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STOCKHOLDERS' EQUITY - Schedule of Stockholders Equity (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares)     352,300,000  
Beginning balance $ 14,796.5 $ 11,959.7 $ 13,397.3 $ 11,112.6
Issuance of common stock through employee stock plans 115.6 77.4 367.5 252.2
Shares withheld related to net share settlement of equity awards (17.4) (14.8) (257.5) (155.4)
Share-based compensation expense related to employee stock plans 175.3 158.3 503.7 452.5
Repurchase and retirement of common stock       (350.0)
Net income attributable to Intuitive Surgical, Inc. 565.1 415.7 1,636.9 1,191.8
Other comprehensive income 36.9 23.1 25.0 105.0
Cash dividends declared and payable by joint venture     (8.0)  
Net income attributable to noncontrolling interest in joint venture $ 5.5 4.1 $ 12.6 14.8
Ending balance (in shares) 356,200,000   356,200,000  
Ending balance $ 15,677.5 12,623.5 $ 15,677.5 12,623.5
Total Intuitive Surgical, Inc. Stockholders’ Equity        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 14,708.3 11,879.1 13,307.6 11,041.9
Issuance of common stock through employee stock plans 115.6 77.4 367.5 252.2
Shares withheld related to net share settlement of equity awards (17.4) (14.8) (257.5) (155.4)
Share-based compensation expense related to employee stock plans 175.3 158.3 503.7 452.5
Repurchase and retirement of common stock       (350.0)
Net income attributable to Intuitive Surgical, Inc. 565.1 415.7 1,636.9 1,191.8
Other comprehensive income 36.4 23.3 25.1 106.0
Ending balance $ 15,583.3 $ 12,539.0 $ 15,583.3 $ 12,539.0
Common Stock        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares) 355,300,000 351,300,000 352,300,000 350,000,000.0
Beginning balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Issuance of common stock through employee stock plans (in shares) 1,000,000.0 700,000 4,600,000 4,100,000
Shares withheld related to net share settlement of equity awards (in shares) (100,000) 0 (700,000) (600,000)
Repurchase and retirement of common stock (in shares)       (1,500,000)
Ending balance (in shares) 356,200,000 352,000,000.0 356,200,000 352,000,000.0
Ending balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Additional Paid-In Capital        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 9,149.7 8,150.8 8,576.4 7,703.9
Issuance of common stock through employee stock plans 115.6 77.4 367.5 252.2
Shares withheld related to net share settlement of equity awards (0.4) (0.6) (7.4) (6.9)
Share-based compensation expense related to employee stock plans 175.3 158.3 503.7 452.5
Repurchase and retirement of common stock       (15.8)
Ending balance 9,440.2 8,385.9 9,440.2 8,385.9
Retained Earnings        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 5,581.7 3,807.7 4,743.0 3,500.1
Shares withheld related to net share settlement of equity awards (17.0) (14.2) (250.1) (148.5)
Repurchase and retirement of common stock       (334.2)
Net income attributable to Intuitive Surgical, Inc. 565.1 415.7 1,636.9 1,191.8
Ending balance 6,129.8 4,209.2 6,129.8 4,209.2
Accumulated Other Comprehensive Income (Loss)        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (23.5) (79.8) (12.2) (162.5)
Other comprehensive income 36.4 23.3 25.1 106.0
Ending balance 12.9 (56.5) 12.9 (56.5)
Noncontrolling Interest in Joint Venture        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 88.2 80.6 89.7 70.7
Other comprehensive income 0.5 (0.2) (0.1) (1.0)
Cash dividends declared and payable by joint venture     (8.0)  
Net income attributable to noncontrolling interest in joint venture 5.5 4.1 12.6 14.8
Ending balance $ 94.2 $ 84.5 $ 94.2 $ 84.5