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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, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Revenue:        
Total revenue $ 1,522.1 $ 1,464.0 $ 3,009.8 $ 2,756.1
Cost of revenue:        
Total cost of revenue 498.8 440.3 976.8 829.8
Gross profit 1,023.3 1,023.7 2,033.0 1,926.3
Operating expenses:        
Selling, general and administrative 418.4 350.2 809.5 676.2
Research and development 207.3 162.3 417.8 322.1
Total operating expenses 625.7 512.5 1,227.3 998.3
Income from operations 397.6 511.2 805.7 928.0
Interest and other income, net 9.3 15.0 3.6 47.0
Income before taxes 406.9 526.2 809.3 975.0
Income tax expense 93.3 3.2 126.3 16.8
Net income 313.6 523.0 683.0 958.2
Less: net income attributable to noncontrolling interest in joint venture 5.8 5.8 9.6 14.7
Net income attributable to Intuitive Surgical, Inc. $ 307.8 $ 517.2 $ 673.4 $ 943.5
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 0.86 $ 1.45 $ 1.88 $ 2.66
Diluted (in dollars per share) $ 0.85 $ 1.42 $ 1.84 $ 2.59
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 358.1 355.7 358.2 355.0
Diluted (in shares) 363.9 364.9 365.3 364.5
Other comprehensive loss, net of tax:        
Change in unrealized gains (losses) on hedge instruments $ 4.4 $ (0.1) $ 5.4 $ 6.0
Change in unrealized losses on available-for-sale securities (33.4) (6.0) (124.1) (16.0)
Change in foreign currency translation gains (losses) (5.5) 4.4 (2.0) (5.1)
Change in prior service cost for employee benefit plans 0.0 0.1 0.1 0.2
Other comprehensive loss (34.5) (1.6) (120.6) (14.9)
Total comprehensive income 279.1 521.4 562.4 943.3
Less: comprehensive income attributable to noncontrolling interest 4.8 5.3 9.0 14.4
Total comprehensive income attributable to Intuitive Surgical, Inc. 274.3 516.1 553.4 928.9
Corporate Joint Venture        
Operating expenses:        
Less: net income attributable to noncontrolling interest in joint venture 5.8 5.8 9.6 14.7
Product        
Revenue:        
Total revenue 1,270.4 1,236.0 2,508.8 2,310.6
Cost of revenue:        
Total cost of revenue 421.0 374.0 818.3 693.3
Service        
Revenue:        
Total revenue 251.7 228.0 501.0 445.5
Cost of revenue:        
Total cost of revenue $ 77.8 $ 66.3 $ 158.5 $ 136.5