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Segmentation of key figures - Consolidated income statements (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Disclosure of operating segments [line items]        
Net sales to third parties $ 1,863 $ 1,819 $ 3,640 $ 3,598
Sales to former parent 0 1 0 2
Other revenues 40 0 87 0
Net sales and other revenues 1,903 1,820 3,727 3,600
Segment contribution 352 350 722 736
Amortization of intangible assets (270) (258) (536) (516)
Impairment charges on intangible assets 0 (39) 0 (39)
General & administration (corporate) (62) (49) (116) (100)
Other (expense)/income, net (73) 34 (171) 30
Operating (loss)/income (53) 38 (101) 111
Interest expense (35) (6) (44) (12)
Other financial income & expense (8) (8) (16) (14)
(Loss)/income before taxes (96) 24 (161) 85
Surgical [Member]        
Disclosure of operating segments [line items]        
Net sales to third parties 1,051 1,030 2,051 2,007
Sales to former parent 0 1 0 2
Other revenues 0 0 0 0
Net sales and other revenues 1,051 1,031 2,051 2,009
Segment contribution 217 219 440 422
Vision Care [Member]        
Disclosure of operating segments [line items]        
Net sales to third parties 812 789 1,589 1,591
Sales to former parent 0 0 0 0
Other revenues 40 0 87 0
Net sales and other revenues 852 789 1,676 1,591
Segment contribution $ 135 $ 131 $ 282 $ 314