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Consolidated Statements Of Income - USD ($)
shares in Millions, $ in Millions
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Revenue:      
Total revenue $ 5,710.1 $ 4,358.4 $ 4,478.5
Cost of revenue:      
Total cost of revenue 1,751.6 1,497.2 1,368.3
Gross profit 3,958.5 2,861.2 3,110.2
Operating expenses:      
Selling, general and administrative 1,466.5 1,216.3 1,178.4
Research and development 671.0 595.1 557.3
Total operating expenses 2,137.5 1,811.4 1,735.7
Income from operations 1,821.0 1,049.8 1,374.5
Interest and other income, net 69.3 157.2 127.7
Income before taxes 1,890.3 1,207.0 1,502.2
Income tax expense 162.2 140.2 120.4
Net income 1,728.1 1,066.8 1,381.8
Less: net income attributable to noncontrolling interest in joint venture 23.5 6.2 2.5
Net income attributable to Intuitive Surgical, Inc. $ 1,704.6 $ 1,060.6 $ 1,379.3
Net income per share attributable to Intuitive Surgical, Inc.:      
Basic (usd per share) $ 4.79 $ 3.02 $ 3.98
Diluted (usd per share) $ 4.66 $ 2.94 $ 3.85
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:      
Basic (shares) 356.1 351.1 346.2
Diluted (shares) 365.8 361.0 358.4
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 1,655.5 $ 1,073.1 $ 1,405.0
Joint venture      
Operating expenses:      
Less: net income attributable to noncontrolling interest in joint venture 23.5 6.2 2.5
Product      
Revenue:      
Total revenue 4,793.9 3,634.6 3,754.3
Cost of revenue:      
Total cost of revenue 1,464.1 1,230.3 1,119.1
Service      
Revenue:      
Total revenue 916.2 723.8 724.2
Cost of revenue:      
Total cost of revenue $ 287.5 $ 266.9 $ 249.2