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Pay vs Performance Disclosure - USD ($)
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table
Year
Summary Compensation Table Total for PEO ($)
Compensation Actually Paid to PEO ($) (1)
Average Summary Compensation Table Total for Non-PEO NEOs ($)
Average Compensation Actually Paid to Non-PEO NEOs ($) (1)
Value of Initial Fixed $100 Investment Based on:
Net Income ($ Millions)
Adjusted Operating Income
($ Millions) (3)
Total Shareholder Return ($)
Peer Group Index Total Shareholder Return ($) (2)
202418,196,432 42,632,556 8,365,417 20,293,706 264.89 103.67 2,337.5 3,228.0 
202312,449,381 22,725,057 6,881,776 11,584,663 171.21 98.68 1,817.3 2,483.8 
202210,345,077 1,606,523 4,985,938 1,158,257 134.66 104.93 1,344.4 2,198.1 
20218,059,409 17,458,020 4,462,961 9,386,652 182.34 137.24 1,728.1 2,380.1 
20206,043,362 15,011,356 3,477,084 8,127,959 138.39 132.83 1,066.8 1,551.8 
        
Company Selected Measure Name (3)AOI        
Named Executive Officers, Footnote Amounts represent compensation actually paid (“CAP”) to our CEO, who was our Principal Executive Officer or “PEO” for each of the years shown, and the average CAP to our remaining NEOs or “Non-PEO NEOs” for the relevant year, as determined under SEC rules, which includes the individuals indicated below for each year:
YearPEONon-PEO NEOs
2024Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Henry L. Charlton, and Brian E. Miller, Ph.D.
2023Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Bob DeSantis, and Henry L. Charlton
2022Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Bob DeSantis, and Marshall L. Mohr
2021Gary S. Guthart, Ph.D.Marshall L. Mohr, David J. Rosa, Bob DeSantis, and Myriam J. Curet, M.D., F.A.C.S.
2020Gary S. Guthart, Ph.D.Marshall L. Mohr, David J. Rosa, Bob DeSantis, and Myriam J. Curet, M.D., F.A.C.S.
Amounts represent the Summary Compensation Table Total Compensation for the applicable year adjusted as follows:
Applicable Year
2024
PEOAverage non-PEO NEOs
Deduction for ASC 718 Fair Value as of Grant Date Reported under the Stock Awards and Option Awards Columns in the Summary Compensation Table(15,559,188)(7,106,568)
Increase based on ASC 718 Fair Value of Awards Granted during the Year that Remain Unvested as of Year-End (“YE”)
22,566,613 10,307,158 
Increase based on ASC 718 Fair Value of Awards Granted during the Year that Vested during the Year as of Vesting Date
— — 
Increase based on ASC 718 Fair Value of Outstanding Unvested Prior Year Awards as of YE Compared to Valuation as of Prior YE
14,588,262 7,488,218 
Increase based on ASC 718 Fair Value of Prior Year Awards that Vested during the Year as of Vesting Date Compared to Valuation as of Prior YE
2,840,437 1,239,481 
Deduction of ASC 718 Fair Value of Prior Year Awards as of Prior YE that were Forfeited during the Year
— — 
Total Adjustments24,436,124 11,928,289 
The fair values of RSUs, PSUs, and stock options included in the CAP to our PEO and the Average CAP to our NEOs are calculated at the required measurement dates, consistent with the approach used to value the awards at the grant date as described in our Annual Report on Form 10-K for the year ended December 31, 2024. Any changes to the RSU fair values from the grant date (for current year awards granted) and from prior year-end (for prior year awards granted) are based on our updated stock price at the respective measurement dates. Any changes to the PSU fair values from the grant date (for current year awards granted) and from prior year-end (for prior year awards granted) are based on our updated stock price at the respective measurement dates and actual and projected performance attainment levels. Changes to the stock option fair values are based on the updated stock price at the respective measurement dates, in addition to updated expected option term, implied volatility of our stock over the updated expected option term, and risk-free rate assumptions. For all years presented, the meaningful increases or decreases in the year-end RSU, PSU, and stock option fair values from the fair values on the grant date were primarily driven by changes in the stock price.
        
Peer Group Issuers, Footnote For the relevant year, represents the cumulative TSR of the S&P Health Care Equipment Select Industry Index.        
PEO Total Compensation Amount $ 18,196,432 $ 12,449,381 $ 10,345,077 $ 8,059,409 $ 6,043,362
PEO Actually Paid Compensation Amount $ 42,632,556 22,725,057 1,606,523 17,458,020 15,011,356
Adjustment To PEO Compensation, Footnote Amounts represent compensation actually paid (“CAP”) to our CEO, who was our Principal Executive Officer or “PEO” for each of the years shown, and the average CAP to our remaining NEOs or “Non-PEO NEOs” for the relevant year, as determined under SEC rules, which includes the individuals indicated below for each year:
YearPEONon-PEO NEOs
2024Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Henry L. Charlton, and Brian E. Miller, Ph.D.
2023Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Bob DeSantis, and Henry L. Charlton
2022Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Bob DeSantis, and Marshall L. Mohr
2021Gary S. Guthart, Ph.D.Marshall L. Mohr, David J. Rosa, Bob DeSantis, and Myriam J. Curet, M.D., F.A.C.S.
2020Gary S. Guthart, Ph.D.Marshall L. Mohr, David J. Rosa, Bob DeSantis, and Myriam J. Curet, M.D., F.A.C.S.
Amounts represent the Summary Compensation Table Total Compensation for the applicable year adjusted as follows:
Applicable Year
2024
PEOAverage non-PEO NEOs
Deduction for ASC 718 Fair Value as of Grant Date Reported under the Stock Awards and Option Awards Columns in the Summary Compensation Table(15,559,188)(7,106,568)
Increase based on ASC 718 Fair Value of Awards Granted during the Year that Remain Unvested as of Year-End (“YE”)
22,566,613 10,307,158 
Increase based on ASC 718 Fair Value of Awards Granted during the Year that Vested during the Year as of Vesting Date
— — 
Increase based on ASC 718 Fair Value of Outstanding Unvested Prior Year Awards as of YE Compared to Valuation as of Prior YE
14,588,262 7,488,218 
Increase based on ASC 718 Fair Value of Prior Year Awards that Vested during the Year as of Vesting Date Compared to Valuation as of Prior YE
2,840,437 1,239,481 
Deduction of ASC 718 Fair Value of Prior Year Awards as of Prior YE that were Forfeited during the Year
— — 
Total Adjustments24,436,124 11,928,289 
The fair values of RSUs, PSUs, and stock options included in the CAP to our PEO and the Average CAP to our NEOs are calculated at the required measurement dates, consistent with the approach used to value the awards at the grant date as described in our Annual Report on Form 10-K for the year ended December 31, 2024. Any changes to the RSU fair values from the grant date (for current year awards granted) and from prior year-end (for prior year awards granted) are based on our updated stock price at the respective measurement dates. Any changes to the PSU fair values from the grant date (for current year awards granted) and from prior year-end (for prior year awards granted) are based on our updated stock price at the respective measurement dates and actual and projected performance attainment levels. Changes to the stock option fair values are based on the updated stock price at the respective measurement dates, in addition to updated expected option term, implied volatility of our stock over the updated expected option term, and risk-free rate assumptions. For all years presented, the meaningful increases or decreases in the year-end RSU, PSU, and stock option fair values from the fair values on the grant date were primarily driven by changes in the stock price.
        
Non-PEO NEO Average Total Compensation Amount $ 8,365,417 6,881,776 4,985,938 4,462,961 3,477,084
Non-PEO NEO Average Compensation Actually Paid Amount $ 20,293,706 11,584,663 1,158,257 9,386,652 8,127,959
Adjustment to Non-PEO NEO Compensation Footnote Amounts represent compensation actually paid (“CAP”) to our CEO, who was our Principal Executive Officer or “PEO” for each of the years shown, and the average CAP to our remaining NEOs or “Non-PEO NEOs” for the relevant year, as determined under SEC rules, which includes the individuals indicated below for each year:
YearPEONon-PEO NEOs
2024Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Henry L. Charlton, and Brian E. Miller, Ph.D.
2023Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Bob DeSantis, and Henry L. Charlton
2022Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Bob DeSantis, and Marshall L. Mohr
2021Gary S. Guthart, Ph.D.Marshall L. Mohr, David J. Rosa, Bob DeSantis, and Myriam J. Curet, M.D., F.A.C.S.
2020Gary S. Guthart, Ph.D.Marshall L. Mohr, David J. Rosa, Bob DeSantis, and Myriam J. Curet, M.D., F.A.C.S.
Amounts represent the Summary Compensation Table Total Compensation for the applicable year adjusted as follows:
Applicable Year
2024
PEOAverage non-PEO NEOs
Deduction for ASC 718 Fair Value as of Grant Date Reported under the Stock Awards and Option Awards Columns in the Summary Compensation Table(15,559,188)(7,106,568)
Increase based on ASC 718 Fair Value of Awards Granted during the Year that Remain Unvested as of Year-End (“YE”)
22,566,613 10,307,158 
Increase based on ASC 718 Fair Value of Awards Granted during the Year that Vested during the Year as of Vesting Date
— — 
Increase based on ASC 718 Fair Value of Outstanding Unvested Prior Year Awards as of YE Compared to Valuation as of Prior YE
14,588,262 7,488,218 
Increase based on ASC 718 Fair Value of Prior Year Awards that Vested during the Year as of Vesting Date Compared to Valuation as of Prior YE
2,840,437 1,239,481 
Deduction of ASC 718 Fair Value of Prior Year Awards as of Prior YE that were Forfeited during the Year
— — 
Total Adjustments24,436,124 11,928,289 
The fair values of RSUs, PSUs, and stock options included in the CAP to our PEO and the Average CAP to our NEOs are calculated at the required measurement dates, consistent with the approach used to value the awards at the grant date as described in our Annual Report on Form 10-K for the year ended December 31, 2024. Any changes to the RSU fair values from the grant date (for current year awards granted) and from prior year-end (for prior year awards granted) are based on our updated stock price at the respective measurement dates. Any changes to the PSU fair values from the grant date (for current year awards granted) and from prior year-end (for prior year awards granted) are based on our updated stock price at the respective measurement dates and actual and projected performance attainment levels. Changes to the stock option fair values are based on the updated stock price at the respective measurement dates, in addition to updated expected option term, implied volatility of our stock over the updated expected option term, and risk-free rate assumptions. For all years presented, the meaningful increases or decreases in the year-end RSU, PSU, and stock option fair values from the fair values on the grant date were primarily driven by changes in the stock price.
        
Equity Valuation Assumption Difference, Footnote Amounts represent compensation actually paid (“CAP”) to our CEO, who was our Principal Executive Officer or “PEO” for each of the years shown, and the average CAP to our remaining NEOs or “Non-PEO NEOs” for the relevant year, as determined under SEC rules, which includes the individuals indicated below for each year:
YearPEONon-PEO NEOs
2024Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Henry L. Charlton, and Brian E. Miller, Ph.D.
2023Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Bob DeSantis, and Henry L. Charlton
2022Gary S. Guthart, Ph.D.Jamie E. Samath, David J. Rosa, Bob DeSantis, and Marshall L. Mohr
2021Gary S. Guthart, Ph.D.Marshall L. Mohr, David J. Rosa, Bob DeSantis, and Myriam J. Curet, M.D., F.A.C.S.
2020Gary S. Guthart, Ph.D.Marshall L. Mohr, David J. Rosa, Bob DeSantis, and Myriam J. Curet, M.D., F.A.C.S.
Amounts represent the Summary Compensation Table Total Compensation for the applicable year adjusted as follows:
Applicable Year
2024
PEOAverage non-PEO NEOs
Deduction for ASC 718 Fair Value as of Grant Date Reported under the Stock Awards and Option Awards Columns in the Summary Compensation Table(15,559,188)(7,106,568)
Increase based on ASC 718 Fair Value of Awards Granted during the Year that Remain Unvested as of Year-End (“YE”)
22,566,613 10,307,158 
Increase based on ASC 718 Fair Value of Awards Granted during the Year that Vested during the Year as of Vesting Date
— — 
Increase based on ASC 718 Fair Value of Outstanding Unvested Prior Year Awards as of YE Compared to Valuation as of Prior YE
14,588,262 7,488,218 
Increase based on ASC 718 Fair Value of Prior Year Awards that Vested during the Year as of Vesting Date Compared to Valuation as of Prior YE
2,840,437 1,239,481 
Deduction of ASC 718 Fair Value of Prior Year Awards as of Prior YE that were Forfeited during the Year
— — 
Total Adjustments24,436,124 11,928,289 
The fair values of RSUs, PSUs, and stock options included in the CAP to our PEO and the Average CAP to our NEOs are calculated at the required measurement dates, consistent with the approach used to value the awards at the grant date as described in our Annual Report on Form 10-K for the year ended December 31, 2024. Any changes to the RSU fair values from the grant date (for current year awards granted) and from prior year-end (for prior year awards granted) are based on our updated stock price at the respective measurement dates. Any changes to the PSU fair values from the grant date (for current year awards granted) and from prior year-end (for prior year awards granted) are based on our updated stock price at the respective measurement dates and actual and projected performance attainment levels. Changes to the stock option fair values are based on the updated stock price at the respective measurement dates, in addition to updated expected option term, implied volatility of our stock over the updated expected option term, and risk-free rate assumptions. For all years presented, the meaningful increases or decreases in the year-end RSU, PSU, and stock option fair values from the fair values on the grant date were primarily driven by changes in the stock price.
        
Compensation Actually Paid vs. Total Shareholder Return
The following chart sets forth the relationship between CAP to our PEO, the average of CAP to our other NEOs, each as set forth in the Table above, and our cumulative TSR over the period from 2020 through 2024.
2025_PEO and Avg. NEO Compensation vs. Intuitive Cumulative TSR.jpg
        
Compensation Actually Paid vs. Net Income
The following chart sets forth the relationship between CAP to our PEO, the average of CAP to our other NEOs, and our net income during years 2020 through 2024, each as set forth in the table above.
        
Compensation Actually Paid vs. Company Selected Measure
The following chart sets forth the relationship between CAP to our PEO, the average of CAP to our other NEOs, and the AOI during years 2020 through 2024, each as set forth in the table above.
2025_PEO and Avg. NEO Compensation vs. AOI.jpg
        
Total Shareholder Return Vs Peer Group
The following chart compares our cumulative TSR over the period from 2020 through 2024 to that of the Peer Group Index over the same time period.
2025_Intuitive Cumulative TSR vs. S&P Health Cumulative TSR.jpg
        
Tabular List, Table
Performance measurePerformance measure description
AOI
Refer to the “Annual Cash Bonus Plan Formula and Funding” subsection of the “Executive Compensation” section for a definition of this measure.
Relative TSR
Refer to the “Long-Term Incentive Compensation” subsection of the “Executive Compensation” section for a definition of this measure.
Da Vinci and Ion procedure growth
Refer to the “Long-Term Incentive Compensation” subsection of the “Executive Compensation” section for a description of this measure.
        
Total Shareholder Return Amount $ 264.89 171.21 134.66 182.34 138.39
Peer Group Total Shareholder Return Amount 103.67 98.68 104.93 137.24 132.83
Net Income (Loss) $ 2,337,500,000 $ 1,817,300,000 $ 1,344,400,000 $ 1,728,100,000 $ 1,066,800,000
Company Selected Measure Amount 3,228,000,000 2,483,800,000 2,198,100,000 2,380,100,000 1,551,800,000
PEO Name Gary S. Guthart, Ph.D. Gary S. Guthart, Ph.D. Gary S. Guthart, Ph.D. Gary S. Guthart, Ph.D. Gary S. Guthart, Ph.D.
Measure:: 1          
Pay vs Performance Disclosure          
Name AOI        
Non-GAAP Measure Description AOI is an operating metric defined in the “Annual Cash Bonus Plan Formula and Funding” subsection of the “Executive Compensation” section and is calculated as operating income, excluding CIP expense, share-based compensation and long-term incentive plan expenses, non-cash amortization of intangible assets, litigation charges, gain on a sale of a business, contributions to the Intuitive Foundation, and other adjustments, primarily related to inventory cost accounting and operating expense hedging. The Company selected AOI as its Company-Selected Measure due to it being an important financial performance measure that helps link CAP to the Company’s NEOs to the Company’s performance for the most recently completed year. Specifically, AOI is used to evaluate NEO performance under the CIP, a short-term cash incentive plan that is funded based on the Company’s achievement of an AOI goal as well as several Company Performance Goals.        
Measure:: 2          
Pay vs Performance Disclosure          
Other Performance Measure, Amount 100        
Name Relative TSR        
Measure:: 3          
Pay vs Performance Disclosure          
Name Da Vinci and Ion procedure growth        
PEO          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 24,436,124        
PEO | Adjustment, Deduction for ASC 718 Fair Value as of Grant Date Reported under the Stock Awards and Option Awards Columns in the Summary Compensation Table [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (15,559,188)        
PEO | Adjustment, Increase based on ASC 718 Fair Value of Awards Granted during the FY that Remain Unvested as of FYE [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 22,566,613        
PEO | Adjustment, Increase based on ASC 718 Fair Value of Awards Granted during the FY that Vested during the FY as of Vesting Date [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
PEO | Adjustment, Increase (Deduction) based on ASC 718 Fair Value of Outstanding Unvested Prior FY Awards as of FYE Compared to Valuation as of Prior FYE [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 14,588,262        
PEO | Adjustment, Increase (Deduction) based on ASC 718 Fair Value of Prior FY Awards that Vested during the FY as of Vesting Date Compared to Valuation as of Prior FYE [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 2,840,437        
PEO | Adjustment, Deduction of ASC 718 Fair Value of Prior FY Awards as of Prior FYE that were Forfeited during the FY [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
Non-PEO NEO          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 11,928,289        
Non-PEO NEO | Adjustment, Deduction for ASC 718 Fair Value as of Grant Date Reported under the Stock Awards and Option Awards Columns in the Summary Compensation Table [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (7,106,568)        
Non-PEO NEO | Adjustment, Increase based on ASC 718 Fair Value of Awards Granted during the FY that Remain Unvested as of FYE [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 10,307,158        
Non-PEO NEO | Adjustment, Increase based on ASC 718 Fair Value of Awards Granted during the FY that Vested during the FY as of Vesting Date [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
Non-PEO NEO | Adjustment, Increase (Deduction) based on ASC 718 Fair Value of Outstanding Unvested Prior FY Awards as of FYE Compared to Valuation as of Prior FYE [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 7,488,218        
Non-PEO NEO | Adjustment, Increase (Deduction) based on ASC 718 Fair Value of Prior FY Awards that Vested during the FY as of Vesting Date Compared to Valuation as of Prior FYE [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 1,239,481        
Non-PEO NEO | Adjustment, Deduction of ASC 718 Fair Value of Prior FY Awards as of Prior FYE that were Forfeited during the FY [Member]          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 0