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STOCKHOLDERS' EQUITY - Schedule of Stockholders Equity (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares)     356,600,000  
Beginning balance $ 17,207.7 $ 14,046.4 $ 16,529.6 $ 13,397.3
Issuance of common stock through employee stock plans 49.4 71.5 183.7 251.9
Shares withheld related to net share settlement of equity awards (16.2) (13.5) (386.3) (240.1)
Share-based compensation expense related to employee stock plans 198.6 175.6 384.5 328.4
Repurchase and retirement of common stock (181.0)   (181.0)  
Net income attributable to Intuitive Surgical, Inc. 658.4 526.9 1,356.8 1,071.8
Other comprehensive income 30.4 (15.0) 54.7 (11.9)
Cash dividends declared and paid by joint venture       (8.0)
Net income attributable to noncontrolling interest in joint venture $ 5.8 4.6 $ 11.1 7.1
Ending balance (in shares) 358,400,000   358,400,000  
Ending balance $ 17,953.1 14,796.5 $ 17,953.1 14,796.5
Total Intuitive Surgical, Inc. Stockholders’ Equity        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 17,106.4 13,962.6 16,433.7 13,307.6
Issuance of common stock through employee stock plans 49.4 71.5 183.7 251.9
Shares withheld related to net share settlement of equity awards (16.2) (13.5) (386.3) (240.1)
Share-based compensation expense related to employee stock plans 198.6 175.6 384.5 328.4
Repurchase and retirement of common stock (181.0)   (181.0)  
Net income attributable to Intuitive Surgical, Inc. 658.4 526.9 1,356.8 1,071.8
Other comprehensive income 30.1 (14.8) 54.3 (11.3)
Ending balance $ 17,845.7 $ 14,708.3 $ 17,845.7 $ 14,708.3
Common Stock        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares) 358,400,000 354,700,000 356,600,000 352,300,000
Beginning balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Issuance of common stock through employee stock plans (in shares) 400,000 600,000 2,800,000 3,600,000
Shares withheld related to net share settlement of equity awards (in shares) (100,000) 0 (700,000) (600,000)
Repurchase and retirement of common stock (in shares) (300,000)   (300,000)  
Ending balance (in shares) 358,400,000 355,300,000 358,400,000 355,300,000
Ending balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Additional Paid-In Capital        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 9,993.7 8,903.0 9,681.3 8,576.4
Issuance of common stock through employee stock plans 49.4 71.5 183.7 251.9
Shares withheld related to net share settlement of equity awards (0.4) (0.4) (8.2) (7.0)
Share-based compensation expense related to employee stock plans 198.6 175.6 384.5 328.4
Repurchase and retirement of common stock (4.5)   (4.5)  
Ending balance 10,236.8 9,149.7 10,236.8 9,149.7
Retained Earnings        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 7,139.4 5,067.9 6,803.3 4,743.0
Shares withheld related to net share settlement of equity awards (15.8) (13.1) (378.1) (233.1)
Repurchase and retirement of common stock (176.5)   (176.5)  
Net income attributable to Intuitive Surgical, Inc. 658.4 526.9 1,356.8 1,071.8
Ending balance 7,605.5 5,581.7 7,605.5 5,581.7
Accumulated Other Comprehensive Income (Loss)        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (27.1) (8.7) (51.3) (12.2)
Other comprehensive income 30.1 (14.8) 54.3 (11.3)
Ending balance 3.0 (23.5) 3.0 (23.5)
Noncontrolling Interest in Joint Venture        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 101.3 83.8 95.9 89.7
Other comprehensive income 0.3 (0.2) 0.4 (0.6)
Cash dividends declared and paid by joint venture       (8.0)
Net income attributable to noncontrolling interest in joint venture 5.8 4.6 11.1 7.1
Ending balance $ 107.4 $ 88.2 $ 107.4 $ 88.2