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Consolidated Statement of Cash Flows (unaudited) - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Statement of cash flows [abstract]    
Net income $ 526 $ 471
Adjustments to reconcile net income to net cash flows from operating activities    
Depreciation, amortization, impairments and fair value adjustments 529 606
Equity-based compensation expense 77 77
Non-cash change in current and non-current provisions and other non-current liabilities 44 33
Losses on disposal and other adjustments on property, plant & equipment and other non-current assets, net 2 3
Interest expense 100 95
Other financial income & expense (13) (24)
Share of loss from associated companies 15 0
Taxes 87 144
Interest received 37 31
Interest paid (101) (99)
Other financial payments (4) (5)
Taxes paid (52) (87)
Net cash flows before working capital changes and net payments out of provisions and other non-current liabilities 1,247 1,245
Net payments out of provisions and other cash movements in non-current liabilities (32) (58)
Change in net current assets and other operating cash flow items (326) (316)
Net cash flows from operating activities 889 871
Purchase of property, plant & equipment (208) (204)
Purchase of intangible assets (65) (59)
Purchase of investments in associated companies (8) 0
Payments for financial assets (24) (97)
Proceeds from time deposits 150 0
Proceeds from financial assets 1 9
Acquisitions of businesses, net of cash acquired (568) 0
Other investing cash flows (10) 0
Net cash flows used in investing activities (732) (351)
Dividends paid to shareholders of Alcon Inc. (166) (130)
Repayment of financial debts (102) (47)
Proceeds from financial debts, net of issuance costs 49 39
Other net changes in financial debts 39 (7)
Payments for acquisition of treasury shares (116) 0
Lease payments (38) (43)
Payment of withholding taxes related to equity-based compensation (43) (42)
Transactions with non-controlling interests (11) 0
Other financing cash flows (91) (7)
Net cash flows used in financing activities (479) (237)
Effect of exchange rate changes on cash and cash equivalents 54 (5)
Net change in cash and cash equivalents (268) 278
Cash and cash equivalents at January 1 1,676 1,094
Cash and cash equivalents at June 30 $ 1,408 $ 1,372