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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Revenue:        
Total revenue $ 2,038.1 $ 1,743.7 $ 5,938.6 $ 5,195.8
Cost of revenue:        
Total cost of revenue 664.2 576.5 1,946.6 1,743.7
Gross profit 1,373.9 1,167.2 3,992.0 3,452.1
Operating expenses:        
Selling, general and administrative 510.6 452.0 1,527.4 1,396.8
Research and development 286.0 249.4 850.6 738.7
Total operating expenses 796.6 701.4 2,378.0 2,135.5
Income from operations 577.3 465.8 1,614.0 1,316.6
Interest and other income, net 93.7 56.2 250.0 126.4
Income before taxes 671.0 522.0 1,864.0 1,443.0
Income tax expense 100.4 102.2 214.5 236.4
Net income 570.6 419.8 1,649.5 1,206.6
Less: net income attributable to noncontrolling interest in joint venture 5.5 4.1 12.6 14.8
Net income attributable to Intuitive Surgical, Inc. $ 565.1 $ 415.7 $ 1,636.9 $ 1,191.8
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 1.59 $ 1.18 $ 4.61 $ 3.40
Diluted (in dollars per share) $ 1.56 $ 1.16 $ 4.53 $ 3.34
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 355.8 351.7 354.8 351.0
Diluted (in shares) 362.7 358.2 361.4 357.1
Other comprehensive income, net of tax:        
Unrealized gains (losses) on hedge instruments $ (15.5) $ 4.3 $ (5.1) $ 12.8
Unrealized gains on available-for-sale securities 59.5 25.6 60.8 76.3
Foreign currency translation gains (losses) (6.9) (6.8) (30.4) 15.9
Prior service cost for employee benefit plans (0.2) 0.0 (0.3) 0.0
Other comprehensive income 36.9 23.1 25.0 105.0
Total comprehensive income 607.5 442.9 1,674.5 1,311.6
Less: comprehensive income attributable to noncontrolling interest 6.0 3.9 12.5 13.8
Total comprehensive income attributable to Intuitive Surgical, Inc. 601.5 439.0 1,662.0 1,297.8
Corporate Joint Venture        
Operating expenses:        
Less: net income attributable to noncontrolling interest in joint venture 5.5 4.1 12.6 14.8
Product        
Revenue:        
Total revenue 1,709.2 1,450.8 4,978.9 4,332.4
Cost of revenue:        
Total cost of revenue 555.4 489.5 1,649.2 1,480.5
Service        
Revenue:        
Total revenue 328.9 292.9 959.7 863.4
Cost of revenue:        
Total cost of revenue $ 108.8 $ 87.0 $ 297.4 $ 263.2