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Segmentation of key figures - Consolidated income statements (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Mar. 31, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Disclosure of operating segments [line items]          
Net sales to third parties $ 1,198   $ 1,863 $ 3,020 $ 3,640
Other revenues 16   40 35 87
Net sales and other revenues 1,214   1,903 3,055 3,727
Segment contribution (6)   378 368 764
Amortization of intangible assets (273)   (270) (545) (536)
Impairment charges on intangible assets (41)   0 (57) 0
General & administration (corporate) (62)   (54) (115) (102)
Separation costs (62)   (78) (133) (78)
Spin readiness costs       0 (72)
Transformation costs (13)   (5) (20) (5)
Fair value adjustments of contingent consideration liabilities (4)   3 40 13
Other (5)   (27) (32) (85)
Operating (loss) (466)   (53) (494) (101)
Interest expense (30)   (35) (61) (44)
Other financial income & expense (6)   (8) (16) (16)
(Loss) before taxes (502)   (96) (571) (161)
Surgical          
Disclosure of operating segments [line items]          
Net sales to third parties 602   1,051 1,586 2,051
Other revenues 0   0 0 0
Net sales and other revenues 602   1,051 1,586 2,051
Segment contribution (28)   235 180 463
Impairment charges on intangible assets   $ (16)      
Vision Care          
Disclosure of operating segments [line items]          
Net sales to third parties 596   812 1,434 1,589
Other revenues 16   40 35 87
Net sales and other revenues 612   852 1,469 1,676
Segment contribution $ 22   $ 143 $ 188 $ 301