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Consolidated Statements Of Income - USD ($)
shares in Millions, $ in Millions
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Revenue:      
Total revenue $ 7,124.1 $ 6,222.2 $ 5,710.1
Cost of revenue:      
Total cost of revenue 2,394.6 2,026.2 1,751.6
Gross profit 4,729.5 4,196.0 3,958.5
Operating expenses:      
Selling, general and administrative 1,963.9 1,739.9 1,466.5
Research and development 998.8 879.0 671.0
Total operating expenses 2,962.7 2,618.9 2,137.5
Income from operations 1,766.8 1,577.1 1,821.0
Interest and other income, net 192.1 29.7 69.3
Income before taxes 1,958.9 1,606.8 1,890.3
Income tax expense 141.6 262.4 162.2
Net income 1,817.3 1,344.4 1,728.1
Less: net income attributable to noncontrolling interest in joint venture 19.3 22.1 23.5
Net income attributable to Intuitive Surgical, Inc. $ 1,798.0 $ 1,322.3 $ 1,704.6
Net income per share attributable to Intuitive Surgical, Inc.:      
Basic (usd per share) $ 5.12 $ 3.72 $ 4.79
Diluted (usd per share) $ 5.03 $ 3.65 $ 4.66
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:      
Basic (shares) 351.2 355.7 356.1
Diluted (shares) 357.4 362.0 365.8
Joint venture      
Operating expenses:      
Less: net income attributable to noncontrolling interest in joint venture $ 19.3 $ 22.1 $ 23.5
Product      
Revenue:      
Total revenue 5,956.3 5,198.0 4,793.9
Cost of revenue:      
Total cost of revenue 2,041.8 1,700.3 1,464.1
Service      
Revenue:      
Total revenue 1,167.8 1,024.2 916.2
Cost of revenue:      
Total cost of revenue $ 352.8 $ 325.9 $ 287.5