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Consolidated Statements Of Comprehensive Income - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Statement of Comprehensive Income [Abstract]      
Net income $ 1,344.4 $ 1,728.1 $ 1,066.8
Other comprehensive income (loss), net of tax:      
Change in foreign currency translation gains (losses) (0.5) (13.3) 5.2
Available-for-sale securities (net of tax):      
Change in unrealized gains (losses) (138.2) (45.5) 13.8
Less: Reclassification adjustment for gains on securities 0.0 0.0 (4.7)
Net change (138.2) (45.5) 9.1
Hedge instruments (net of tax):      
Change in unrealized gains (losses) (35.0) 12.3 (0.8)
Less: Reclassification adjustment for (gains) losses on hedge instruments 27.6 (4.9) (2.8)
Net change (7.4) 7.4 (3.6)
Employee benefit plans (net of tax):      
Change in unrealized gains 5.8 0.1 1.0
Less: Reclassification adjustment for losses on employee benefit plans 0.2 1.5 1.3
Net change 6.0 1.6 2.3
Other comprehensive income (loss), net of tax (140.1) (49.8) 13.0
Total comprehensive income 1,204.3 1,678.3 1,079.8
Less: comprehensive income attributable to noncontrolling interest 20.3 22.8 6.7
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 1,184.0 $ 1,655.5 $ 1,073.1