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Changes in Other Comprehensive Income (AOCI Rollforward with Reclassification) (Details) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | $ 19,282 | $ 17,573 |
Other comprehensive income (loss) | 218 | (230) | $ 6
Ending Stockholders' Equity | 21,770 | 19,282 | 17,573
Accumulated other comprehensive income (loss), net of tax |  |  |
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | 49 | 269 | 263
Other comprehensive income (loss) before reclassifications | 379 | (34) |
(Income) loss amounts reclassified from accumulated other comprehensive income | (154) | (185) |
Other comprehensive income (loss) | 225 | (219) |
Ending Stockholders' Equity | 275 | 49 | 269
Foreign Currency Translation Adjustments |  |  |
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | (96) | (1) |
Other comprehensive income (loss) before reclassifications | 246 | (87) |
(Income) loss amounts reclassified from accumulated other comprehensive income | (14) | (8) |
Other comprehensive income (loss) | 232 | (95) |
Ending Stockholders' Equity | 136 | (96) | (1)
Net Change in Derivative Financial Instruments |  |  |
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | 154 | 269 |
Other comprehensive income (loss) before reclassifications | 142 | 63 |
(Income) loss amounts reclassified from accumulated other comprehensive income | (141) | (178) |
Other comprehensive income (loss) | 1 | (115) |
Ending Stockholders' Equity | 155 | 154 | 269
Net Change in Defined Benefit Pensions and Other Items |  |  |
AOCI attributable to Boston Scientific common stockholders, Net of Tax [Roll Forward] |  |  |
Beginning Stockholders' Equity | (8) | 1 |
Other comprehensive income (loss) before reclassifications | (9) | (10) |
(Income) loss amounts reclassified from accumulated other comprehensive income | 1 | 1 |
Other comprehensive income (loss) | (8) | (9) |
Ending Stockholders' Equity | $ (16) | $ (8) | $ 1

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