Intuitive Surgical Inc. (ISRG) Stock Analysis 2026

Medical DevicesRobotic Surgery & Surgical Instruments
$393.33
as of 2026-09-18
-14.9% (52-week)50D MA $383.61  |  200D MA $467.59

BriMind AI Score

Proprietary
51
Neutral
Price CAGR
17.1%
1Y Return
-17.9%
Analyst Upside
+29.5%
Rev Growth
18.5%

Score based on historical price CAGR, revenue growth, analyst upside, and valuation factors. Updated daily.

AI scores and price targets are for informational and educational purposes only. They do not constitute financial advice or a recommendation to buy or sell any security. Past performance is not indicative of future results. Always conduct your own research before making investment decisions. Full Disclaimer →

About Intuitive Surgical Inc.

Intuitive Surgical is the undisputed leader in robotic-assisted surgery, with its da Vinci surgical system installed in 9,000+ hospitals worldwide. The company's robots assist surgeons in performing minimally invasive procedures across urology (prostatectomy), gynecology (hysterectomy), general surgery (hernia repair, cholecystectomy), and thoracic surgery. Intuitive launched the next-generation da Vinci 5 system in 2024, its most significant platform upgrade in a decade.

How Intuitive Surgical Makes Money

Intuitive earns from a razor-and-blade model: system placements (~17% of revenue — da Vinci robots cost $1-2.5M each), instruments and accessories (~55% — single-use instruments consumed per procedure, $700-3,500 per procedure), and services (~28% — maintenance contracts and training). The recurring instruments and services revenue is the key to the business — once a hospital buys a robot, it generates decades of consumable revenue.

Intuitive Surgical Revenue & Profitability Breakdown

This chart shows how Intuitive Surgical's revenue flows through to profit. Each row deducts a layer of costs: first the direct cost of making products/services (Cost of Revenue), then operating expenses like marketing and R&D, then taxes. What remains at the bottom is net income — the actual profit shareholders own. High gross and net margins indicate a business with strong pricing power and efficiency.

Revenue
$11.03B
Cost of Revenue
-$3.68B
Gross Profit
$7.36B66.7% margin
Operating Expenses
-$3.65B
Operating Income
$3.71B33.6% margin
Tax & Other
-$569.0M
Net Income
$3.14B28.4% margin
Gross Margin
66.7%
Operating Margin
33.6%
Net Margin
28.4%
EBITDA Margin
34.0%

Key Financial Metrics

Intuitive Surgical Inc. trades at a trailing P/E of 42.01x, generates $2.62B in free cash flow, runs a debt/equity ratio of 0.95, and converts shareholder equity into profit at a 17.4% return on equity. For context: P/E ratio measures how much you pay for $1 of earnings (lower = cheaper, but fast-growing companies command higher P/E); Free Cash Flow is the cash left after running the business; Debt/Equity shows how leveraged a company is; Return on Equity shows how efficiently it turns shareholder capital into profit.

Market Cap
$133.49B
Enterprise Value
$195.26B
P/E (Trailing)
42.01
P/E (Forward)
30.87
PEG Ratio
1.83
EV / EBITDA
65.83
Price / Sales
22.91
Price / Book
11.67
Revenue
$11.03B
Revenue Growth
18.5%
Earnings Growth
26.5%
EBITDA
$2.97B
Gross Margin
66.7%
Operating Margin
33.6%
Net Margin
28.4%
Return on Equity
17.4%
Return on Assets
10.5%
Free Cash Flow
$2.62B
Total Cash
$4.51B
Total Debt
$0
Debt / Equity
0.95
Current Ratio
4.96
Quick Ratio
3.64
Beta
1.46
Dividend Yield
None
Payout Ratio
0.0%
Insider Ownership
0.5%
Inst. Ownership
89.6%
Short % Float
2.0%
Book Value / Share
$51.34

Wall Street Analyst Consensus

28 analysts covering Intuitive Surgical Inc. currently lean toward a Buy rating, with a mean 12-month price target of $478.01 (+21.5% vs the current price). Analysts set these targets after researching a company's earnings, competitive position, and industry trends — Strong Buy / Buy means the majority expect meaningful upside, while Hold means fair value near the current price rather than a sell signal.

Consensus RatingBuy(28 analysts)
SellStrong Buy
Low Target$350.00-11.0%
Mean Target$478.01+21.5% upside
High Target$675.00+71.6%

Intrinsic Value Estimates for ISRG

We use 1 valuation model to estimate ISRG's intrinsic value. Intrinsic value is what a stock is truly worth based on the company's fundamentals, independent of what the market prices it at today. If multiple models agree the stock is undervalued, that convergence is a stronger signal.

Technical Price Signals

ISRG is currently in a short-term uptrend, trading above its 50-day average of $383.61 and below its 200-day average of $467.59. Moving averages smooth out day-to-day volatility to reveal the underlying trend — a Golden Cross (50MA crosses above 200MA) is a classic bullish signal, a Death Cross is bearish, though both are lagging indicators that confirm trends rather than predict them.

Current Price
$393.33
50-Day MA
$383.61
▲ Price above
200-Day MA
$467.59
▼ Price below
Short-term Uptrend
Above 50-day MA but mixed longer-term

ISRG Investment Case: Bull vs Bear

ISRG's investment case breaks down into 4 bull points and 4 bear points below. The bull case outlines the key reasons the stock could outperform — competitive advantages, growth catalysts, and market tailwinds. The bear case highlights the most significant risks. A strong bull case with manageable bear risks typically makes for a more compelling investment.

Bull Case (Reasons to Buy)

  • da Vinci 5 is a generational upgrade — force feedback, AI-powered insights, and improved ergonomics should accelerate adoption and expand into new procedure types.
  • Only 3-5% of addressable procedures are performed robotically — the penetration runway is enormous, particularly in general surgery and international markets.
  • Installed base of 9,000+ systems generates $6B+ in recurring instruments and services revenue — a durable, growing annuity stream.
  • First-mover advantage with 25+ years of surgeon training creates switching costs — surgeons trained on da Vinci are reluctant to switch to competing platforms.

Bear Case (Key Risks)

  • Valuation is extreme — at 60-70x forward P/E, Intuitive is priced for flawless execution over many years.
  • Competition is intensifying — Medtronic (Hugo), J&J (Ottava), and Stryker are developing surgical robots that could erode Intuitive's monopoly.
  • da Vinci 5 transition may cannibalize da Vinci Xi placements in the near term as hospitals wait for the new system.
  • Hospital capital budgets are pressured — expensive robotic systems ($1-2.5M) face scrutiny when hospital margins are thin.

What to Watch: ISRG Key Metrics

da Vinci procedure growth
da Vinci 5 system placements
Instruments & accessories revenue per procedure
Installed base growth
International market expansion

ISRG Stock — Frequently Asked Questions

Read the full ISRG in-depth report
Seven-method valuation, AI Score, blended price target, and a 5-year Monte Carlo simulation for Intuitive Surgical Inc..

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Data sources: Financial metrics and market data sourced from company SEC filings, earnings releases, and investor relations disclosures. Price data, analyst consensus targets, and fundamental financials provided by financial market data providers. ETF data sourced from official fund prospectuses and index provider publications. AI scores and price targets are proprietary estimates — see our Methodology and Disclaimer for details.
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