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STOCKHOLDERS' EQUITY - Schedule of Stockholders Equity (Details) - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares)     356,600,000  
Beginning balance $ 17,953.1 $ 14,796.5 $ 16,529.6 $ 13,397.3
Issuance of common stock through employee stock plans 90.0 115.6 273.7 367.5
Shares withheld related to net share settlement of equity awards (19.7) (17.4) (406.0) (257.5)
Share-based compensation expense related to employee stock plans 205.4 175.3 589.9 503.7
Repurchase and retirement of common stock (1,919.6)   (2,100.6)  
Net income attributable to Intuitive Surgical, Inc. 704.4 565.1 2,061.2 1,636.9
Other comprehensive income 23.7 36.9 78.4 25.0
Cash dividends declared and paid by joint venture       (8.0)
Net income attributable to noncontrolling interest in joint venture $ 4.8 5.5 $ 15.9 12.6
Ending balance (in shares) 354,900,000   354,900,000  
Ending balance $ 17,042.1 15,677.5 $ 17,042.1 15,677.5
Total Intuitive Surgical, Inc. Stockholders’ Equity        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 17,845.7 14,708.3 16,433.7 13,307.6
Issuance of common stock through employee stock plans 90.0 115.6 273.7 367.5
Shares withheld related to net share settlement of equity awards (19.7) (17.4) (406.0) (257.5)
Share-based compensation expense related to employee stock plans 205.4 175.3 589.9 503.7
Repurchase and retirement of common stock (1,919.6)   (2,100.6)  
Net income attributable to Intuitive Surgical, Inc. 704.4 565.1 2,061.2 1,636.9
Other comprehensive income 23.5 36.4 77.8 25.1
Ending balance $ 16,929.7 $ 15,583.3 $ 16,929.7 $ 15,583.3
Common Stock        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares) 358,400,000 355,300,000 356,600,000 352,300,000
Beginning balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Issuance of common stock through employee stock plans (in shares) 500,000 1,000,000.0 3,400,000 4,600,000
Shares withheld related to net share settlement of equity awards (in shares) 0 (100,000) (700,000) (700,000)
Repurchase and retirement of common stock (in shares) (4,000,000.0)   (4,400,000)  
Ending balance (in shares) 354,900,000 356,200,000 354,900,000 356,200,000
Ending balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Additional Paid-In Capital        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 10,236.8 9,149.7 9,681.3 8,576.4
Issuance of common stock through employee stock plans 90.0 115.6 273.7 367.5
Shares withheld related to net share settlement of equity awards (0.5) (0.4) (8.7) (7.4)
Share-based compensation expense related to employee stock plans 205.4 175.3 589.9 503.7
Repurchase and retirement of common stock (52.9)   (57.4)  
Ending balance 10,478.8 9,440.2 10,478.8 9,440.2
Retained Earnings        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 7,605.5 5,581.7 6,803.3 4,743.0
Shares withheld related to net share settlement of equity awards (19.2) (17.0) (397.3) (250.1)
Repurchase and retirement of common stock (1,866.7)   (2,043.2)  
Net income attributable to Intuitive Surgical, Inc. 704.4 565.1 2,061.2 1,636.9
Ending balance 6,424.0 6,129.8 6,424.0 6,129.8
Accumulated Other Comprehensive Income (Loss)        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 3.0 (23.5) (51.3) (12.2)
Other comprehensive income 23.5 36.4 77.8 25.1
Ending balance 26.5 12.9 26.5 12.9
Noncontrolling Interest in Joint Venture        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 107.4 88.2 95.9 89.7
Other comprehensive income 0.2 0.5 0.6 (0.1)
Cash dividends declared and paid by joint venture       (8.0)
Net income attributable to noncontrolling interest in joint venture 4.8 5.5 15.9 12.6
Ending balance $ 112.4 $ 94.2 $ 112.4 $ 94.2