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Consolidated Statements Of Stockholders' Equity - USD ($)
shares in Millions, $ in Millions
Total
Cumulative Effect, Period of Adoption, Adjustment
 [1]
Common Stock
Additional Paid-In Capital
Retained Earnings
Retained Earnings
Cumulative Effect, Period of Adoption, Adjustment
 [1]
Accumulated Other Comprehensive (Loss)/Income
Total Intuitive Surgical, Inc. Stockholders’ Equity
Total Intuitive Surgical, Inc. Stockholders’ Equity
Cumulative Effect, Period of Adoption, Adjustment
 [1]
Noncontrolling Interest in Joint Venture
Beginning balances (shares) at Dec. 31, 2019     347.9              
Beginning balance at Dec. 31, 2019 $ 8,284.7 $ (0.1) $ 0.3 $ 5,756.6 $ 2,494.5 $ (0.1) $ 12.4 $ 8,263.8 $ (0.1) $ 20.9
Increase (Decrease) in Stockholders' Equity [Roll Forward]                    
Issuance of common stock through employee stock plans (shares)     6.8              
Issuance of common stock through employee stock plans 308.8   $ 0.1 308.7       308.8    
Shares withheld related to net share settlement of equity awards (shares)     (0.9)              
Shares withheld related to net share settlement of equity awards (175.2)     (7.9) (167.3)     (175.2)    
Share-based compensation expense related to employee stock plans 395.4     395.4       395.4    
Repurchase and retirement of common stock (shares)     (0.7)              
Repurchase and retirement of common stock (134.3)     7.9 126.4     (134.3)    
Net income 1,060.6       1,060.6     1,060.6    
Other comprehensive income (loss) 13.0           12.5 12.5   0.5
Net income attributable to noncontrolling interest in joint venture 6.2                 6.2
Ending balances (shares) at Dec. 31, 2020     353.1              
Ending balance at Dec. 31, 2020 9,759.1   $ 0.4 6,444.9 3,261.3   24.9 9,731.5   27.6
Increase (Decrease) in Stockholders' Equity [Roll Forward]                    
Issuance of common stock through employee stock plans (shares)     5.4              
Issuance of common stock through employee stock plans 276.5     276.5       276.5    
Shares withheld related to net share settlement of equity awards (shares)     (0.8)              
Shares withheld related to net share settlement of equity awards (211.6)     (6.6) (205.0)     (211.6)    
Share-based compensation expense related to employee stock plans 449.2     449.2       449.2    
Net income 1,704.6       1,704.6     1,704.6    
Other comprehensive income (loss) (49.8)           (49.1) (49.1)   (0.7)
Net income attributable to noncontrolling interest in joint venture $ 23.5                 23.5
Ending balances (shares) at Dec. 31, 2021 357.7   357.7              
Ending balance at Dec. 31, 2021 $ 11,951.5   $ 0.4 7,164.0 4,760.9   (24.2) 11,901.1   50.4
Increase (Decrease) in Stockholders' Equity [Roll Forward]                    
Issuance of common stock through employee stock plans (shares)     4.2              
Issuance of common stock through employee stock plans 233.8     233.8       233.8    
Shares withheld related to net share settlement of equity awards (shares)     (0.7)              
Shares withheld related to net share settlement of equity awards (194.2)     (7.4) (186.8)     (194.2)    
Share-based compensation expense related to employee stock plans 524.6     524.6       524.6    
Repurchase and retirement of common stock (shares)     (11.2)              
Repurchase and retirement of common stock (2,607.4)     211.1 2,396.3     (2,607.4)    
Net income 1,322.3       1,322.3     1,322.3    
Other comprehensive income (loss) (140.1)           (138.3) (138.3)   (1.8)
Net income attributable to noncontrolling interest in joint venture $ 22.1                 22.1
Ending balances (shares) at Dec. 31, 2022 350.0   350.0              
Ending balance at Dec. 31, 2022 $ 11,112.6   $ 0.4 $ 7,703.9 $ 3,500.1   $ (162.5) $ 11,041.9   $ 70.7
[1] (1) Represents the adjustment related to the adoption of Accounting Standards Update (“ASU”) 2016-13, Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments.