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Consolidated Statements Of Stockholders' Equity - USD ($)
shares in Millions, $ in Millions
Total
Common Stock
Additional Paid-In Capital
Retained Earnings
Accumulated Other Comprehensive (Loss)/Income
Total Intuitive Surgical, Inc. Stockholders’ Equity
Noncontrolling Interest in Joint Venture
Beginning balance (shares) at Dec. 31, 2020   353.1          
Beginning 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 attributable to Intuitive Surgical, Inc. 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 balance (shares) at Dec. 31, 2021   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 attributable to Intuitive Surgical, Inc. 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 balance (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
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Issuance of common stock through employee stock plans (shares)   4.7          
Issuance of common stock through employee stock plans 296.3   296.3     296.3  
Shares withheld related to net share settlement of equity awards (shares)   (0.7)          
Shares withheld related to net share settlement of equity awards (164.7)   (7.2) (157.5)   (164.7)  
Share-based compensation expense related to employee stock plans 602.1   602.1     602.1  
Repurchase and retirement of common stock (shares)   (1.7)          
Repurchase and retirement of common stock (416.3)   (18.7) (397.6)   (416.3)  
Net income attributable to Intuitive Surgical, Inc. 1,798.0     1,798.0   1,798.0  
Other comprehensive income (loss) 150.0       150.3 150.3 (0.3)
Net income attributable to noncontrolling interest in joint venture $ 19.3           19.3
Ending balance (shares) at Dec. 31, 2023 352.3 352.3          
Ending balance at Dec. 31, 2023 $ 13,397.3 $ 0.4 $ 8,576.4 $ 4,743.0 $ (12.2) $ 13,307.6 $ 89.7