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Consolidated Statements Of Comprehensive Income - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Statement of Comprehensive Income [Abstract]      
Net income $ 1,817.3 $ 1,344.4 $ 1,728.1
Other comprehensive income (loss), net of tax:      
Change in foreign currency translation gains (losses) 25.7 (0.5) (13.3)
Available-for-sale securities (net of tax):      
Change in unrealized gains (losses) 124.6 (138.2) (45.5)
Less: Reclassification adjustment for gains on securities (0.1) 0.0 0.0
Net change 124.5 (138.2) (45.5)
Hedge instruments (net of tax):      
Change in unrealized gains (losses) (6.6) (35.0) 12.3
Less: Reclassification adjustment for (gains) losses on hedge instruments 7.0 27.6 (4.9)
Net change 0.4 (7.4) 7.4
Employee benefit plans (net of tax):      
Change in unrealized gains (losses) (0.6) 5.8 0.1
Less: Reclassification adjustment for losses on employee benefit plans 0.0 0.2 1.5
Net change (0.6) 6.0 1.6
Other comprehensive income (loss), net of tax 150.0 (140.1) (49.8)
Total comprehensive income 1,967.3 1,204.3 1,678.3
Less: comprehensive income attributable to noncontrolling interest 19.0 20.3 22.8
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 1,948.3 $ 1,184.0 $ 1,655.5