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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Revenue:        
Total revenue $ 2,440.0 $ 2,009.9 $ 4,693.4 $ 3,900.5
Cost of revenue:        
Total cost of revenue 822.1 637.2 1,617.8 1,282.4
Gross profit 1,617.9 1,372.7 3,075.6 2,618.1
Operating expenses:        
Selling, general, and administrative 561.2 525.3 1,124.6 1,016.8
Research and development 313.3 280.1 629.5 564.6
Total operating expenses 874.5 805.4 1,754.1 1,581.4
Income from operations 743.4 567.3 1,321.5 1,036.7
Interest and other income, net 88.7 87.2 179.1 156.3
Income before taxes 832.1 654.5 1,500.6 1,193.0
Income tax expense 167.9 123.0 132.7 114.1
Net income 664.2 531.5 1,367.9 1,078.9
Less: net income attributable to noncontrolling interest in joint venture 5.8 4.6 11.1 7.1
Net income attributable to Intuitive Surgical, Inc. $ 658.4 $ 526.9 $ 1,356.8 $ 1,071.8
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 1.84 $ 1.48 $ 3.79 $ 3.03
Diluted (in dollars per share) $ 1.81 $ 1.46 $ 3.72 $ 2.97
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 358.5 355.0 358.0 354.2
Diluted (in shares) 364.1 361.0 364.4 360.8
Other comprehensive income (loss), net of tax:        
Unrealized gains (losses) on hedge instruments $ (15.3) $ 4.8 $ (25.7) $ 10.4
Unrealized gains on available-for-sale securities 7.4 5.5 36.5 1.3
Foreign currency translation gains (losses) 38.1 (25.3) 43.6 (23.5)
Employee benefit plan adjustments 0.2 0.0 0.3 (0.1)
Other comprehensive income (loss) 30.4 (15.0) 54.7 (11.9)
Total comprehensive income 694.6 516.5 1,422.6 1,067.0
Less: comprehensive income attributable to noncontrolling interest 6.1 4.4 11.5 6.5
Total comprehensive income attributable to Intuitive Surgical, Inc. 688.5 512.1 1,411.1 1,060.5
Corporate Joint Venture        
Operating expenses:        
Less: net income attributable to noncontrolling interest in joint venture 5.8 4.6 11.1 7.1
Product        
Revenue:        
Total revenue 2,048.8 1,692.6 3,939.2 3,269.7
Cost of revenue:        
Total cost of revenue 686.2 539.4 1,356.9 1,093.8
Service        
Revenue:        
Total revenue 391.2 317.3 754.2 630.8
Cost of revenue:        
Total cost of revenue $ 135.9 $ 97.8 $ 260.9 $ 188.6