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STOCKHOLDERS' EQUITY - Schedule of Stockholders Equity (Details) - USD ($) $ in Millions | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |
Beginning balance (in shares) | 356,600,000 |
Beginning balance | $ 16,529.6 | $ 13,397.3
Issuance of common stock through employee stock plans | 134.3 | 180.4
Shares withheld related to net share settlement of equity awards | (370.1) | (226.6)
Share-based compensation expense related to employee stock plans | 185.9 | 152.8
Net income attributable to Intuitive Surgical, Inc. | 698.4 | 544.9
Other comprehensive income | 24.3 | 3.1
Cash dividends declared and payable by joint venture |  | (8.0)
Net income attributable to noncontrolling interest in joint venture | $ 5.3 | 2.5
Ending balance (in shares) | 358,400,000 |
Ending balance | $ 17,207.7 | 14,046.4
Total Intuitive Surgical, Inc. Stockholders’ Equity |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |
Beginning balance | 16,433.7 | 13,307.6
Issuance of common stock through employee stock plans | 134.3 | 180.4
Shares withheld related to net share settlement of equity awards | (370.1) | (226.6)
Share-based compensation expense related to employee stock plans | 185.9 | 152.8
Net income attributable to Intuitive Surgical, Inc. | 698.4 | 544.9
Other comprehensive income | 24.2 | 3.5
Ending balance | $ 17,106.4 | $ 13,962.6
Common Stock |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |
Beginning balance (in shares) | 356,600,000 | 352,300,000
Beginning balance | $ 0.4 | $ 0.4
Issuance of common stock through employee stock plans (in shares) | 2,400,000 | 3,000,000.0
Shares withheld related to net share settlement of equity awards (in shares) | (600,000) | (600,000)
Ending balance (in shares) | 358,400,000 | 354,700,000
Ending balance | $ 0.4 | $ 0.4
Additional Paid-In Capital |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |
Beginning balance | 9,681.3 | 8,576.4
Issuance of common stock through employee stock plans | 134.3 | 180.4
Shares withheld related to net share settlement of equity awards | (7.8) | (6.6)
Share-based compensation expense related to employee stock plans | 185.9 | 152.8
Ending balance | 9,993.7 | 8,903.0
Retained Earnings |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |
Beginning balance | 6,803.3 | 4,743.0
Shares withheld related to net share settlement of equity awards | (362.3) | (220.0)
Net income attributable to Intuitive Surgical, Inc. | 698.4 | 544.9
Ending balance | 7,139.4 | 5,067.9
Accumulated Other Comprehensive Loss |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |
Beginning balance | (51.3) | (12.2)
Other comprehensive income | 24.2 | 3.5
Ending balance | (27.1) | (8.7)
Noncontrolling Interest in Joint Venture |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |
Beginning balance | 95.9 | 89.7
Other comprehensive income | 0.1 | (0.4)
Cash dividends declared and payable by joint venture |  | (8.0)
Net income attributable to noncontrolling interest in joint venture | 5.3 | 2.5
Ending balance | $ 101.3 | $ 83.8

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