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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Revenue:        
Total revenue $ 2,009.9 $ 1,755.9 $ 3,900.5 $ 3,452.1
Cost of revenue:        
Total cost of revenue 637.2 584.0 1,282.4 1,167.2
Gross profit 1,372.7 1,171.9 2,618.1 2,284.9
Operating expenses:        
Selling, general and administrative 525.3 464.3 1,016.8 944.8
Research and development 280.1 244.4 564.6 489.3
Total operating expenses 805.4 708.7 1,581.4 1,434.1
Income from operations 567.3 463.2 1,036.7 850.8
Interest and other income, net 87.2 36.0 156.3 70.2
Income before taxes 654.5 499.2 1,193.0 921.0
Income tax expense 123.0 73.2 114.1 134.2
Net income 531.5 426.0 1,078.9 786.8
Less: net income attributable to noncontrolling interest in joint venture 4.6 5.2 7.1 10.7
Net income attributable to Intuitive Surgical, Inc. $ 526.9 $ 420.8 $ 1,071.8 $ 776.1
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 1.48 $ 1.20 $ 3.03 $ 2.21
Diluted (in dollars per share) $ 1.46 $ 1.18 $ 2.97 $ 2.18
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 355.0 350.9 354.2 350.6
Diluted (in shares) 361.0 357.3 360.8 356.6
Other comprehensive income (loss), net of tax:        
Unrealized gains on hedge instruments $ 4.8 $ 6.0 $ 10.4 $ 8.5
Unrealized gains on available-for-sale securities 5.5 13.1 1.3 50.7
Foreign currency translation gains (losses) (25.3) 8.5 (23.5) 22.7
Prior service cost for employee benefit plans 0.0 0.0 (0.1) 0.0
Other comprehensive income (loss) (15.0) 27.6 (11.9) 81.9
Total comprehensive income 516.5 453.6 1,067.0 868.7
Less: comprehensive income attributable to noncontrolling interest 4.4 4.1 6.5 9.9
Total comprehensive income attributable to Intuitive Surgical, Inc. 512.1 449.5 1,060.5 858.8
Corporate Joint Venture        
Operating expenses:        
Less: net income attributable to noncontrolling interest in joint venture 4.6 5.2 7.1 10.7
Product        
Revenue:        
Total revenue 1,692.6 1,468.6 3,269.7 2,881.6
Cost of revenue:        
Total cost of revenue 539.4 498.0 1,093.8 991.0
Service        
Revenue:        
Total revenue 317.3 287.3 630.8 570.5
Cost of revenue:        
Total cost of revenue $ 97.8 $ 86.0 $ 188.6 $ 176.2