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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Statement of cash flows [abstract]    
Net income/(loss) $ 235 $ (479)
Adjustments to reconcile net income/(loss) to net cash flows from operating activities    
Depreciation, amortization, impairments and fair value adjustments 530 779
Equity-based compensation expense 68 51
Non-cash change in provisions and other non-current liabilities 25 13
Losses on disposal and other adjustments on property, plant & equipment and other non-current assets, net 8 15
Interest expense 61 61
Other financial income & expense 17 16
Taxes 65 (92)
Interest received 2 4
Interest paid (57) (50)
Other financial payments (3) (3)
Taxes paid (96) (46)
Net cash flows before working capital changes and net payments out of provisions and other non-current liabilities 855 269
Net payments out of provisions and other cash movements in non-current liabilities (37) (58)
Change in net current assets and other operating cash flow items (276) (153)
Net cash flows from operating activities 542 58
Purchase of property, plant & equipment (222) (168)
Purchase of intangible assets (411) (32)
Purchase of financial assets (10) (1)
Net cash flows used in investing activities (643) (201)
Dividends paid to shareholders of Alcon Inc. (54) 0
Proceeds from non-current financial debts, net of issuance costs 51 744
Change in current financial debts (24) (59)
Lease payments (37) (33)
Other financing cash flows (12) (17)
Net cash flows (used in)/from financing activities (76) 635
Effect of exchange rate changes on cash and cash equivalents (14) 10
Net change in cash and cash equivalents (191) 502
Cash and cash equivalents at January 1 1,557 822
Cash and cash equivalents at June 30 $ 1,366 $ 1,324