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Cover Page - USD ($)
$ in Billions
 12 Months Ended
Dec. 31, 2023
Jan. 25, 2024
Jun. 30, 2023
Cover [Abstract]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2023    
Document Transition Report false    
Entity File Number 000-30713    
Entity Registrant Name Intuitive Surgical, Inc.    
State or Other Jurisdiction of Incorporation or Organization DE    
I.R.S. Employer Identification No. 77-0416458    
Entity Address, Address Line One 1020 Kifer Road    
Entity Address, City or Town Sunnyvale    
Entity Address, State or Province CA    
Entity Address, Postal Zip Code 94086    
City Area Code (408)    
Local Phone Number 523-2100    
Title of Each Class Common Stock, par value $0.001 per share    
Trading Symbol ISRG    
Security Exchange Name NASDAQ    
Entity Well-known Seasoned Issuer Yes    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Large Accelerated Filer    
Entity Small Business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Document Financial Statement Error Correction [Flag] false    
Entity Shell Company false    
Entity Public Float     $ 119.6
Entity Common Stock, Shares Outstanding   352,325,863  
Documents Incorporated by Reference
Part III incorporates information by reference to the definitive proxy statement for the Company’s Annual Meeting of Stockholders to be held on or about April 25, 2024, to be filed within 120 days of the registrant’s fiscal year ended December 31, 2023.
    
Entity Central Index Key 0001035267    
Current Fiscal Year End Date --12-31    
Document Fiscal Year Focus 2023    
Document Fiscal Period Focus FY    
Amendment Flag false