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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Revenue:    
Total revenue $ 1,696.2 $ 1,487.7
Cost of revenue:    
Total cost of revenue 583.2 478.0
Gross profit 1,113.0 1,009.7
Operating expenses:    
Selling, general and administrative 480.5 391.1
Research and development 244.9 210.5
Total operating expenses 725.4 601.6
Income from operations 387.6 408.1
Interest and other income (expense), net 34.2 (5.7)
Income before taxes 421.8 402.4
Income tax expense 61.0 33.0
Net income 360.8 369.4
Less: net income attributable to noncontrolling interest in joint venture 5.5 3.8
Net income attributable to Intuitive Surgical, Inc. $ 355.3 $ 365.6
Net income per share attributable to Intuitive Surgical, Inc.:    
Basic (in dollars per share) $ 1.01 $ 1.02
Diluted (in dollars per share) $ 1.00 $ 1.00
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:    
Basic (in shares) 350.2 358.4
Diluted (in shares) 356.0 366.7
Other comprehensive income (loss), net of tax:    
Unrealized gains on hedge instruments $ 2.5 $ 1.0
Unrealized gains (losses) on available-for-sale securities 37.6 (90.7)
Foreign currency translation gains 14.2 3.5
Prior service cost for employee benefit plans 0.0 0.1
Other comprehensive income (loss) 54.3 (86.1)
Total comprehensive income 415.1 283.3
Less: comprehensive income attributable to noncontrolling interest 5.8 4.2
Total comprehensive income attributable to Intuitive Surgical, Inc. 409.3 279.1
Corporate Joint Venture    
Operating expenses:    
Less: net income attributable to noncontrolling interest in joint venture 5.5 3.8
Product    
Revenue:    
Total revenue 1,413.0 1,238.4
Cost of revenue:    
Total cost of revenue 493.0 397.3
Service    
Revenue:    
Total revenue 283.2 249.3
Cost of revenue:    
Total cost of revenue $ 90.2 $ 80.7