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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Revenue:    
Total revenue $ 1,890.6 $ 1,696.2
Cost of revenue:    
Total cost of revenue 645.2 583.2
Gross profit 1,245.4 1,113.0
Operating expenses:    
Selling, general and administrative 491.5 480.5
Research and development 284.5 244.9
Total operating expenses 776.0 725.4
Income from operations 469.4 387.6
Interest and other income, net 69.1 34.2
Income before taxes 538.5 421.8
Income tax expense (benefit) (8.9) 61.0
Net income 547.4 360.8
Less: net income attributable to noncontrolling interest in joint venture 2.5 5.5
Net income attributable to Intuitive Surgical, Inc. $ 544.9 $ 355.3
Net income per share attributable to Intuitive Surgical, Inc.:    
Basic (in dollars per share) $ 1.54 $ 1.01
Diluted (in dollars per share) $ 1.51 $ 1.00
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:    
Basic (in shares) 353.5 350.2
Diluted (in shares) 360.5 356.0
Other comprehensive income, net of tax:    
Unrealized gains on hedge instruments $ 5.6 $ 2.5
Unrealized gains (losses) on available-for-sale securities (4.2) 37.6
Foreign currency translation gains 1.8 14.2
Prior service cost for employee benefit plans (0.1) 0.0
Other comprehensive income 3.1 54.3
Total comprehensive income 550.5 415.1
Less: comprehensive income attributable to noncontrolling interest 2.1 5.8
Total comprehensive income attributable to Intuitive Surgical, Inc. 548.4 409.3
Corporate Joint Venture    
Operating expenses:    
Less: net income attributable to noncontrolling interest in joint venture 2.5 5.5
Product    
Revenue:    
Total revenue 1,577.1 1,413.0
Cost of revenue:    
Total cost of revenue 554.4 493.0
Service    
Revenue:    
Total revenue 313.5 283.2
Cost of revenue:    
Total cost of revenue $ 90.8 $ 90.2