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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