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Segmentation of key figures - Net sales by segment and Consolidated income statements (Details) - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Disclosure of operating segments [line items]        
Net sales to third parties $ 2,200 $ 2,094 $ 4,375 $ 4,004
Other revenues 17 16 31 36
Net sales and other revenues 2,217 2,110 4,406 4,040
Total segment contribution 495 473 1,037 894
Amortization of intangible assets (162) (143) (324) (283)
Impairment charges on intangible assets (61) 0 (61) (45)
General & administration (corporate) (70) (69) (132) (126)
Separation costs 0 (6) 0 (16)
Transformation costs (9) (15) (24) (26)
Fair value adjustments to contingent consideration liabilities 7 0 7 0
Past service costs for post-employment benefit plan amendments 0 0 0 2
Other 0 (11) (57) (22)
Operating income 200 229 446 378
Interest expense (31) (30) (60) (61)
Other financial income & expense (22) (8) (39) (17)
Income before taxes 147 191 347 300
Surgical        
Disclosure of operating segments [line items]        
Net sales to third parties 1,296 1,206 2,555 2,283
Total segment contribution 348 327 720 602
Surgical | Implantables        
Disclosure of operating segments [line items]        
Net sales to third parties 444 387 899 731
Surgical | Consumables        
Disclosure of operating segments [line items]        
Net sales to third parties 644 620 1,245 1,155
Surgical | Equipment/other        
Disclosure of operating segments [line items]        
Net sales to third parties 208 199 411 397
Vision Care        
Disclosure of operating segments [line items]        
Net sales to third parties 904 888 1,820 1,721
Total segment contribution 147 146 317 292
Vision Care | Contact lenses        
Disclosure of operating segments [line items]        
Net sales to third parties 547 535 1,104 1,044
Vision Care | Ocular health        
Disclosure of operating segments [line items]        
Net sales to third parties $ 357 $ 353 $ 716 $ 677