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Consolidated Statement of Cash Flows - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Statement of cash flows [abstract]      
Net income $ 974 $ 335 $ 376
Adjustments to reconcile net income to net cash flows from operating activities      
Depreciation, amortization, impairments and fair value adjustments 1,226 1,111 1,220
Equity-based compensation expense 144 140 138
Non-cash change in current and non-current provisions and other non-current liabilities 21 187 57
Losses on disposal and other adjustments on property, plant & equipment and other non-current assets, net 27 10 13
Interest expense 189 134 120
Other financial income & expense 18 75 42
Taxes (142) 128 42
Interest received 33 14 3
Interest paid (176) (111) (108)
Other financial payments (7) (7) (7)
Taxes paid (255) (178) (175)
Net cash flows before working capital changes and net payments out of provisions and other non-current liabilities 2,052 1,838 1,721
Net payments out of provisions and other cash movements in non-current liabilities (260) (99) (62)
Change in net current assets and other operating cash flow items (404) (522) (314)
Net cash flows from operating activities 1,388 1,217 1,345
Purchase of property, plant & equipment (658) (636) (700)
Purchase of intangible assets (193) (109) (480)
Purchase of investment in associated company (10) 0 0
Payments for financial assets (233) (50) (19)
Proceeds from financial assets 2 2 1
Proceeds from sale of short-term investments 0 79 0
Acquisitions of assets, net of cash acquired (2) (485) 0
Acquisition of business, net of cash acquired 0 (666) 0
Net cash flows used in investing activities (1,094) (1,865) (1,198)
Dividends paid to shareholders of Alcon Inc. (116) (100) (54)
Repayment of current portion of non-current financial debts (34) 0 0
Proceeds from current financial debts 40 0 0
Proceeds from non-current financial debts, net of issuance costs 29 1,815 52
Proceeds from 2022 Bridge Loan Facility, net of issuance costs 0 771 0
Repayment of non-current financial debts 0 (1,176) 0
Repayment of 2022 Bridge Loan Facility 0 (775) 0
Repayment of financial debts assumed in acquisition of business 0 (316) 0
Other changes in current financial debts 37 (42) (43)
Lease payments (79) (69) (72)
Payment of withholding taxes related to equity-based compensation (49) (50) (22)
Other financing cash flows (39) (66) 16
Net cash flows used in financing activities (211) (8) (123)
Effect of exchange rate changes on cash and cash equivalents 31 61 (6)
Net change in cash and cash equivalents 114 (595) 18
Cash and cash equivalents at January 1 980 1,575 1,557
Cash and cash equivalents at December 31 $ 1,094 $ 980 $ 1,575