| USD ($) $ in Millions, shares in Millions | LTM | Dec 31, 2025 | Dec 31, 2024 | Dec 31, 2023 | Dec 31, 2022 | Dec 31, 2021 | Dec 31, 2020 | Dec 31, 2019 | Dec 31, 2018 | Dec 31, 2017 | Dec 31, 2016 | Dec 31, 2015 | Dec 31, 2014 | Dec 31, 2013 | Dec 31, 2012 | Dec 31, 2011 | Dec 31, 2010 | Dec 31, 2009 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Revenue: | ||||||||||||||||||
Product | - | - | - | - | ||||||||||||||
Service | - | - | - | - | ||||||||||||||
Total revenue | 11,034 | 10,065 | 8,352 | 7,124 | ||||||||||||||
Cost of revenue: | ||||||||||||||||||
Product | - | - | - | - | ||||||||||||||
Service | - | - | - | - | ||||||||||||||
Total cost of revenue | 3,677 | 3,422 | 2,718 | 2,395 | ||||||||||||||
Gross profit | 7,358 | 6,642 | 5,634 | 4,730 | ||||||||||||||
Operating expenses: | ||||||||||||||||||
Selling, general and administrative | 2,492 | 2,385 | 2,140 | 1,964 | ||||||||||||||
Research and development | 1,415 | 1,312 | 1,145 | 999 | ||||||||||||||
Total operating expenses | 3,906 | 3,697 | 3,285 | 2,963 | ||||||||||||||
Income from operations | 3,451 | 2,946 | 2,349 | 1,767 | ||||||||||||||
Interest and other income, net | 355 | 366 | 325 | 192 | ||||||||||||||
Income before taxes | 3,806 | 3,311 | 2,674 | 1,959 | ||||||||||||||
Income tax expense | 648 | 435 | 336 | 142 | ||||||||||||||
Net income | 3,158 | 2,877 | 2,338 | 1,817 | ||||||||||||||
Less: net income attributable to noncontrolling interest in joint venture | 19 | 21 | 15 | 19 | ||||||||||||||
Net income attributable to Intuitive Surgical, Inc. | 3,139 | 2,856 | 2,323 | 1,798 | ||||||||||||||
Net income per share attributable to Intuitive Surgical, Inc.: | ||||||||||||||||||
Basic (usd per share) | $ 8.84 | $ 8 | $ 6.54 | $ 5.12 | ||||||||||||||
Diluted (usd per share) | $ 8.72 | $ 7.87 | $ 6.42 | $ 5.03 | ||||||||||||||
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.: | ||||||||||||||||||
Basic (shares) | 354.5 | 356.9 | 355.2 | 351.2 | ||||||||||||||
Diluted (shares) | 358.5 | 362.7 | 362 | 357.4 | ||||||||||||||
Total comprehensive income attributable to Intuitive Surgical, Inc. | - | - | - | - |