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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Revenue:    
Total revenue $ 1,292.1 $ 1,099.5
Cost of revenue:    
Total cost of revenue 389.5 361.3
Gross profit 902.6 738.2
Operating expenses:    
Selling, general and administrative 326.0 308.1
Research and development 159.8 147.1
Total operating expenses 485.8 455.2
Income from operations 416.8 283.0
Interest and other income, net 32.0 25.1
Income before taxes 448.8 308.1
Income tax expense 13.6 (8.1)
Net income 435.2 316.2
Less: net loss attributable to noncontrolling interest in joint venture 8.9 2.7
Net income attributable to Intuitive Surgical, Inc. $ 426.3 $ 313.5
Net income per share attributable to Intuitive Surgical, Inc.:    
Basic (in dollars per share) $ 3.61 $ 2.69
Diluted (in dollars per share) $ 3.51 $ 2.62
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:    
Basic (in shares) 118.1 116.4
Diluted (in shares) 121.3 119.8
Total comprehensive income $ 421.9 $ 312.9
Less: comprehensive income attributable to noncontrolling interest 9.1 2.9
Total comprehensive income attributable to Intuitive Surgical, Inc. 412.8 310.0
Product    
Revenue:    
Total revenue 1,074.6 900.8
Cost of revenue:    
Total cost of revenue 319.3 296.7
Service    
Revenue:    
Total revenue 217.5 198.7
Cost of revenue:    
Total cost of revenue $ 70.2 $ 64.6