    <SEC-DOCUMENT>0001035267-24-000117-index.html : 20240308
    <SEC-HEADER>0001035267-24-000117.hdr.sgml : 20240308
    <ACCEPTANCE-DATETIME>20240308161135
    ACCESSION NUMBER:		0001035267-24-000117
    CONFORMED SUBMISSION TYPE:	DEFA14A
    PUBLIC DOCUMENT COUNT:		4
    FILED AS OF DATE:		20240308
    DATE AS OF CHANGE:		20240308

    FILER:

    	COMPANY DATA:
    		COMPANY CONFORMED NAME:			INTUITIVE SURGICAL INC
    		CENTRAL INDEX KEY:			0001035267
    		STANDARD INDUSTRIAL CLASSIFICATION:	ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
    		ORGANIZATION NAME:           	08 Industrial Applications and Services
    		IRS NUMBER:				770416458
    		STATE OF INCORPORATION:			DE
    		FISCAL YEAR END:			1231

    	FILING VALUES:
    		FORM TYPE:		DEFA14A
    		SEC ACT:		1934 Act
    		SEC FILE NUMBER:	000-30713
    		FILM NUMBER:		24734448

    	BUSINESS ADDRESS:
    		STREET 1:		1020 KIFER ROAD
    		CITY:			SUNNYVALE
    		STATE:			CA
    		ZIP:			94086
    		BUSINESS PHONE:		4085232100

    	MAIL ADDRESS:
    		STREET 1:		1020 KIFER ROAD
    		CITY:			SUNNYVALE
    		STATE:			CA
    		ZIP:			94086
    </SEC-HEADER>
    <DOCUMENT>
    <TYPE>DEFA14A
    <SEQUENCE>1
    <FILENAME>isrg-20231231xdefa14axprox.htm
    <DESCRIPTION>DEFA14A
    <TEXT>
    Document 1 - file: isrg-20231231xdefa14axprox.htm

    </DOCUMENT>
    <DOCUMENT>
    <TYPE>GRAPHIC
    <SEQUENCE>2
    <FILENAME>fy2024proxynotice_pagex1.jpg
    <TEXT>
    Document 2 - file: fy2024proxynotice_pagex1.jpg

    </DOCUMENT>
    <DOCUMENT>
    <TYPE>GRAPHIC
    <SEQUENCE>3
    <FILENAME>fy2024proxynotice_pagex2.jpg
    <TEXT>
    Document 3 - file: fy2024proxynotice_pagex2.jpg

    </DOCUMENT>
    <DOCUMENT>
    <TYPE>GRAPHIC
    <SEQUENCE>4
    <FILENAME>intuitivea02a.jpg
    <TEXT>
    Document 4 - file: intuitivea02a.jpg

    </DOCUMENT>
    </SEC-DOCUMENT>