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Segment Information - Combined income statements (Details) - USD ($)
 12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Disclosure of operating segments [line items]      
Net sales to third parties $ 7,362,000,000 $ 7,149,000,000 $ 6,785,000,000
Sales to former parent 0 4,000,000 4,000,000
Other revenues 146,000,000 0 3,000,000
Net sales and other revenues 7,508,000,000 7,153,000,000 6,792,000,000
Segment contribution 1,486,000,000 1,407,000,000 1,316,000,000
Amortization of intangible assets (1,084,000,000) (1,019,000,000) (1,033,000,000)
Impairment charges on intangible assets 0 (378,000,000) (57,000,000)
General & administration (corporate) (243,000,000) (206,000,000) (202,000,000)
Other (expense)/income, net (346,000,000) (52,000,000) (101,000,000)
Operating (loss) (187,000,000) (248,000,000) (77,000,000)
Interest expense (113,000,000) (24,000,000) (27,000,000)
Other financial income & expense (32,000,000) (28,000,000) (23,000,000)
(Loss) before taxes (332,000,000) (300,000,000) (127,000,000)
Depreciation of property, plant & equipment (267,000,000) (239,000,000) (215,000,000)
Depreciation of right-of-use assets (66,000,000) 0  
Impairment charges on property, plant & equipment, net (8,000,000) (2,000,000) 0
Equity-based compensation (114,000,000) (93,000,000) (71,000,000)
Unallocated amounts [member]      
Disclosure of operating segments [line items]      
Depreciation of property, plant & equipment 0 0 0
Depreciation of right-of-use assets 0 0  
Impairment charges on property, plant & equipment, net 0 0 0
Equity-based compensation (15,000,000) (12,000,000) (10,000,000)
Surgical [member]      
Disclosure of operating segments [line items]      
Net sales to third parties 4,174,000,000 3,999,000,000 3,733,000,000
Sales to former parent 0 2,000,000 3,000,000
Other revenues 0 0 0
Net sales and other revenues 4,174,000,000 4,001,000,000 3,736,000,000
Segment contribution 923,000,000 813,000,000 691,000,000
Impairment charges on intangible assets 0 (378,000,000)  
Surgical [member] | Operating segments [member]      
Disclosure of operating segments [line items]      
Depreciation of property, plant & equipment (112,000,000) (114,000,000) (106,000,000)
Depreciation of right-of-use assets (42,000,000) 0  
Impairment charges on property, plant & equipment, net (3,000,000) (1,000,000) 0
Equity-based compensation (55,000,000) (45,000,000) (34,000,000)
Vision Care [member]      
Disclosure of operating segments [line items]      
Net sales to third parties 3,188,000,000 3,150,000,000 3,052,000,000
Sales to former parent 0 2,000,000 1,000,000
Other revenues 146,000,000 0 3,000,000
Net sales and other revenues 3,334,000,000 3,152,000,000 3,056,000,000
Segment contribution 563,000,000 594,000,000 625,000,000
Impairment charges on intangible assets 0 0  
Vision Care [member] | Operating segments [member]      
Disclosure of operating segments [line items]      
Depreciation of property, plant & equipment (155,000,000) (125,000,000) (109,000,000)
Depreciation of right-of-use assets (24,000,000) 0  
Impairment charges on property, plant & equipment, net (5,000,000) (1,000,000) 0
Equity-based compensation $ (44,000,000) $ (36,000,000) $ (27,000,000)