<SEC-DOCUMENT>0001949846-25-000327.txt : 20250728
<SEC-HEADER>0001949846-25-000327.hdr.sgml : 20250728
<ACCEPTANCE-DATETIME>20250728101731
ACCESSION NUMBER:		0001949846-25-000327
CONFORMED SUBMISSION TYPE:	144
PUBLIC DOCUMENT COUNT:		1
FILED AS OF DATE:		20250728
DATE AS OF CHANGE:		20250728

SUBJECT COMPANY:	

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			INTUITIVE SURGICAL INC
		CENTRAL INDEX KEY:			0001035267
		STANDARD INDUSTRIAL CLASSIFICATION:	ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
		ORGANIZATION NAME:           	08 Industrial Applications and Services
		EIN:				770416458
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		144
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	000-30713
		FILM NUMBER:		251153751

	BUSINESS ADDRESS:	
		STREET 1:		1020 KIFER ROAD
		CITY:			SUNNYVALE
		STATE:			CA
		ZIP:			94086
		BUSINESS PHONE:		4085232100

	MAIL ADDRESS:	
		STREET 1:		1020 KIFER ROAD
		CITY:			SUNNYVALE
		STATE:			CA
		ZIP:			94086

REPORTING-OWNER:	

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			GUTHART GARY S
		CENTRAL INDEX KEY:			0001280628
		ORGANIZATION NAME:           	

	FILING VALUES:
		FORM TYPE:		144

	MAIL ADDRESS:	
		STREET 1:		C/O INTUITIVE SURGICAL INC
		STREET 2:		1266 KIFER RD
		CITY:			SUNNYVALE
		STATE:			CA
		ZIP:			94086
</SEC-HEADER>
<DOCUMENT>
<TYPE>144
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
<XML>
<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001280628</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001035267</issuerCik>
      <issuerName>INTUITIVE SURGICAL INC</issuerName>
      <secFileNumber>000-30713</secFileNumber>
      <issuerAddress>
        <com:street1>1020 KIFER ROAD</com:street1>
        <com:city>SUNNYVALE</com:city>
        <com:stateOrCountry>CA</com:stateOrCountry>
        <com:zipCode>94086</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>4085232100</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>GUTHART GARY S</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Officer</relationshipToIssuer>
        <relationshipToIssuer>Director</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>COMMON</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>THE CHARLES SCHWAB CORPORATION</name>
        <address>
          <com:street1>3000 Schwab Way</com:street1>
          <com:city>Westlake</com:city>
          <com:stateOrCountry>TX</com:stateOrCountry>
          <com:zipCode>76262</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>5600</noOfUnitsSold>
      <aggregateMarketValue>2773344.00</aggregateMarketValue>
      <noOfUnitsOutstanding>358476506</noOfUnitsOutstanding>
      <approxSaleDate>07/28/2025</approxSaleDate>
      <securitiesExchangeName>NASDAQ</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>COMMON</securitiesClassTitle>
      <acquiredDate>12/03/2018</acquiredDate>
      <natureOfAcquisitionTransaction>STOCK OPTION EXERCISE</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>ISSUER</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>5600</amountOfSecuritiesAcquired>
      <paymentDate>12/03/2018</paymentDate>
      <natureOfPayment>NA</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <remarks>Full account titles, 2,800 shares sold by JOSEPH CLAY GUTHART 2020 IRREVOCABLE TRUST G GUTHART &amp; D GUTHART TTEE. 2,800 shares sold by MIA HANNAH GUTHART 2020 IRREVOCABLE TRUST G GUTHART &amp; D GUTHART TTEE.</remarks>
    <noticeSignature>
      <noticeDate>07/28/2025</noticeDate>
      <planAdoptionDates>
        <planAdoptionDate>04/28/2025</planAdoptionDate>
      </planAdoptionDates>
      <signature>GARY GUTHART</signature>
    </noticeSignature>
  </formData>
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</SEC-DOCUMENT>
