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Segment Information - Segment contribution and reconciliation to income/(loss) before taxes (Details) - USD ($)
$ in Millions
 3 Months Ended 12 Months Ended
Jun. 30, 2022
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Disclosure of operating segments [line items]        
Segment contribution   $ 1,936 $ 1,788 $ 1,091
Amortization of intangible assets   (653) (590) (1,078)
Impairment charges $ 61 (62) (225) (167)
General & administration (corporate)   (255) (251) (232)
Separation costs   0 (36) (217)
Transformation costs   (119) (68) (49)
Fair value adjustments to contingent consideration liabilities   23 42 63
Past service costs and settlements   0 18 154
Acquisition and integration related costs   (64) 0 0
Other   (134) (98) (47)
Operating income/(loss)   672 580 (482)
Interest expense   (134) (120) (124)
Other financial income & expense   (75) (42) (29)
Income/(loss) before taxes   463 418 (635)
Total depreciation of property, plant & equipment   (330) (323) (293)
Total depreciation of right-of-use assets   (76) (81) (79)
Total impairment charges on property, plant & equipment, net   (2) 0 (6)
Total equity-based compensation   (152) (151) (113)
Not allocated to segments        
Disclosure of operating segments [line items]        
Total depreciation of property, plant & equipment   (1) 0 0
Total equity-based compensation   (17) (17) (13)
Surgical        
Disclosure of operating segments [line items]        
Segment contribution   1,336 1,184 672
Impairment charges   (60) (178) (66)
Surgical | Operating segments        
Disclosure of operating segments [line items]        
Total depreciation of property, plant & equipment   (131) (129) (122)
Total depreciation of right-of-use assets   (46) (50) (47)
Total impairment charges on property, plant & equipment, net   (2) 0 (6)
Total equity-based compensation   (74) (74) (55)
Vision Care        
Disclosure of operating segments [line items]        
Segment contribution   600 604 419
Impairment charges   (2) (47) (101)
Vision Care | Operating segments        
Disclosure of operating segments [line items]        
Total depreciation of property, plant & equipment   (198) (194) (171)
Total depreciation of right-of-use assets   (30) (31) (32)
Total impairment charges on property, plant & equipment, net   0 0 0
Total equity-based compensation   $ (61) $ (60) $ (45)