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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Revenue:        
Total revenue $ 1,403.3 $ 1,077.7 $ 4,159.4 $ 3,029.3
Cost of revenue:        
Total cost of revenue 431.9 353.4 1,261.7 1,063.9
Gross profit 971.4 724.3 2,897.7 1,965.4
Operating expenses:        
Selling, general and administrative 363.3 298.9 1,039.5 886.1
Research and development 165.5 155.0 487.6 445.3
Total operating expenses 528.8 453.9 1,527.1 1,331.4
Income from operations 442.6 270.4 1,370.6 634.0
Interest and other income, net 18.5 84.8 65.5 136.5
Income before taxes 461.1 355.2 1,436.1 770.5
Income tax expense 73.9 38.4 90.7 67.3
Net income 387.2 316.8 1,345.4 703.2
Less: net income attributable to noncontrolling interest in joint venture 6.7 2.9 21.4 7.8
Net income attributable to Intuitive Surgical, Inc. $ 380.5 $ 313.9 $ 1,324.0 $ 695.4
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 1.07 $ 0.89 $ 3.72 $ 1.98
Diluted (in dollars per share) $ 1.04 $ 0.87 $ 3.63 $ 1.93
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 356.8 352.0 355.6 350.5
Diluted (in shares) 366.8 361.9 365.1 360.1
Total comprehensive income $ 382.1 $ 310.8 $ 1,325.4 $ 707.2
Less: comprehensive income attributable to noncontrolling interest 6.6 3.0 21.0 8.0
Total comprehensive income attributable to Intuitive Surgical, Inc. 375.5 307.8 1,304.4 699.2
Product        
Revenue:        
Total revenue 1,170.6 898.4 3,481.1 2,521.0
Cost of revenue:        
Total cost of revenue 355.8 287.7 1,049.1 868.2
Service        
Revenue:        
Total revenue 232.7 179.3 678.3 508.3
Cost of revenue:        
Total cost of revenue $ 76.1 $ 65.7 $ 212.6 $ 195.7