-e8ca40c47aa7">77-0416458</dei:EntityTaxIdentificationNumber>
    <dei:EntityAddressAddressLine1
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMTk5_7b866645-400a-4f19-8113-2085b65df998">1020 Kifer Road</dei:EntityAddressAddressLine1>
    <dei:EntityAddressCityOrTown
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjAw_162757bb-e7ed-495e-a60c-d1d37e3601d1">Sunnyvale</dei:EntityAddressCityOrTown>
    <dei:EntityAddressStateOrProvince
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjAx_80f02cb0-53b3-4ac5-afb7-6f1e9231d60f">CA</dei:EntityAddressStateOrProvince>
    <dei:EntityAddressPostalZipCode
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjA1_30f05538-73bd-496c-9817-c6d50374c0b0">94086</dei:EntityAddressPostalZipCode>
    <dei:CityAreaCode
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjAy_849d2aee-1b42-4de1-8cbe-5cdb4fc54e2c">408</dei:CityAreaCode>
    <dei:LocalPhoneNumber
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjAz_5e95d601-09f5-4e09-8634-93bd2f2fe98d">523-2100</dei:LocalPhoneNumber>
    <dei:WrittenCommunications
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6MGQxMzZhYmI2NzU2NGE1MjkxYTUwNjgwYzY2OWI3OTIvdGFibGVyYW5nZTowZDEzNmFiYjY3NTY0YTUyOTFhNTA2ODBjNjY5Yjc5Ml8wLTAtMS0xLTA_d7e033bb-761a-4b80-9bac-fb638f33d50f">false</dei:WrittenCommunications>
    <dei:SolicitingMaterial
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6NGU5MWI4NTJiZDEwNDU2Mzg3M2M4ZTg2ODU3NmFhNjAvdGFibGVyYW5nZTo0ZTkxYjg1MmJkMTA0NTYzODczYzhlODY4NTc2YWE2MF8wLTAtMS0xLTA_6c70c0b5-5b32-46cd-9bbc-7be82d898523">false</dei:SolicitingMaterial>
    <dei:PreCommencementTenderOffer
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6YThlYjA2OGU1OGU1NDU5MzkyMjMwMDY2MzFlNTdlNzIvdGFibGVyYW5nZTphOGViMDY4ZTU4ZTU0NTkzOTIyMzAwNjYzMWU1N2U3Ml8wLTAtMS0xLTA_7cc4bf58-87c3-495f-9905-755de402b2eb">false</dei:PreCommencementTenderOffer>
    <dei:PreCommencementIssuerTenderOffer
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6OTg3MjgyYTVmMjg3NGZkZGI2NjdjNTFkNjI5YzU5MzYvdGFibGVyYW5nZTo5ODcyODJhNWYyODc0ZmRkYjY2N2M1MWQ2MjljNTkzNl8wLTAtMS0xLTA_a63c6c31-f560-41d4-bbba-096beeed6ecc">false</dei:PreCommencementIssuerTenderOffer>
    <dei:Security12bTitle
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6NzhmOTI1MWNkMjAxNDdiZmJiZWEzZTA3N2E2ZGUzNTQvdGFibGVyYW5nZTo3OGY5MjUxY2QyMDE0N2JmYmJlYTNlMDc3YTZkZTM1NF8xLTAtMS0xLTA_a9a6915b-8c94-48d5-b453-c677a55f34f5">Common Stock, par value $0.001 per share</dei:Security12bTitle>
    <dei:TradingSymbol
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6NzhmOTI1MWNkMjAxNDdiZmJiZWEzZTA3N2E2ZGUzNTQvdGFibGVyYW5nZTo3OGY5MjUxY2QyMDE0N2JmYmJlYTNlMDc3YTZkZTM1NF8xLTItMS0xLTA_61196aa9-0990-43d5-9f0f-8b2ea3456eb2">ISRG</dei:TradingSymbol>
    <dei:SecurityExchangeName
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGFibGU6NzhmOTI1MWNkMjAxNDdiZmJiZWEzZTA3N2E2ZGUzNTQvdGFibGVyYW5nZTo3OGY5MjUxY2QyMDE0N2JmYmJlYTNlMDc3YTZkZTM1NF8xLTQtMS0xLTA_8583f2ab-d1c5-4921-93c0-4d2102753a11">NASDAQ</dei:SecurityExchangeName>
    <dei:EntityEmergingGrowthCompany
      contextRef="icf41407070484a6b834b135acb31e1da_D20200408-20200408"
      id="id3VybDovL2RvY3MudjEvZG9jOjZmODZmNTQ1NTlhNzQxNDFiNmY5MzU1NTg5YWRjZTRjL3NlYzo2Zjg2ZjU0NTU5YTc0MTQxYjZmOTM1NTU4OWFkY2U0Y18xL2ZyYWc6YzgwYjg3YTJiNmUzNGMyN2FiYzRmZmY1YjVjMzBmZjUvdGV4dHJlZ2lvbjpjODBiODdhMmI2ZTM0YzI3YWJjNGZmZjViNWMzMGZmNV8xMjA0_45fa73e1-7e36-47b7-870e-a1d8d1e52a4f">false</dei:EntityEmergingGrowthCompany>
</xbrl>
</XML>
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>XML
<SEQUENCE>13
<FILENAME>Show.js
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
// Edgar(tm) Renderer was created by staff of the U.S. Securities and Exchange Commission.  Data and content created by government employees within the scope of their employment are not subject to domestic copyright protection. 17 U.S.C. 105.
var Show={};Show.LastAR=null,Show.showAR=function(a,r,w){if(Show.LastAR)Show.hideAR();var e=a;while(e&&e.nodeName!='TABLE')e=e.nextSibling;if(!e||e.nodeName!='TABLE'){var ref=((window)?w.document:document).getElementById(r);if(ref){e=ref.cloneNode(!0);
e.removeAttribute('id');a.parentNode.appendChild(e)}}
if(e)e.style.display='block';Show.LastAR=e};Show.hideAR=function(){Show.LastAR.style.display='none'};Show.toggleNext=function(a){var e=a;while(e.nodeName!='DIV')e=e.nextSibling;if(!e.style){}else if(!e.style.display){}else{var d,p_;if(e.style.display=='none'){d='block';p='-'}else{d='none';p='+'}
e.style.display=d;if(a.textContent){a.textContent=p+a.textContent.substring(1)}else{a.innerText=p+a.innerText.substring(1)}}}
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>ZIP
<SEQUENCE>14
<FILENAME>0001035267-20-000071-xbrl.zip
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
begin 644 0001035267-20-000071-xbrl.zip
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M/V8+Z"K>L:N$96 B<*+!/.Q3>5*F] /HA*N.:,("0@P T"P_EK[>4TQ-AO"
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M;J.E-4(?X@41%:*(,,*5N7@SE@CZ$U5R?D<\_ $FJ'@$5==IB5<^[=0WJ3,
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M\*5G20'=#T(.K;L\V?"8)7A,XX;'*%177(-;V"0^\!A?<C'53!,SS>6*Z0'
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MNN]6C)M&11#A>[VY9LMO>@],_8$%>IG;F.Z/R#Y^U*\2C"WV=<\ =I##:Z\
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M&TQX=4%LBJ[V_UUKX;NYRJ^2].I?>7977)]G\QN6/DQ]B6,6"@TH$11@%#'
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M&$/A2:!R$"-.07/W@KL\H$NG6 R.*5)P08GP7?:C5!!;2!<\YD,!;#1,ON'
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M;6DN:'1M4$L! A0#%     @ ,4J(4,0]XHGL%@  1\@  !$
M ( !'1   &ES<F<M,C R,# T,#@N:'1M4$L! A0#%     @ ,4J(4'\?[3*E
M @  'PH  !$              ( !."<  &ES<F<M,C R,# T,#@N>'-D4$L!
M A0#%     @ ,4J(4&H;V56' 0  V (  !4              ( !#"H  &ES
M<F<M,C R,# T,#A?8V%L+GAM;%!+ 0(4 Q0    ( #%*B%!+&'88(0(  )P&
M   5              "  <8K  !I<W)G+3(P,C P-# X7V1E9BYX;6Q02P$"
M% ,4    "  Q2HA0I*7>[5L*  "B70  %0              @ $:+@  :7-R
M9RTR,#(P,#0P.%]L86(N>&UL4$L! A0#%     @ ,4J(4-/W@G.R!@  >#$
M !4              ( !J#@  &ES<F<M,C R,# T,#A?<')E+GAM;%!+!08
1    !P ' -(!  "-/P     !

end
</TEXT>
</DOCUMENT>
<DOCUMENT>
<TYPE>JSON
<SEQUENCE>15
<FILENAME>MetaLinks.json
<DESCRIPTION>IDEA: XBRL DOCUMENT
<TEXT>
{
 "instance": {
  "isrg-20200408.htm": {
   "axisCustom": 0,
   "axisStandard": 0,
   "contextCount": 2,
   "dts": {
    "calculationLink": {
     "local": [
      "isrg-20200408_cal.xml"
     ]
    },
    "definitionLink": {
     "local": [
      "isrg-20200408_def.xml"
     ],
     "remote": [
      "http://xbrl.fasb.org/us-gaap/2019/elts/us-gaap-eedm-def-2019-01-31.xml",
      "http://xbrl.fasb.org/srt/2019/elts/srt-eedm1-def-2019-01-31.xml"
     ]
    },
    "inline": {
     "local": [
      "isrg-20200408.htm"
     ]
    },
    "labelLink": {
     "local": [
      "isrg-20200408_lab.xml"
     ],
     "remote": [
      "https://xbrl.sec.gov/dei/2019/dei-doc-2019-01-31.xml"
     ]
    },
    "presentationLink": {
     "local": [
      "isrg-20200408_pre.xml"
     ]
    },
    "referenceLink": {
     "remote": [
      "https://xbrl.sec.gov/dei/2019/dei-ref-2019-01-31.xml"
     ]
    },
    "schema": {
     "local": [
      "isrg-20200408.xsd"
     ],
     "remote": [
      "http://xbrl.fasb.org/us-gaap/2019/elts/us-gaap-2019-01-31.xsd",
      "http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd",
      "http://www.xbrl.org/2003/xl-2003-12-31.xsd",
      "http://www.xbrl.org/2003/xlink-2003-12-31.xsd",
      "http://xbrl.fasb.org/us-gaap/2019/elts/us-roles-2019-01-31.xsd",
      "http://www.xbrl.org/2005/xbrldt-2005.xsd",
      "http://www.xbrl.org/2003/xbrl-instance-2003-12-31.xsd",
      "http://xbrl.fasb.org/srt/2019/elts/srt-2019-01-31.xsd",
      "http://www.xbrl.org/dtr/type/numeric-2009-12-16.xsd",
      "http://www.xbrl.org/dtr/type/nonNumeric-2009-12-16.xsd",
      "http://www.xbrl.org/2006/ref-2006-02-27.xsd",
      "http://xbrl.fasb.org/srt/2019/elts/srt-types-2019-01-31.xsd",
      "http://xbrl.fasb.org/srt/2019/elts/srt-roles-2019-01-31.xsd",
      "https://xbrl.sec.gov/country/2017/country-2017-01-31.xsd",
      "http://xbrl.fasb.org/us-gaap/2019/elts/us-types-2019-01-31.xsd",
      "https://xbrl.sec.gov/dei/2019/dei-2019-01-31.xsd",
      "http://www.xbrl.org/lrr/role/negated-2009-12-16.xsd",
      "http://www.xbrl.org/lrr/role/net-2009-12-16.xsd",
      "http://www.xbrl.org/lrr/role/deprecated-2009-12-16.xsd"
     ]
    }
   },
   "elementCount": 23,
   "entityCount": 1,
   "hidden": {
    "http://xbrl.sec.gov/dei/2019-01-31": 2,
    "total": 2
   },
   "keyCustom": 0,
   "keyStandard": 95,
   "memberCustom": 0,
   "memberStandard": 0,
   "nsprefix": "isrg",
   "nsuri": "http://www.intuitivesurgical.com/20200408",
   "report": {
    "R1": {
     "firstAnchor": {
      "ancestors": [
       "span",
       "div",
       "body",
       "html"
      ],
      "baseRef": "isrg-20200408.htm",
      "contextRef": "icf41407070484a6b834b135acb31e1da_D20200408-20200408",
      "decimals": null,
      "first": true,
      "lang": "en-US",
      "name": "dei:DocumentType",
      "reportCount": 1,
      "unique": true,
      "unitRef": null,
      "xsiNil": "false"
     },
     "groupType": "document",
     "isDefault": "true",
     "longName": "0001001 - Document - Cover",
     "role": "http://www.intuitivesurgical.com/role/Cover",
     "shortName": "Cover",
     "subGroupType": "",
     "uniqueAnchor": {
      "ancestors": [
       "span",
       "div",
       "body",
       "html"
      ],
      "baseRef": "isrg-20200408.htm",
      "contextRef": "icf41407070484a6b834b135acb31e1da_D20200408-20200408",
      "decimals": null,
      "first": true,
      "lang": "en-US",
      "name": "dei:DocumentType",
      "reportCount": 1,
      "unique": true,
      "unitRef": null,
      "xsiNil": "false"
     }
    }
   },
   "segmentCount": 0,
   "tag": {
    "dei_AmendmentFlag": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Boolean flag that is true when the XBRL content amends previously-filed or accepted submission.",
        "label": "Amendment Flag",
        "terseLabel": "Amendment Flag"
       }
      }
     },
     "localname": "AmendmentFlag",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_CityAreaCode": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Area code of city",
        "label": "City Area Code",
        "terseLabel": "City Area Code"
       }
      }
     },
     "localname": "CityAreaCode",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_CoverAbstract": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Cover page.",
        "label": "Cover [Abstract]"
       }
      }
     },
     "localname": "CoverAbstract",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "xbrltype": "stringItemType"
    },
    "dei_DocumentPeriodEndDate": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "The end date of the period reflected on the cover page if a periodic report. For all other reports and registration statements containing historical data, it is the date up through which that historical data is presented.  If there is no historical data in the report, use the filing date. The format of the date is CCYY-MM-DD.",
        "label": "Document Period End Date",
        "terseLabel": "Document Period End Date"
       }
      }
     },
     "localname": "DocumentPeriodEndDate",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "dateItemType"
    },
    "dei_DocumentType": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "The type of document being provided (such as 10-K, 10-Q, 485BPOS, etc). The document type is limited to the same value as the supporting SEC submission type, or the word 'Other'.",
        "label": "Document Type",
        "terseLabel": "Document Type"
       }
      }
     },
     "localname": "DocumentType",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "submissionTypeItemType"
    },
    "dei_EntityAddressAddressLine1": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Address Line 1 such as Attn, Building Name, Street Name",
        "label": "Entity Address, Address Line One",
        "terseLabel": "Entity Address, Address Line One"
       }
      }
     },
     "localname": "EntityAddressAddressLine1",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_EntityAddressCityOrTown": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Name of the City or Town",
        "label": "Entity Address, City or Town",
        "terseLabel": "Entity Address, City or Town"
       }
      }
     },
     "localname": "EntityAddressCityOrTown",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_EntityAddressPostalZipCode": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Code for the postal or zip code",
        "label": "Entity Address, Postal Zip Code",
        "terseLabel": "Entity Address, Postal Zip Code"
       }
      }
     },
     "localname": "EntityAddressPostalZipCode",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_EntityAddressStateOrProvince": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Name of the state or province.",
        "label": "Entity Address, State or Province",
        "terseLabel": "Entity Address, State or Province"
       }
      }
     },
     "localname": "EntityAddressStateOrProvince",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "stateOrProvinceItemType"
    },
    "dei_EntityCentralIndexKey": {
     "auth_ref": [
      "r5"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "A unique 10-digit SEC-issued value to identify entities that have filed disclosures with the SEC. It is commonly abbreviated as CIK.",
        "label": "Entity Central Index Key",
        "terseLabel": "Entity Central Index Key"
       }
      }
     },
     "localname": "EntityCentralIndexKey",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "centralIndexKeyItemType"
    },
    "dei_EntityEmergingGrowthCompany": {
     "auth_ref": [
      "r5"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Indicate if registrant meets the emerging growth company criteria.",
        "label": "Entity Emerging Growth Company",
        "terseLabel": "Entity Emerging Growth Company"
       }
      }
     },
     "localname": "EntityEmergingGrowthCompany",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_EntityFileNumber": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Commission file number. The field allows up to 17 characters. The prefix may contain 1-3 digits, the sequence number may contain 1-8 digits, the optional suffix may contain 1-4 characters, and the fields are separated with a hyphen.",
        "label": "Entity File Number",
        "terseLabel": "Entity File Number"
       }
      }
     },
     "localname": "EntityFileNumber",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "fileNumberItemType"
    },
    "dei_EntityIncorporationStateCountryCode": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Two-character EDGAR code representing the state or country of incorporation.",
        "label": "Entity Incorporation, State or Country Code",
        "terseLabel": "Entity Incorporation, State or Country Code"
       }
      }
     },
     "localname": "EntityIncorporationStateCountryCode",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "edgarStateCountryItemType"
    },
    "dei_EntityRegistrantName": {
     "auth_ref": [
      "r5"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "The exact name of the entity filing the report as specified in its charter, which is required by forms filed with the SEC.",
        "label": "Entity Registrant Name",
        "terseLabel": "Entity Registrant Name"
       }
      }
     },
     "localname": "EntityRegistrantName",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_EntityTaxIdentificationNumber": {
     "auth_ref": [
      "r5"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "The Tax Identification Number (TIN), also known as an Employer Identification Number (EIN), is a unique 9-digit value assigned by the IRS.",
        "label": "Entity Tax Identification Number",
        "terseLabel": "Entity Tax Identification Number"
       }
      }
     },
     "localname": "EntityTaxIdentificationNumber",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "employerIdItemType"
    },
    "dei_LocalPhoneNumber": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Local phone number for entity.",
        "label": "Local Phone Number",
        "terseLabel": "Local Phone Number"
       }
      }
     },
     "localname": "LocalPhoneNumber",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "normalizedStringItemType"
    },
    "dei_PreCommencementIssuerTenderOffer": {
     "auth_ref": [
      "r2"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act.",
        "label": "Pre-commencement Issuer Tender Offer",
        "terseLabel": "Pre-commencement Issuer Tender Offer"
       }
      }
     },
     "localname": "PreCommencementIssuerTenderOffer",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_PreCommencementTenderOffer": {
     "auth_ref": [
      "r3"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act.",
        "label": "Pre-commencement Tender Offer",
        "terseLabel": "Pre-commencement Tender Offer"
       }
      }
     },
     "localname": "PreCommencementTenderOffer",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_Security12bTitle": {
     "auth_ref": [
      "r0"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Title of a 12(b) registered security.",
        "label": "Title of 12(b) Security",
        "terseLabel": "Title of 12(b) Security"
       }
      }
     },
     "localname": "Security12bTitle",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "securityTitleItemType"
    },
    "dei_SecurityExchangeName": {
     "auth_ref": [
      "r1"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Name of the Exchange on which a security is registered.",
        "label": "Security Exchange Name",
        "terseLabel": "Security Exchange Name"
       }
      }
     },
     "localname": "SecurityExchangeName",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "edgarExchangeCodeItemType"
    },
    "dei_SolicitingMaterial": {
     "auth_ref": [
      "r4"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as soliciting material pursuant to Rule 14a-12 under the Exchange Act.",
        "label": "Soliciting Material",
        "terseLabel": "Soliciting Material"
       }
      }
     },
     "localname": "SolicitingMaterial",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "booleanItemType"
    },
    "dei_TradingSymbol": {
     "auth_ref": [],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Trading symbol of an instrument as listed on an exchange.",
        "label": "Trading Symbol",
        "terseLabel": "Trading Symbol"
       }
      }
     },
     "localname": "TradingSymbol",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "tradingSymbolItemType"
    },
    "dei_WrittenCommunications": {
     "auth_ref": [
      "r6"
     ],
     "lang": {
      "en-US": {
       "role": {
        "documentation": "Boolean flag that is true when the Form 8-K filing is intended to satisfy the filing obligation of the registrant as written communications pursuant to Rule 425 under the Securities Act.",
        "label": "Written Communications",
        "terseLabel": "Written Communications"
       }
      }
     },
     "localname": "WrittenCommunications",
     "nsuri": "http://xbrl.sec.gov/dei/2019-01-31",
     "presentation": [
      "http://www.intuitivesurgical.com/role/Cover"
     ],
     "xbrltype": "booleanItemType"
    }
   },
   "unitCount": 0
  }
 },
 "std_ref": {
  "r0": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "12",
   "Subsection": "b"
  },
  "r1": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "12",
   "Subsection": "d1-1"
  },
  "r2": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "13e",
   "Subsection": "4c"
  },
  "r3": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "14d",
   "Subsection": "2b"
  },
  "r4": {
   "Name": "Exchange Act",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "14a",
   "Subsection": "12"
  },
  "r5": {
   "Name": "Regulation 12B",
   "Number": "240",
   "Publisher": "SEC",
   "Section": "12",
   "Subsection": "b-2"
  },
  "r6": {
   "Name": "Securities Act",
   "Number": "230",
   "Publisher": "SEC",
   "Section": "425"
  }
 },
 "version": "2.1"
}
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
