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STOCKHOLDERS' EQUITY - Schedule of Stockholders Equity (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares)     352,300,000  
Beginning balance $ 14,046.4 $ 11,294.2 $ 13,397.3 $ 11,112.6
Issuance of common stock through employee stock plans 71.5 74.6 251.9 174.8
Shares withheld related to net share settlement of equity awards (13.5) (10.9) (240.1) (140.6)
Share-based compensation expense related to employee stock plans 175.6 148.2 328.4 294.2
Repurchase and retirement of common stock       (350.0)
Net income attributable to Intuitive Surgical, Inc. 526.9 420.8 1,071.8 776.1
Other comprehensive income (loss) (15.0) 27.6 (11.9) 81.9
Cash dividends declared and payable by joint venture     (8.0)  
Net income attributable to noncontrolling interest in joint venture $ 4.6 5.2 $ 7.1 10.7
Ending balance (in shares) 355,300,000   355,300,000  
Ending balance $ 14,796.5 11,959.7 $ 14,796.5 11,959.7
Total Intuitive Surgical, Inc. Stockholders’ Equity        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 13,962.6 11,217.7 13,307.6 11,041.9
Issuance of common stock through employee stock plans 71.5 74.6 251.9 174.8
Shares withheld related to net share settlement of equity awards (13.5) (10.9) (240.1) (140.6)
Share-based compensation expense related to employee stock plans 175.6 148.2 328.4 294.2
Repurchase and retirement of common stock       (350.0)
Net income attributable to Intuitive Surgical, Inc. 526.9 420.8 1,071.8 776.1
Other comprehensive income (loss) (14.8) 28.7 (11.3) 82.7
Ending balance $ 14,708.3 $ 11,879.1 $ 14,708.3 $ 11,879.1
Common Stock        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares) 354,700,000 350,400,000 352,300,000 350,000,000.0
Beginning balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Issuance of common stock through employee stock plans (in shares) 600,000 1,000,000.0 3,600,000 3,400,000
Shares withheld related to net share settlement of equity awards (in shares) 0 (100,000) (600,000) (600,000)
Repurchase and retirement of common stock (in shares)       (1,500,000)
Ending balance (in shares) 355,300,000 351,300,000 355,300,000 351,300,000
Ending balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Additional Paid-In Capital        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 8,903.0 7,928.4 8,576.4 7,703.9
Issuance of common stock through employee stock plans 71.5 74.6 251.9 174.8
Shares withheld related to net share settlement of equity awards (0.4) (0.4) (7.0) (6.3)
Share-based compensation expense related to employee stock plans 175.6 148.2 328.4 294.2
Repurchase and retirement of common stock       (15.8)
Ending balance 9,149.7 8,150.8 9,149.7 8,150.8
Retained Earnings        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 5,067.9 3,397.4 4,743.0 3,500.1
Shares withheld related to net share settlement of equity awards (13.1) (10.5) (233.1) (134.3)
Repurchase and retirement of common stock       (334.2)
Net income attributable to Intuitive Surgical, Inc. 526.9 420.8 1,071.8 776.1
Ending balance 5,581.7 3,807.7 5,581.7 3,807.7
Accumulated Other Comprehensive Loss        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (8.7) (108.5) (12.2) (162.5)
Other comprehensive income (loss) (14.8) 28.7 (11.3) 82.7
Ending balance (23.5) (79.8) (23.5) (79.8)
Noncontrolling Interest in Joint Venture        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 83.8 76.5 89.7 70.7
Other comprehensive income (loss) (0.2) (1.1) (0.6) (0.8)
Cash dividends declared and payable by joint venture     (8.0)  
Net income attributable to noncontrolling interest in joint venture 4.6 5.2 7.1 10.7
Ending balance $ 88.2 $ 80.6 $ 88.2 $ 80.6