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Segmentation of key figures - Consolidated income statements (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Mar. 31, 2020
Jun. 30, 2021
Jun. 30, 2020
Disclosure of operating segments [line items]          
Net sales to third parties $ 2,094 $ 1,198   $ 4,004 $ 3,020
Other revenues 16 16   36 35
Net sales and other revenues 2,110 1,214   4,040 3,055
Segment contribution 473 (6)   894 368
Amortization of intangible assets (143) (273)   (283) (545)
Impairment charges on intangible assets 0 (41)   (45) (57)
General & administration (corporate) (69) (62)   (126) (115)
Separation costs (6) (62)   (16) (133)
Transformation costs (15) (13)   (26) (20)
Fair value adjustments of contingent consideration liabilities 0 (4)   0 40
Past service costs for post-employment benefit plan amendments       2 0
Other (11) (5)   (22) (32)
Operating income/(loss) 229 (466)   378 (494)
Interest expense (30) (30)   (61) (61)
Other financial income & expense (8) (6)   (17) (16)
Income/(loss) before taxes 191 (502)   300 (571)
Surgical          
Disclosure of operating segments [line items]          
Net sales to third parties 1,206 602   2,283 1,586
Other revenues 0 0   0 0
Net sales and other revenues 1,206 602   2,283 1,586
Segment contribution 327 (28)   602 180
Impairment charges on intangible assets     $ (16)    
Vision Care          
Disclosure of operating segments [line items]          
Net sales to third parties 888 596   1,721 1,434
Other revenues 16 16   36 35
Net sales and other revenues 904 612   1,757 1,469
Segment contribution $ 146 22   292 $ 188
Impairment charges on intangible assets   $ (41)   $ (45)