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Segment Information - Net sales and other revenues by segment (Details) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Disclosure of operating segments [line items]      
Net sales to third parties $ 8,654 $ 8,222 $ 6,763
Other revenues 63 69 70
Net sales and other revenues 8,717 8,291 6,833
Surgical      
Disclosure of operating segments [line items]      
Net sales to third parties 5,045 4,703 3,710
Surgical | Implantables      
Disclosure of operating segments [line items]      
Net sales to third parties 1,725 1,522 1,126
Surgical | Consumables      
Disclosure of operating segments [line items]      
Net sales to third parties 2,499 2,388 1,952
Surgical | Equipment/other      
Disclosure of operating segments [line items]      
Net sales to third parties 821 793 632
Vision Care      
Disclosure of operating segments [line items]      
Net sales to third parties 3,609 3,519 3,053
Vision Care | Contact lenses      
Disclosure of operating segments [line items]      
Net sales to third parties 2,192 2,139 1,838
Vision Care | Ocular health      
Disclosure of operating segments [line items]      
Net sales to third parties $ 1,417 $ 1,380 $ 1,215