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STOCKHOLDERS' EQUITY (Tables)

6 Months Ended

Jun. 30, 2025

Equity [Abstract]

Schedule of Stockholders Equity

The following tables present the changes in stockholders’ equity (in millions):

			Three Months Ended June 30, 2025
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			358.4						$	0.4					$	9,993.7					$	7,139.4					$	(27.1)					$	17,106.4					$	101.3					$	17,207.7
Issuance of common stock through employee stock plans			0.4						—						49.4						—						—						49.4						—						49.4
Shares withheld related to net share settlement of equity awards			(0.1)						—						(0.4)						(15.8)						—						(16.2)						—						(16.2)
Share-based compensation expense related to employee stock plans			—						—						198.6						—						—						198.6						—						198.6
Repurchase and retirement of common stock			(0.3)						—						(4.5)						(176.5)						—						(181.0)						—						(181.0)
Net income attributable to Intuitive Surgical, Inc.			—						—						—						658.4						—						658.4						—						658.4
Other comprehensive income			—						—						—						—						30.1						30.1						0.3						30.4
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						5.8						5.8
Ending balance			358.4						$	0.4					$	10,236.8					$	7,605.5					$	3.0					$	17,845.7					$	107.4					$	17,953.1

			Three Months Ended June 30, 2024
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			354.7						$	0.4					$	8,903.0					$	5,067.9					$	(8.7)					$	13,962.6					$	83.8					$	14,046.4
Issuance of common stock through employee stock plans			0.6						—						71.5						—						—						71.5						—						71.5
Shares withheld related to net share settlement of equity awards			—						—						(0.4)						(13.1)						—						(13.5)						—						(13.5)
Share-based compensation expense related to employee stock plans			—						—						175.6						—						—						175.6						—						175.6
Net income attributable to Intuitive Surgical, Inc.			—						—						—						526.9						—						526.9						—						526.9
Other comprehensive income (loss)			—						—						—						—						(14.8)						(14.8)						(0.2)						(15.0)
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						4.6						4.6
Ending balance			355.3						$	0.4					$	9,149.7					$	5,581.7					$	(23.5)					$	14,708.3					$	88.2					$	14,796.5

			Six Months Ended June 30, 2025
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			356.6						$	0.4					$	9,681.3					$	6,803.3					$	(51.3)					$	16,433.7					$	95.9					$	16,529.6
Issuance of common stock through employee stock plans			2.8						—						183.7						—						—						183.7						—						183.7
Shares withheld related to net share settlement of equity awards			(0.7)						—						(8.2)						(378.1)						—						(386.3)						—						(386.3)
Share-based compensation expense related to employee stock plans			—						—						384.5						—						—						384.5						—						384.5
Repurchase and retirement of common stock			(0.3)						—						(4.5)						(176.5)						—						(181.0)						—						(181.0)
Net income attributable to Intuitive Surgical, Inc.			—						—						—						1,356.8						—						1,356.8						—						1,356.8
Other comprehensive income			—						—						—						—						54.3						54.3						0.4						54.7
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						11.1						11.1
Ending balance			358.4						$	0.4					$	10,236.8					$	7,605.5					$	3.0					$	17,845.7					$	107.4					$	17,953.1

			Six Months Ended June 30, 2024
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			352.3						$	0.4					$	8,576.4					$	4,743.0					$	(12.2)					$	13,307.6					$	89.7					$	13,397.3
Issuance of common stock through employee stock plans			3.6						—						251.9						—						—						251.9						—						251.9
Shares withheld related to net share settlement of equity awards			(0.6)						—						(7.0)						(233.1)						—						(240.1)						—						(240.1)
Share-based compensation expense related to employee stock plans			—						—						328.4						—						—						328.4						—						328.4
Net income attributable to Intuitive Surgical, Inc.			—						—						—						1,071.8						—						1,071.8						—						1,071.8
Other comprehensive income (loss)			—						—						—						—						(11.3)						(11.3)						(0.6)						(11.9)
Cash dividends declared and paid by joint venture			—						—						—						—						—						—						(8.0)						(8.0)
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						7.1						7.1
Ending balance			355.3						$	0.4					$	9,149.7					$	5,581.7					$	(23.5)					$	14,708.3					$	88.2					$	14,796.5

Components of Accumulated Other Comprehensive Income, Net of Tax

The components of accumulated other comprehensive income (loss), net of tax, attributable to Intuitive Surgical, Inc. are as follows (in millions):

			Three Months Ended June 30, 2025
			Gains (Losses) on Hedge Instruments						Unrealized Gains on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	0.6					$	14.5					$	(27.7)					$	(14.5)					$	(27.1)
Other comprehensive income (loss) before reclassifications			(11.8)						7.1						37.8						—						33.1
Amounts reclassified from accumulated other comprehensive income (loss)			(3.5)						0.3						—						0.2						(3.0)
Net current-period other comprehensive income (loss)			(15.3)						7.4						37.8						0.2						30.1
Ending balance			$	(14.7)					$	21.9					$	10.1					$	(14.3)					$	3.0
			Three Months Ended June 30, 2024
			Gains on Hedge Instruments						Unrealized Losses on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	3.1					$	(33.9)					$	21.6					$	0.5					$	(8.7)
Other comprehensive income (loss) before reclassifications			1.1						5.4						(25.1)						—						(18.6)
Amounts reclassified from accumulated other comprehensive income			3.7						0.1						—						—						3.8
Net current-period other comprehensive income (loss)			4.8						5.5						(25.1)						—						(14.8)
Ending balance			$	7.9					$	(28.4)					$	(3.5)					$	0.5					$	(23.5)

			Six Months Ended June 30, 2025
			Gains (Losses) on Hedge Instruments						Unrealized Gains (Losses) on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	11.0					$	(14.6)					$	(33.1)					$	(14.6)					$	(51.3)
Other comprehensive income (loss) before reclassifications			(27.8)						36.2						43.2						—						51.6
Amounts reclassified from accumulated other comprehensive income			2.1						0.3						—						0.3						2.7
Net current-period other comprehensive income (loss)			(25.7)						36.5						43.2						0.3						54.3
Ending balance			$	(14.7)					$	21.9					$	10.1					$	(14.3)					$	3.0

			Six Months Ended June 30, 2024
			Gains (Losses) on Hedge Instruments						Unrealized Losses on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	(2.5)					$	(29.7)					$	19.4					$	0.6					$	(12.2)
Other comprehensive income (loss) before reclassifications			5.2						1.1						(22.9)						—						(16.6)
Amounts reclassified from accumulated other comprehensive income (loss)			5.2						0.2						—						(0.1)						5.3
Net current-period other comprehensive income (loss)			10.4						1.3						(22.9)						(0.1)						(11.3)
Ending balance			$	7.9					$	(28.4)					$	(3.5)					$	0.5					$	(23.5)

Schedule Of Common Stock Repurchased

The following table summarizes stock repurchase activities (in millions, except per share amounts):

			Three Months Ended June 30,												Six Months Ended June 30,
			2025						2024						2025						2024
Shares repurchased			0.3						—						0.3						—
Average price per share			$	517.7					$	—					$	517.7					$	—
Value of shares repurchased			$	181.0					$	—					$	181.0					$	—

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Tabular disclosure of the components of accumulated other comprehensive income (loss).

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482790/220-10-45-14A

Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 830
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-Name Accounting Standards Codification
-Section 50
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-Name Accounting Standards Codification
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-Paragraph 2
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