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Intuitive SurgicalISRGCompetitor analysis, valuation and peers

United States · USD·Health Care›Medical Specialties

Makes the da Vinci surgical robots that let surgeons perform minimally invasive operations with robotic instruments.

Momentum strong 76
Mkt cap
$157B
US dollars, full cap
Free float
99%
of shares outstanding
$/day
$1.24B
20-day average traded
Fwd P/E
37.5×
forward earnings
ROIC−WACC
+12.1 pp
WACC 12.1%
Hurdle
+13 pp
Req g minus delivered
Next earnings
81 days
26 Jan 2027
Close · USD$452.80
1D-3.4%
1W+4.8%
1M+9.0%
3M+15.1%
6M+0.6%
YTD-20.1%
1Y-17.5%
ATR %3.5%
Beta0.96
52w lowhigh25.0% off high

What Intuitive Surgical does

Makes the da Vinci surgical robots that let surgeons perform minimally invasive operations with robotic instruments.

Hospitals buy or lease the robot, then pay for instruments used in each operation and for service contracts, so revenue grows with the number of procedures performed rather than only with robot sales. Most revenue now recurs. The first system gained US approval in 2000.

Products and services

  • da Vinci surgical systems
  • Instruments & accessories (recurring revenue)
  • Ion robotic bronchoscopy

Customers

  • hospitals
  • surgeons (trained on the platform)

Where it sits in the supply chain

  • Medical devices
  • Surgical robotics
  • Robotic systems + reusable instruments…

What could go right

  • Growing global adoption of robotic surgery
  • Recurring instrument/service revenue growth

What could go wrong

  • New robotic-surgery competitors entering market
  • Hospital capital-spending cycles

Moat: wide (installed base, switching costs, IP / patents). Surgeon training, hospital capital investment and instrument recurring revenue lock in the installed base.

Headquarters: Sunnyvale, California, US · Founded: 1995 · Employees: 17,021

Named competitors

Intuitive Surgical at a glance

Size Intuitive Surgical (ISRG) is a United States Health Care company (Medical Specialties) with a market value of $157B, the 79th largest of 3,117 United States companies the cockpit tracks. Shares closed at $452.80 on 6 Nov 2026.

Performance Over six months the shares gained 0.6%, against +28.9% for the median peer and -1.1% for the United States market (cap-weighted) — 4th lowest of 16 in its peer set.

Growth Revenue grew 20.4% over the last twelve months (peer median +8.9%); the operating margin is 32.2% (peer median 19.9%).

Valuation It trades at 37.5× forward earnings against a peer median of 25.8× (2nd most expensive of 16).

Price implies For today's price to make sense, revenue must grow about 31% a year for seven years (Req g). Recent delivered growth is +18%, so the hurdle is +13 pp: the price needs faster growth than the company has been delivering — of companies that just grew 25–50% a year, 93.8% slowed down over the next four years.

Capital Return on invested capital runs 12.1 points above its cost of capital (12.1% WACC).

Short interest Short interest is 2.1% of the free float (15 Oct 2026).

Next results Next results expected around 26 Jan 2027 (exchange calendar; dates can move).

Relative performance

8010012011 May 202611 Aug 20266 Nov 2026Peer median 132ISRG 108
Six months, rebased to 100: Intuitive Surgical against the median of its 15 peers (local-currency closes).

Intuitive Surgical financials

Reported figures in USD; fiscal year ends 2025-12-31. TTM = trailing twelve months.
TTMFY2025FY2024FY2023FY2022
Revenue$11.6B$10.1B$8.35B$7.12B$6.22B
Revenue growth—+21%+17%+14%—
Gross profit$7.78B$6.64B$5.63B$4.73B$4.19B
EBITDA$4.51B$3.57B$2.80B$2.20B$1.96B
Net income$2.96B$2.86B$2.32B$1.80B$1.32B
Free cash flow$3.60B$2.49B$1.30B$750M$958M
Capital expenditure$492M$540M$1.11B$1.06B$532M
Total debt$0$171M$146M$89.8M$93.8M

Quarterly statements and history in the cockpit →

Intuitive Surgical competitor charts

The default views of Competitor Analysis ▸ Charts, drawn from the same data. Open them in the cockpit to change the axes, pin companies and read every value.

Performance: 6-month against 1-month return

-20%0%+20%+40%0%+20%DHRMDTABTSYKELTMOBSXEWBDXIDXXMDLNA7741WATISRG6-month return →1-month return →
Up and to the right = strong over both horizons. Intuitive Surgical is the large dot.

Fundamentals: revenue growth against valuation

0%+20%+40%+60%+80%20×30×40×DHRMDTABTSYKELTMOBSXEWBDXSHLIDXXWATISRGRevenue growth (TTM) →Forward P/E →
Further right = faster growth; higher = more expensive. The dashed lines are the peer medians. Intuitive Surgical is the large dot.

Capital: growth delivered against growth the price implies

+10%+20%+30%+40%20%40%DHRMDTABTSYKELTMOBSXEWSHLIDXXMDLNAWATISRGGrowth delivered (Del g) →Growth the price implies (Req g, 7 yrs) →
Above the diagonal = the price needs more growth than the company has been delivering; below = the price already allows for a slowdown. Intuitive Surgical is the large dot.

Intuitive Surgical competitors and peer comparison

Head to head with its named competitors (ISRG vs MDT vs SYK vs JNJ)
CompanyMarket cap6M returnRevenue growthOp. marginForward P/EReq g
Intuitive Surgical ISRG$157B+1%+20%32%37.5×30.8%
Medtronic MDT$130B+35%+10%20%16.9×8.6%
Stryker SYK$124B+14%+8%25%20.4×10.6%
Johnson & Johnson JNJ$665B+26%+8%26%24.5×3.5%

How Intuitive Surgical compares with its peers

Peer set: Industry: the same industry and sector in any market, nearest in size. This is the same default set the interactive Competitor Analysis opens with.

Intuitive Surgical against its 15 peers (data as of 6 Nov 2026)
MeasureISRGPeer medianRank in peer set
1-month return+9.0%+11.6%7th lowest of 16
6-month return+0.6%+28.9%4th lowest of 16
Distance from 52-week high-25.0%-5.5%4th lowest of 16
Revenue growth (TTM)+20.4%+8.9%2nd highest of 16
Operating margin32.2%19.9%2nd highest of 16
Forward P/E37.5×25.8×2nd most expensive of 16
Growth the price implies (Req g, 7 yrs)30.8%17.1%2nd most demanding of 16
Growth delivered (Del g)+18.2%+6.7%highest of 16
Hurdle (Req g minus delivered)+12.6 pp+4.8 pp6th most demanding of 16
ROIC minus cost of capital+12.1 pp+1.0 pp3rd highest of 16
EV / EBITDA34.0×20.7×2nd most expensive of 15
Net debt / EBITDA-0.9×1.9×3rd least indebted of 15

Peer table

Peer set: Industry: the same industry and sector in any market, nearest in size
CompanyMarketMarket cap6M returnRevenue growthOp. marginForward P/EReq gDelivered g
Intuitive Surgical ISRGUnited States$157B+1%+20%32%37.5×30.8%+18.2%
Danaher DHRUnited States$162B+35%+6%21%25.3×20.5%+2.0%
Medtronic MDTUnited States$130B+35%+10%20%16.9×8.6%+3.8%
Abbott Laboratories ABTUnited States$190B+30%+10%14%18.8×5.6%+5.1%
Stryker SYKUnited States$124B+14%+8%25%20.4×10.6%+11.8%
EssilorLuxottica EL.PAFrance$101B+12%+8%12%26.6×19.4%+14.6%
Thermo Fisher Scientific TMOUnited States$257B+50%+8%19%25.8×20.9%+6.7%
Boston Scientific BSXUnited States$62.0B-21%+9%21%13.8×5.0%+15.2%
Edwards Lifesciences EWUnited States$58.9B+28%+15%29%31.4×17.2%+6.7%
Becton Dickinson BDXUnited States$57.7B+43%-3%15%16.0×9.6%+6.3%
Siemens Healthineers SHL.DEGermany$55.9B+31%-1%15%18.9×9.0%+10.1%
Idexx Laboratories IDXXUnited States$53.3B+21%+12%32%41.5×28.0%+9.7%
Medline MDLNUnited States$52.1B0%+12%6%26.1×17.1%+9.9%
Agilent Technologies AUnited States$49.3B+51%+9%24%26.6×22.6%+5.4%
Hoya 7741.TJapan$47.4B-23%+13%31%26.7×13.3%+11.6%
Waters WATUnited States$45.0B+29%+81%10%28.6×46.2%+6.0%

Questions

Who are Intuitive Surgical's main competitors?
Named competitors: Medtronic (Hugo) (MDT), Stryker (SYK), Johnson & Johnson (Ottava) (JNJ), CMR Surgical (Versius) (private or unlisted). The cockpit's measured peer set (industry) also includes Danaher (DHR), Medtronic (MDT), Abbott Laboratories (ABT), Stryker (SYK), EssilorLuxottica (EL.PA), Thermo Fisher Scientific (TMO).
Is Intuitive Surgical expensive compared with its peers?
On forward p/e it trades at 37.5× against a peer median of 25.8×, 2nd most expensive of 16 in its peer set. For today's price to make sense, revenue must grow about 31% a year for seven years (Req g). Recent delivered growth is +18%, so the hurdle is +13 pp: the price needs faster growth than the company has been delivering — of companies that just grew 25–50% a year, 93.8% slowed down over the next four years.
How has Intuitive Surgical stock performed?
Over six months to 6 Nov 2026 the shares returned +0.6% against +28.9% for the median peer; over one year -17.5%.

How these numbers are made. Returns are close-to-close in local currency. Revenue growth and margins are trailing twelve months. Req g is the revenue growth that today's enterprise value requires for seven years at the company's own cost of capital; Delivered g is what it actually grew; the gap is the hurdle (honest precision about ±8 points, so read the ranking more than the decimal). No fair values, price targets or analyst ratings are shown, by design. Method and validation.