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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Revenue:        
Total revenue $ 1,464.0 $ 852.1 $ 2,756.1 $ 1,951.6
Cost of revenue:        
Total cost of revenue 440.3 349.2 829.8 710.5
Gross profit 1,023.7 502.9 1,926.3 1,241.1
Operating expenses:        
Selling, general and administrative 350.2 279.1 676.2 587.2
Research and development 162.3 143.2 322.1 290.3
Total operating expenses 512.5 422.3 998.3 877.5
Income from operations 511.2 80.6 928.0 363.6
Interest and other income, net 15.0 26.6 47.0 51.7
Income before taxes 526.2 107.2 975.0 415.3
Income tax expense 3.2 37.0 16.8 28.9
Net income 523.0 70.2 958.2 386.4
Less: net loss attributable to noncontrolling interest in joint venture 5.8 2.2 14.7 4.9
Net income attributable to Intuitive Surgical, Inc. $ 517.2 $ 68.0 $ 943.5 $ 381.5
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 4.36 $ 0.58 $ 7.98 $ 3.27
Diluted (in dollars per share) $ 4.25 $ 0.57 $ 7.77 $ 3.19
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 118.6 116.8 118.3 116.6
Diluted (in shares) 121.6 119.7 121.5 119.7
Total comprehensive income $ 521.4 $ 83.5 $ 943.3 $ 396.4
Less: comprehensive income attributable to noncontrolling interest 5.3 2.1 14.4 5.0
Total comprehensive income attributable to Intuitive Surgical, Inc. 516.1 81.4 928.9 391.4
Product        
Revenue:        
Total revenue 1,236.0 721.8 2,310.6 1,622.6
Cost of revenue:        
Total cost of revenue 374.0 283.8 693.3 580.5
Service        
Revenue:        
Total revenue 228.0 130.3 445.5 329.0
Cost of revenue:        
Total cost of revenue $ 66.3 $ 65.4 $ 136.5 $ 130.0