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Changes in Other Comprehensive Income (AOCI Rollforward with Reclassification) (Details) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | $ 17,573 | $ 16,622 |
Other comprehensive income (loss) | (230) | 6 | $ 56
Ending Stockholders' Equity | 19,282 | 17,573 | 16,622
Accumulated other comprehensive income (loss), net of tax |  |  |
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | 269 | 263 | 207
Other comprehensive income (loss) before reclassifications | (34) | 163 |
(Income) loss amounts reclassified from accumulated other comprehensive income | (185) | (157) |
Other comprehensive income (loss) | (219) | 6 |
Ending Stockholders' Equity | 49 | 269 | 263
Foreign Currency Translation Adjustments |  |  |
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | (1) | 93 |
Other comprehensive income (loss) before reclassifications | (87) | (86) |
(Income) loss amounts reclassified from accumulated other comprehensive income | (8) | (8) |
Other comprehensive income (loss) | (95) | (94) |
Ending Stockholders' Equity | (96) | (1) | 93
Net Change in Derivative Financial Instruments |  |  |
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | 269 | 206 |
Other comprehensive income (loss) before reclassifications | 63 | 214 |
(Income) loss amounts reclassified from accumulated other comprehensive income | (178) | (150) |
Other comprehensive income (loss) | (115) | 63 |
Ending Stockholders' Equity | 154 | 269 | 206
Net Change in Defined Benefit Pensions and Other Items |  |  |
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | 1 | (36) |
Other comprehensive income (loss) before reclassifications | (10) | 36 |
(Income) loss amounts reclassified from accumulated other comprehensive income | 1 | 1 |
Other comprehensive income (loss) | 9 | (37) |
Ending Stockholders' Equity | $ (8) | $ 1 | $ (36)

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