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Consolidated Statement of Cash Flows - USD ($)
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Statement of cash flows [abstract]      
Net income $ 1,018,000,000 $ 974,000,000 $ 335,000,000
Adjustments to reconcile net income to net cash flows from operating activities      
Depreciation, amortization, impairments and fair value adjustments 1,226,000,000 1,226,000,000 1,111,000,000
Equity-based compensation expense 150,000,000 144,000,000 140,000,000
Non-cash change in current and non-current provisions and other non-current liabilities 52,000,000 21,000,000 187,000,000
Losses on disposal and other adjustments on property, plant & equipment and other non-current assets, net 16,000,000 27,000,000 10,000,000
Net gain on divestment of product rights (57,000,000) 0 0
Interest expense 192,000,000 189,000,000 134,000,000
Other financial income & expense (43,000,000) 18,000,000 75,000,000
Share of loss from associated companies 8,000,000 0 0
Taxes 238,000,000 (142,000,000) 128,000,000
Interest received 69,000,000 33,000,000 14,000,000
Interest paid (182,000,000) (176,000,000) (111,000,000)
Other financial payments (8,000,000) (7,000,000) (7,000,000)
Taxes paid (326,000,000) (255,000,000) (178,000,000)
Net cash flows before working capital changes and net payments out of provisions and other non-current liabilities 2,353,000,000 2,052,000,000 1,838,000,000
Net payments out of provisions and other cash movements in non-current liabilities (87,000,000) (260,000,000) (99,000,000)
Change in net current assets and other operating cash flow items (189,000,000) (404,000,000) (522,000,000)
Net cash flows from operating activities 2,077,000,000 1,388,000,000 1,217,000,000
Purchase of property, plant & equipment (473,000,000) (658,000,000) (636,000,000)
Purchase of intangible assets (197,000,000) (193,000,000) (109,000,000)
Purchase of investments in associated companies (159,000,000) (10,000,000) 0
Payments for financial assets (128,000,000) (233,000,000) (50,000,000)
Purchase of time deposits (150,000,000) 0 0
Proceeds from financial assets 9,000,000 2,000,000 2,000,000
Proceeds from sale of short-term investments 0 0 79,000,000
Acquisitions of assets, net of cash acquired 0 (2,000,000) (485,000,000)
Acquisitions of businesses, net of cash acquired (61,000,000) 0 (666,000,000)
Other investing cash flows (8,000,000) 0 0
Net cash flows used in investing activities (1,167,000,000) (1,094,000,000) (1,865,000,000)
Dividends paid to shareholders of Alcon Inc. (130,000,000) (116,000,000) (100,000,000)
Repayment of financial debts (47,000,000) (34,000,000) (2,267,000,000)
Proceeds from financial debts, net of issuance costs 59,000,000 69,000,000 2,586,000,000
Other net changes in financial debts (66,000,000) 37,000,000 (42,000,000)
Lease payments (83,000,000) (79,000,000) (69,000,000)
Payment of withholding taxes related to equity-based compensation (47,000,000) (49,000,000) (50,000,000)
Other financing cash flows (8,000,000) (39,000,000) (66,000,000)
Net cash flows used in financing activities (322,000,000) (211,000,000) (8,000,000)
Effect of exchange rate changes on cash and cash equivalents (6,000,000) 31,000,000 61,000,000
Net change in cash and cash equivalents 582,000,000 114,000,000 (595,000,000)
Cash and cash equivalents at January 1 1,094,000,000 980,000,000 1,575,000,000
Cash and cash equivalents at December 31 $ 1,676,000,000 $ 1,094,000,000 $ 980,000,000