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Revenue Recognition - Disaggregated Sales Analysis (Details) - USD ($) $ in Millions	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Disaggregation of Revenue [Line Items]
Net sales	$ 3,796	$ 3,242	$ 3,322	$ 3,241	$ 3,471	$ 3,006	$ 3,012	$ 2,955	$ 13,601	$ 12,444	$ 11,325
United States
Disaggregation of Revenue [Line Items]
Net sales									9,848	9,059	8,230
International
Disaggregation of Revenue [Line Items]
Net sales									3,753	3,385	3,095
Orthopaedics
Disaggregation of Revenue [Line Items]
Net sales									4,991	4,713	4,422
Orthopaedics | United States
Disaggregation of Revenue [Line Items]
Net sales									3,383	3,215	2,981
Orthopaedics | International
Disaggregation of Revenue [Line Items]
Net sales									1,608	1,498	1,441
Orthopaedics | Knees
Disaggregation of Revenue [Line Items]
Net sales									1,701	1,595	1,490
Orthopaedics | Knees | United States
Disaggregation of Revenue [Line Items]
Net sales									1,244	1,169	1,087
Orthopaedics | Knees | International
Disaggregation of Revenue [Line Items]
Net sales									457	426	403
Orthopaedics | Hips
Disaggregation of Revenue [Line Items]
Net sales									1,336	1,303	1,283
Orthopaedics | Hips | United States
Disaggregation of Revenue [Line Items]
Net sales									838	820	804
Orthopaedics | Hips | International
Disaggregation of Revenue [Line Items]
Net sales									498	483	479
Orthopaedics | Trauma and Extremities
Disaggregation of Revenue [Line Items]
Net sales									1,580	1,478	1,364
Orthopaedics | Trauma and Extremities | United States
Disaggregation of Revenue [Line Items]
Net sales									1,001	950	856
Orthopaedics | Trauma and Extremities | International
Disaggregation of Revenue [Line Items]
Net sales									579	528	508
Orthopaedics | Other
Disaggregation of Revenue [Line Items]
Net sales									374	337	285
Orthopaedics | Other | United States
Disaggregation of Revenue [Line Items]
Net sales									300	276	234
Orthopaedics | Other | International
Disaggregation of Revenue [Line Items]
Net sales									74	61	51
MedSurg
Disaggregation of Revenue [Line Items]
Net sales									6,045	5,557	4,894
MedSurg | United States
Disaggregation of Revenue [Line Items]
Net sales									4,743	4,376	3,869
MedSurg | International
Disaggregation of Revenue [Line Items]
Net sales									1,302	1,181	1,025
MedSurg | Instruments
Disaggregation of Revenue [Line Items]
Net sales									1,822	1,678	1,553
MedSurg | Instruments | United States
Disaggregation of Revenue [Line Items]
Net sales									1,424	1,304	1,207
MedSurg | Instruments | International
Disaggregation of Revenue [Line Items]
Net sales									398	374	346
MedSurg | Endoscopy
Disaggregation of Revenue [Line Items]
Net sales									1,846	1,652	1,470
MedSurg | Endoscopy | United States
Disaggregation of Revenue [Line Items]
Net sales									1,432	1,290	1,130
MedSurg | Endoscopy | International
Disaggregation of Revenue [Line Items]
Net sales									414	362	341
MedSurg | Medical
Disaggregation of Revenue [Line Items]
Net sales									2,118	1,969	1,633
MedSurg | Medical | United States
Disaggregation of Revenue [Line Items]
Net sales									1,630	1,525	1,296
MedSurg | Medical | International
Disaggregation of Revenue [Line Items]
Net sales									488	444	337
MedSurg | Sustainability
Disaggregation of Revenue [Line Items]
Net sales									259	258	238
MedSurg | Sustainability | United States
Disaggregation of Revenue [Line Items]
Net sales									257	257	236
MedSurg | Sustainability | International
Disaggregation of Revenue [Line Items]
Net sales									2	1	1
Neurotechnology and Spine
Disaggregation of Revenue [Line Items]
Net sales									2,565	2,174	2,009
Neurotechnology and Spine | United States
Disaggregation of Revenue [Line Items]
Net sales									1,722	1,468	1,380
Neurotechnology and Spine | International
Disaggregation of Revenue [Line Items]
Net sales									843	706	629
Neurotechnology and Spine | Neurotechnology
Disaggregation of Revenue [Line Items]
Net sales									1,737	1,423	1,255
Neurotechnology and Spine | Neurotechnology | United States
Disaggregation of Revenue [Line Items]
Net sales									1,115	900	809
Neurotechnology and Spine | Neurotechnology | International
Disaggregation of Revenue [Line Items]
Net sales									622	523	446
Neurotechnology and Spine | Spine
Disaggregation of Revenue [Line Items]
Net sales									828	751	754
Neurotechnology and Spine | Spine | United States
Disaggregation of Revenue [Line Items]
Net sales									607	568	571
Neurotechnology and Spine | Spine | International
Disaggregation of Revenue [Line Items]
Net sales									$ 221	$ 183	$ 183

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