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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Revenue:        
Total revenue $ 2,505.1 $ 2,038.1 $ 7,198.5 $ 5,938.6
Cost of revenue:        
Total cost of revenue 842.7 664.2 2,460.5 1,946.6
Gross profit 1,662.4 1,373.9 4,738.0 3,992.0
Operating expenses:        
Selling, general, and administrative 573.3 510.6 1,697.9 1,527.4
Research and development 329.4 286.0 958.9 850.6
Total operating expenses 902.7 796.6 2,656.8 2,378.0
Income from operations 759.7 577.3 2,081.2 1,614.0
Interest and other income, net 95.5 93.7 274.6 250.0
Income before taxes 855.2 671.0 2,355.8 1,864.0
Income tax expense 146.0 100.4 278.7 214.5
Net income 709.2 570.6 2,077.1 1,649.5
Less: net income attributable to noncontrolling interest in joint venture 4.8 5.5 15.9 12.6
Net income attributable to Intuitive Surgical, Inc. $ 704.4 $ 565.1 $ 2,061.2 $ 1,636.9
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 1.98 $ 1.59 $ 5.77 $ 4.61
Diluted (in dollars per share) $ 1.95 $ 1.56 $ 5.67 $ 4.53
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 356.6 355.8 357.5 354.8
Diluted (in shares) 361.8 362.7 363.5 361.4
Other comprehensive income, net of tax:        
Unrealized gains (losses) on hedge instruments $ 12.5 $ (15.5) $ (13.2) $ (5.1)
Unrealized gains on available-for-sale securities 5.2 59.5 41.7 60.8
Foreign currency translation gains (losses) 5.9 (6.9) 49.5 (30.4)
Employee benefit plan adjustments 0.1 (0.2) 0.4 (0.3)
Other comprehensive income 23.7 36.9 78.4 25.0
Total comprehensive income 732.9 607.5 2,155.5 1,674.5
Less: comprehensive income attributable to noncontrolling interest 5.0 6.0 16.5 12.5
Total comprehensive income attributable to Intuitive Surgical, Inc. 727.9 601.5 2,139.0 1,662.0
Corporate Joint Venture        
Operating expenses:        
Less: net income attributable to noncontrolling interest in joint venture 4.8 5.5 15.9 12.6
Product        
Revenue:        
Total revenue 2,109.2 1,709.2 6,048.4 4,978.9
Cost of revenue:        
Total cost of revenue 699.4 555.4 2,056.3 1,649.2
Service        
Revenue:        
Total revenue 395.9 328.9 1,150.1 959.7
Cost of revenue:        
Total cost of revenue $ 143.3 $ 108.8 $ 404.2 $ 297.4