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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Statement of cash flows [abstract]    
Net income $ 343 $ 316
Adjustments to reconcile net income to net cash flows from operating activities    
Depreciation, amortization, impairments and fair value adjustments 603 588
Equity-based compensation expense 74 70
Non-cash change in current and non-current provisions and other non-current liabilities 49 40
Losses on disposal and other adjustments on property, plant & equipment and other non-current assets, net 14 2
Interest expense 95 60
Other financial income & expense 17 39
Taxes 83 31
Interest received 15 2
Interest paid (94) (53)
Other financial payments (4) (4)
Taxes paid (151) (120)
Net cash flows before working capital changes and net payments out of provisions and other non-current liabilities 1,044 971
Net payments out of provisions and other cash movements in non-current liabilities (214) (70)
Change in net current assets and other operating cash flow items (420) (431)
Net cash flows from operating activities 410 470
Purchase of property, plant & equipment (221) (237)
Purchase of intangible assets (132) (23)
Payments for financial assets (216) (21)
Proceeds from financial assets 1 2
Acquisitions of assets, net of cash acquired 0 (483)
Net cash flows used in investing activities (568) (762)
Dividends paid to shareholders of Alcon Inc. (116) (100)
Repayment of current portion of non-current financial debts (34) 0
Proceeds from current financial debts 40 0
Proceeds from non-current financial debts, net of issuance costs 29 531
Repayment of non-current financial debts 0 (536)
Other changes in current financial debts 4 (52)
Lease payments (38) (34)
Payment of withholding taxes related to equity-based compensation (43) (46)
Other financing cash flows (8) (40)
Net cash flows used in financing activities (166) (277)
Effect of exchange rate changes on cash and cash equivalents 5 24
Net change in cash and cash equivalents (319) (545)
Cash and cash equivalents at January 1 980 1,575
Cash and cash equivalents at June 30 $ 661 $ 1,030