Intuitive Surgical ve 2. čtvrtletí zvýšila opakující se tržby o 19 % na 2,47 miliardy USD, což bylo 85 % celkových tržeb. Počet výkonů da Vinci a Ion vzrostl meziročně o 16 %.
Key Takeaways ISRG's recurring revenue rose 19% to $2.47 billion, accounting for 85% of total revenue.Da Vinci and Ion procedures grew 16%, led by 36% Ion growth and a 61% increase in SP procedures.Intuitive Surgical faces slower U.S. growth, bariatric declines and pressure on China placements. Intuitive Surgical (ISRG - Free Report) remains a procedure-driven growth story built around robotic systems, instruments, services and software.
The central question for investors is whether da Vinci 5, SP, Ion and digital tools can keep expanding clinical reach while offsetting weaker areas such as bariatric surgery, U.S. deferrable procedures and China placements.
ISRG Builds on a Broad Robotic PlatformIntuitive Surgical’s platform spans da Vinci multi-port systems, the da Vinci SP single-port platform and Ion. Da Vinci supports robot-assisted soft tissue surgery across general surgery, urology, gynecology, cardiothoracic care and head and neck specialties.
Ion extends the company into minimally invasive lung biopsy through a flexible, robotic-assisted, catheter-based platform. ISRG is building a broader care ecosystem designed to widen procedure reach across specialties and settings.
Intuitive Surgical Gains From Recurring RevenueRecurring revenue is central to the model because instruments, accessories, leases and services rise with utilization and installed-base growth. In the second quarter of 2026, recurring revenue increased 19% to $2.47 billion.
That represented 85% of total revenue, making the business less dependent on one-time system sales. Instruments and accessories revenues rose 18% to $1.73 billion, while service revenues grew 21% to $472 million.
ISRG Procedure Growth Still Drives the StoryProcedure volume remains the key operating indicator. In the second quarter of 2026, total da Vinci and Ion procedures increased 16% year over year, including 15% da Vinci growth and 36% Ion growth.
International da Vinci procedures rose 20%, with Europe and Asia each up 20%. SP procedures increased 61%, while cardiac and nipple-sparing mastectomy procedures rose 39% and 43%, respectively. Management maintained its 2026 da Vinci procedure growth outlook of 13.5% to 15.5%, with expectations near the midpoint.
Intuitive Surgical Expands the Ecosystem With Digital ToolsSoftware and data are becoming more important to the Intuitive Surgical’s business model. The company began rolling out more than 100 planned da Vinci 5 updates focused on telepresence, simulation-based training and care-team workflow.
It also completed its first My Intuitive+ renewals, covering telepresence, simulation and artificial intelligence-driven case insights. No customer in the initial cohort opted out, suggesting these tools can deepen engagement and make the installed base more valuable.
What ISRG Investors Should Watch NextThe bottom line is that ISRG still has a clear platform-dependent growth scenario. Da Vinci 5 upgrades, Ion adoption, SP growth, recurring revenue and digital tools all support a wider ecosystem.
Risks remain visible. U.S. da Vinci procedure growth moderated to 12% in the second quarter from 14% in the first quarter, bariatric procedures declined at a high-single-digit rate and China remains pressured by lower tender activity, local competition and policy-driven pricing.
Medtronic plc (MDT - Free Report) and Johnson & Johnson (JNJ - Free Report) are relevant comparables for investors tracking surgical robotics and digitally enabled medical technology. Their presence keeps the competitive context important, even as ISRG maintains a competitive moat with high installed systems, improving utilization and procedure-linked revenue as well as strong clinical evidence.
Investors should pair this operating view with ISRG’s current Zacks Rank #2 (Buy) and Zacks Style Scores of B before forming a fuller stock view. The Zacks Rank is a short-term timeliness indicator, while the Style Scores help evaluate value, growth and momentum characteristics. Higher grades, especially A or B, are more favorable when considered alongside top-ranked stocks, but they should be weighed with procedure trends, placement dynamics and margin risks. You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Intuitive Surgical zachovala celoroční výhled růstu procedur na 13,5–15,5 % i přes zpomalení růstu da Vinci v USA. Zároveň zvýšila výhled hrubé marže na 68–69 %.
Key Takeaways Intuitive Surgical kept full-year procedure growth guidance despite slower U.S. da Vinci procedures.ISRG expanded operating margin and raised gross margin outlook on cost cuts and manufacturing efficiencies.Intuitive Surgical's advanced AI software, robotics and international expansion will support long-term growth. Intuitive Surgical (ISRG - Free Report) continues to command a valuation premium over the medical technology industry, though that premium has narrowed significantly. The stock currently trades at 9.89X forward 12-month sales, its lowest level in the past 18 months compared with a historical median of 15.89X, while the industry trades at 3.77X. The compressed multiple reflects investor concerns over moderating U.S. procedure growth, but the company's latest results suggest its long-term competitive advantages remain intact.
The key overhang is slowing procedure growth. U.S. da Vinci procedures rose 12% in the second quarter, below recent trends, as management cited deferred benign surgeries due to changes in ACA premium subsidies and the law of large numbers. However, the company maintained its full-year procedure growth guidance of 13.5-15.5%, expecting results near the midpoint, indicating confidence that deferred demand will eventually return.
Meanwhile, profitability continues to strengthen. Second-quarter adjusted gross margin expanded 30 basis points (bps) to 70% and adjusted operating margin expanded 330 bps to 42%, supported by product cost reductions, operating leverage and robust adoption of da Vinci 5. Management also raised its full-year gross margin outlook by 50 bps to 68-69%, highlighting the ability of the business to offset inflationary pressures through scale and manufacturing efficiencies.
Beyond procedures, Intuitive Surgical is widening its competitive moat through software and ecosystem expansion. The company rolled out the first wave of more than 100 planned da Vinci 5 software updates, renewed its My Intuitive+ AI-enabled digital platform without customer opt-outs and continues to invest heavily in AI and workflow automation. Product innovation remains robust with continued momentum in SP and Ion, expansion of XiR into cost-sensitive markets, development of a next-generation GI robotic platform and new cardiac-specific technologies.
Geographic diversification also provides an important growth lever. While China remains challenging, strong momentum in Europe, India, Japan and other international markets, coupled with favorable reimbursement changes and broader robotic adoption, supports long-term expansion. Investments in new indications, higher-value software offerings and next-generation robotics reinforce Intuitive Surgical's durable growth profile. Although near-term procedure moderation may keep valuation multiples below historical peaks, the company's innovation engine, recurring revenue model and expanding global footprint justify its continued premium over industry peers.
Peer UpdatesGlaukos (GKOS - Free Report) continues to command a premium valuation, trading at 12.54X forward sales, well above its five-year median of 9.9X and the industry's 3.77X, reflecting investors' confidence in its ability to create entirely new ophthalmology markets. The first quarter reinforced this narrative with 41% revenue growth, driven by rapid adoption of iDose TR, a raised full-year revenue outlook and the commercial launch of Epioxa. Management believes Epioxa can become another transformational growth platform. Beyond these launches, an expanding clinical pipeline, growing reimbursement support, international glaucoma expansion and a disciplined focus on operating leverage strengthen the long-term investment case. While execution risks around Epioxa reimbursement and competitive pressures remain, sustained innovation, multiple growth drivers and a diversified ophthalmology portfolio support Glaukos' ability to justify its premium valuation over time.
IDEXX Laboratories (IDXX - Free Report) trades at 8.81x forward sales, below its five-year median of 10.14x but still well above the industry's 3.77x, reflecting its durable competitive advantages in veterinary diagnostics. The first quarter demonstrated why investors continue to assign a premium, as the company delivered 14% reported revenue growth, expanded operating margins and raised full-year guidance despite declining clinic visits. Growth continues to be driven by higher diagnostics utilization, premium instrument placements, expanding recurring revenues, cloud-based software adoption and AI-enabled innovations such as inVue Dx and Cancer Dx. High customer retention, increasing international penetration and continued software integration further reinforce recurring revenue visibility. Although softer wellness visits remain a near-term headwind, IDEXX's innovation-led ecosystem, pricing power and expanding diagnostics penetration position the company to sustain a premium valuation relative to peers over the long run.
ISRG’s Price Performance, Valuation and EstimatesShares of ISRG have lost 38.2% so far this year compared with a 16.3% decline for the industry.
Image Source: Zacks Investment Research
From a valuation standpoint, Intuitive Surgical trades at a forward price-to-sales of 9.89X, above the industry average. It is trading close to its five-year low of 9.66X. ISRG carries a Value Score of D.
Image Source: Zacks Investment Research
The Zacks Consensus Estimate for Intuitive Surgical’s 2026 earnings implies a 17.3% rise from the year-ago period’s level.
Image Source: Zacks Investment Research
The company currently carries a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Intuitive Surgical ve 2. čtvrtletí zvýšila výnosy o 19 % na 2,9 miliardy USD a počet výkonů da Vinci o 15 %. Akcie ale od začátku roku 2026 klesly o 38 % a jsou na víceletém minimu.
Intuitive Surgical (ISRG +1.08%), maker of the da Vinci robotic-assisted surgical systems, recently posted a strong quarter. But despite consistently solid numbers, the stock itself has been in a tailspin this year. As of Monday's close, it was down 38% thus far in 2026, and it's not just trading at a new 52-week low, but it's at a multi-year low as well; the last time it was at these levels was back in early 2024.
What's behind the stock's struggles this year, and could this be a glorious opportunity for long-term investors to buy the stock at a discount?
Image source: Getty Images.
Intuitive Surgical's growth has been looking much better of late Last week, Intuitive Surgical posted its second-quarter numbers, which yet again featured double-digit growth. Revenue of $2.9 billion for the period ending June 30 rose by 19% year over year. Over the past year, its growth rate has been comfortably above 15%. With hospitals resuming normal procedures and demand being higher, it's looking more like a top growth stock again.
ISRG Revenue (Quarterly YoY Growth) data by YCharts
The number of da Vinci procedures rose by 15%, and the install base for the surgical system also rose by 12%, totaling 11,710 as of the end of the period. It's an excellent sign that the business is growing well and with a higher install base, winning over new customers as well, setting itself up for even more growth ahead.
However, despite the solid numbers, the stock has been struggling this year. The company's Chief Financial Officer, Jamie Samath, noted that the expiration of the Affordable Care Act's enhanced premiums had a "modest adverse impact" on procedures during the quarter, which may help explain some of the market's apprehension. There's also been a decline in bariatric cases due to the rising popularity of GLP-1 weight loss drugs.
While the business has been doing well, these headwinds are preventing Intuitive from doing even better.
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Intuitive Surgical stock is currently trading at 33 times its estimated future earnings (based on analyst estimates), which is considerably lower than its past levels, as it wasn't uncommon for the multiple to be as high as around 70. Its elevated valuation may have also been a key reason for the stock's decline this year.
However, now with a lighter valuation, Intuitive's stock may be a great buy. The company has been posting strong numbers, and with plenty of growth opportunities still out there related to robotic-assisted surgery, this can be an excellent investment to buy and hold for the long haul.
David Jagielski, CPA has no position in any of the stocks mentioned. The Motley Fool has positions in and recommends Intuitive Surgical. The Motley Fool recommends the following options: long January 2028 $520 calls on Intuitive Surgical and short January 2028 $530 calls on Intuitive Surgical. The Motley Fool has a disclosure policy.
Intuitive Surgical uvedla, že růst procedur v USA zpomalil a zaostal za očekáváním, zatímco podmínky v Číně zůstávají náročné. Akcie klesly o 13,14 % na nové 52týdenní minimum.
The robotic surgery company said U.S. procedure growth moderated relative to recent trends and its expectations at the start of the year, driven mainly by procedures that patients can defer.
China Competition And International HeadwindsDuring the earnings call, CEO David Rosa said the operating environment in China remains difficult.
“In China, the environment remains challenging. We continue to see lower tender activity, increased domestic robotic competition, and policy-driven pricing pressure.”
Rosa added that the company continues to navigate policy changes, including charge code revisions and China’s 15th Five-Year Plan quota process.
“We continue to operate through a dynamic policy environment, including charge code changes and the 15th Five-Year Plan quota process. We are engaging with provincial governments on the charge code policy and are progressing through the green channel process for both SP and Da Vinci 5. When cleared, these platforms will bring additional differentiated capabilities to Chinese customers and their patients.”
In Japan, Rosa noted that new reimbursement policies supporting robotic surgery took effect on June 1, expanding coverage for additional procedures and providing incentives for higher utilization.
US Procedure Growth SlowsChief Financial Officer Jamie Samath said the expiration of enhanced Affordable Care Act premium subsidies affected some patients and contributed to softer procedure growth.
“Patients impacted by the expiration of subsidies for ACA Enhanced premiums. Looking at benign procedures, a subset of which can be deferred, we saw a slight moderation in procedure growth rate that started in Q1. U.S. da Vinci Bariatric cases continued to feel the impact of rising GLP-1 usage, declining high single digits during the quarter.”
Analysts Cut Price ForecastsWilliam Blair said Intuitive Surgical’s more than 10% after-hours decline reflects elevated investor expectations rather than a deterioration in the company’s long-term outlook.
The brokerage said maintaining, rather than raising, its 2026 procedure growth guidance disappointed investors given the stock’s premium valuation.
It also flagged several near-term headwinds, including weaker Affordable Care Act-related procedure volumes, intensifying competition in China, slowing growth as the business scales, and pricing initiatives that could heighten competitive concerns.
William Blair said those factors may create uncertainty around earnings and limit upside over the next few quarters. However, it maintained its Outperform rating, citing Intuitive Surgical’s industry-leading earnings growth profile. The firm added that greater clarity on these issues, along with continued execution, could support the stock after several quarters.
Piper Sandler said U.S. procedure growth slowed by about 200 basis points sequentially and fell short of Wall Street expectations. The firm also noted that maintaining full-year procedure growth guidance of 13.5% to 15.5% disappointed investors. Analyst Adam Maeder reiterated an Overweight rating but lowered the price forecast to $470 from $580.
Intuitive Surgical Price ActionISRG Price Action: Intuitive Surgical shares were down 13.14% at $349.45 at the time of publication on Friday. The stock is trading at a new 52-week low, according to Benzinga Pro data.
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Intuitive Surgical ve 2. čtvrtletí překonala odhady: tržby stouply o 19 % na 2,89 miliardy USD a upravený EPS o 28 % na 2,80 USD. Akcie ale po výsledcích klesají o 7,5 %.
Live Coverage Updates appear automatically as they are published.
Live Updates Pinned 1 hour ago
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This live blog is being updated by Thomas Richmond, a 24/7 Wall St. contributor. You’ll get expert analysis of Intuitive Surgical’s Q2 earnings.
Simply stay on this page, and new updates will appear below automatically. We expect Intuitive Surgical to release earnings shortly after 4:00 p.m. ET.
1 minute ago
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That wraps up our initial coverage of Intuitive Surgical’s Q2 results. Thank you for stopping by!
22 minutes ago
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Intuitive Surgical (NASDAQ:ISRG | ISRG Price Prediction) is down 7.5% after Q2 earnings.
Does the Reaction Fit the Results? The company reported a strong beat: +11.83% on EPS, revenue up 18.54%, and non-GAAP gross margin expanding to 70.0% from 67.9%.
The gross margin guidance was raised to 68.0%–69.0%, directly refuting fears about the da Vinci 5 margin.
Historical Context Prior beats averaged a +3.48% day-of move, so today matches the pattern. Yet Q1 2026 popped +7.16% then faded -9.41% over 30 days.
What the Market Is Watching Procedure guidance was held at 13.5%–15.5%, not raised, which might be a concern that drove the sell-off.
32 minutes ago
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Demand for Intuitive Surgical’s newest robotic system remained strong, with da Vinci 5 placements increasing 37% year over year to 246.
Total da Vinci placements rose 18% to 468, helping systems revenue increase 19% to $685 million.
More than half of da Vinci placements used operating leases, including 131 usage-based systems. This structure could limit upfront systems revenue but expand recurring revenue as utilization grows.
Intuitive Surgical now has 11,710 da Vinci systems installed worldwide, up 12% from one year ago.
34 minutes ago
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Intuitive Surgical delivered a strong second quarter, with revenue increasing 19% to $2.89 billion and adjusted EPS climbing 28% to $2.80.
Both figures exceeded Wall Street’s expectations, although EPS included an $0.08 benefit from refunds of tariffs paid in prior periods.
Total procedures increased 16% year over year, including 15% growth for da Vinci procedures and 36% growth for Ion procedures.
Management continues to expect full-year da Vinci procedure growth of 13.5% to 15.5%, likely near the midpoint of that range.
41 minutes ago
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Intuitive Surgical just reported earnings, with shares initially down 7% following the report. Here are the key numbers:
Revenue: $2.89 billion vs. $2.83 billion expected Adjusted EPS: $2.80 vs. $2.50 expected Guidance:
Worldwide da Vinci procedure growth: 13.5% to 15.5% Non-GAAP gross margin: 68.0% to 69.0% Non-GAAP operating expense growth: 11% to 13% Quick Read:
Intuitive Surgical comfortably beat expectations, with revenue rising 18.4% and adjusted EPS climbing 27.9% year over year.
Despite the beat, shares are falling as investors focus on the procedure-growth outlook and whether future growth can justify the stock’s premium valuation.
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Bull Case Beat streak intact: Four consecutive EPS beats, capped by Q1’s $2.50 vs. $2.1068 earnings report. da Vinci 5 momentum: 232 placements in Q1 with 11% higher utilization than Xi. Recurring engine: Instruments & accessories revenue reached $1.69 billion, +23%, backed by $7.98 billion cash. Sentiment lean: Composite score 65.03 (Bullish); average analyst price target of $558.01 vs current share price of $401.96. Bear Case Post-beat fade: Average 30-day change of -2.28% after prior beats. Margin compression: 1.0% tariff drag; gross margin guide 67.5%-68.5%. Macro chill: Consumer sentiment at 44.8 threatens hospital capex. Valuation reset: P/E of 49 with the stock down 31.32% YTD. 1 hour ago
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The current full-year framework for Intuitive Surgical (NASDAQ:ISRG) calls for 13.5% to 15.5% da Vinci procedure growth and a 67.5% to 68.5% non-GAAP gross margin, embedding a 1.0% tariff drag.
Management historically guides conservatively, then walks the range up: 2025 started at 15.5%–17% and ended at 18%.
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Polymarket’s crowd assigns a 46.5% probability to Q2 procedure growth landing in the 15%–17.5% range, with 34.5% for a sub-15% result.
With four straight EPS beats averaging 18.66% most recently, the headline number matters less than the raise.
1 hour ago
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With Intuitive Surgical (NASDAQ:ISRG) set to report Q2 earnings tonight shortly after 4:00 PM ET, here’s the framework for tonight’s call.
Top 5 Analyst Questions Does FY2026 da Vinci procedure guidance of 13.5%–15.5% get raised after crowd bets favor 15%–17.5% growth? Any read-through from HCA’s July 14 surgical volume warning? Is the 1.0% tariff drag holding? da Vinci 5 mix and ASP trajectory after 232 placements in Q1? Buyback pace after $1.1B repurchased in Q1? Key Topics and Buzzwords Listen for: “quintuple aim,” “installed base leverage,” “usage-based leasing,” “capital constrained customers,” force feedback EU approval. Ion sustainability after 39% Q1 procedure growth; direct sales transition in Italy, Spain, Portugal. Red Flags Procedure miss versus guide, tariff drag expansion, gross margin cut below 67.5%, Hugo/Ottava share commentary, or hospital capex softness. 2 hours ago
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Intuitive Surgical’s (NASDAQ: ISRG) second-quarter report tonight will test whether the company can defend its premium valuation as procedure growth slows and tariffs pressure margins.
The biggest number to watch is procedure growth. After expanding 18% in 2025, management currently expects growth of 13.5% to 15.5% in fiscal 2026.
Investors will also be watching the mix of da Vinci 5 placements and utilization gains, which could determine the strength of the systems revenue narrative heading into the second half.
Management has estimated that tariffs will result in a drag equal to approximately 1% of revenue due to exposure across Mexico, Germany, and China. Any additional pressure could weigh on gross margins.
Shares have declined 21.92% over the past year. A guidance increase tonight could reinvigorate the growth-at-a-reasonable-price case, but a reduction in margin estimates would likely cement the stock’s ongoing derating.
Intuitive Surgical (NASDAQ:ISRG) reports Q2 earnings results at 4:40 PM ET tonight after the bell. The robotic surgery leader enters the earnings report tonight with a $142.05 billion market cap, while shares are down 29.3% year to date.
Momentum Meets a Valuation Reset Q1 delivered a fourth straight beat, with non-GAAP EPS of $2.50 topping the $2.11 consensus and revenue of $2.77 billion growing 23% year over year. Yet the stock has fallen 13.81% since that April 21 filing.
Q1 gross margin expanded to 67.8% from 66.4%, with da Vinci procedures up 16% and Ion procedures up 39%. Management nudged FY26 procedure growth to 13.5%-15.5%, still a step down from 2025.
The stock trades at about $400.55 as of 2:40 PM ET, against an average analyst price target of $558.01.
Consensus and Crowd Estimates Metric Value Frame FY26 da Vinci procedure growth 13.5%-15.5% Guidance FY26 non-GAAP gross margin 67.5%-68.5% Guidance Q2 procedure growth (crowd) 15%-17.5% at 36.5% Polymarket Forward P/E 39 Valuation Polymarket traders assign a 63% combined probability to Q2 procedure growth landing between 12.5% and 17.5%, and only 8% odds to a sub-12.5% miss. The setup skews toward in-range execution rather than a blowout.
Margins, Tariffs, and da Vinci 5 Take Center Stage Tonight, I’ll be watching ISRG’s gross margin closely. CFO Jamie Samath flagged that oil and memory input costs will hit harder later in the year, saying “we do expect those to have a greater unfavorable impact in the remainder of the year.” Any drift above the 1.0% of revenue tariff assumption would compress the margin story.
Investors will also focus on da Vinci 5 placement mix. Q1 delivered 232 da Vinci 5 systems out of 431 total placements, with da Vinci 5 utilization running 11% above Xi. That mix drives ASPs and downstream I&A revenue.
International tone matters too. Rosa cited “ongoing challenges in China and Japan,” with new Japanese reimbursements for 7 procedures beginning June 2026. I’ll track whether early June signal reads bullish. Ion momentum, SP procedure growth of 68%, and Force Feedback rollout round out the watchlist.
Earnings History Quarter EPS Surprise 1-Day Move 1-Week Move 30-Day Move Q1 2026 +18.66% -0.99% -6.16% -9.41% Q4 2025 +11.51% +0.92% -3.77% -3.40% Q3 2025 +20.65% +4.61% +2.00% +6.56% Q2 2025 +13.22% -2.66% -0.29% -5.14% On average, shares moved -0.50% one week after earnings across the past year.
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Intuitive Surgical čelí rostoucí konkurenci v robotické chirurgii, hlavně v Číně, ale chce si udržet vedení díky technologii, klinickým důkazům a ekosystému. Firma sází na da Vinci 5 i repasovaný XiR pro různé rozpočty, nikoli na cenovou válku.
Key Takeaways Intuitive Surgical is relying on technology, clinical evidence and its ecosystem to defend market leadership.ISRG uses da Vinci 5 and refurbished XiR to serve different budgets while protecting premium positioning.Intuitive Surgical emphasizes value, training, AI tools and services instead of competing on price. Intuitive Surgical (ISRG - Free Report) is navigating an increasingly competitive robotic surgery landscape as domestic Chinese manufacturers, European innovators and large global medtech companies expand their presence. Management acknowledged persistent competitive and pricing pressures in China, particularly amid lower tender activity and policy-driven pricing. The company, however, remains confident that it can preserve its leadership through differentiated technology, strong clinical evidence and a comprehensive ecosystem, rather than competing solely on price.
A key pillar of Intuitive Surgical's strategy is a tiered product portfolio that addresses varying customer budgets without diluting its premium positioning. The flagship da Vinci 5 targets hospitals seeking advanced capabilities such as Force Feedback, AI-enabled digital features and higher utilization, while the refurbished Xi (XiR) platform serves cost-sensitive markets, particularly outside the United States.
Management believes XiR offers a compelling value proposition because customers receive access to the full Intuitive Surgical ecosystem — including instruments, software, services and training — at a more affordable price point. This segmentation allows the company to compete across multiple price tiers while protecting margins on its latest-generation platform.
Rather than engaging in price wars, Intuitive Surgical continues to focus on value-based selling. Management said customer discussions increasingly focus on the overall value of a robotic surgery program — including improved patient outcomes, greater procedural efficiency, higher utilization and expansion of minimally invasive surgery — rather than the upfront purchase price of a robot. The company is also tailoring pricing and commercial strategies by geography while working with policymakers to strengthen reimbursement frameworks and demonstrate long-term clinical and economic benefits.
Perhaps Intuitive Surgical's strongest competitive moat remains its ecosystem. Beyond a large installed base, the company offers integrated surgeon training, digital services through My Intuitive+, telepresence capabilities, clinical evidence generation and AI-driven innovations powered by real-world surgical data. Management believes this combination of technology, outcomes data, service infrastructure and customer support creates a durable competitive advantage that will be difficult for newer entrants to replicate as global competition intensifies.
Peer UpdatesGlobus Medical (GMED - Free Report) is defending its position in robotic spine surgery by combining differentiated technology with a broader procedural ecosystem rather than competing on hardware alone. Management emphasized that ExcelsiusGPS continues to benefit from its ground-up design, navigation-based workflow, ease of use and proven reliability across nearly 130,000 robotic procedures. The company stated that newer competing systems are yet to match its accuracy and workflow efficiency.
GMED is also strengthening its moat through robotics pull-through, flexible leasing and rental models that expand placements while driving recurring implant revenues. Integration of patient-specific implants, navigation, robotics and surgical intelligence into a closed-loop ecosystem further differentiates Globus Medical, while aggressive surgeon recruitment and cross-selling help capture market share despite intensifying competition from Medtronic and other entrants.
Stereotaxis (STXS - Free Report) is responding to intensifying competition by transforming itself from a single-product robotics company into a comprehensive endovascular robotics platform. Rather than relying on its legacy robotic system, the company has launched GenesisX, MAGiC robotic ablation catheters and the Synchrony digital surgery cockpit, reducing its historical dependence on Johnson & Johnson while expanding recurring revenue opportunities.
Management believes GenesisX's ability to operate in existing catheter labs without construction significantly broadens its addressable market. At the same time, investments in AI, automation, wireless robotic platforms and the Robocath acquisition position Stereotaxis to compete across electrophysiology, neurovascular and cardiovascular interventions. By building an integrated ecosystem of robotics, proprietary devices and digital intelligence, the company aims to create a differentiated long-term competitive position despite growing global competition.
ISRG’s Price Performance, Valuation and EstimatesShares of ISRG have lost 32.9% so far this year compared with a 13% decline for the industry.
Image Source: Zacks Investment Research
From a valuation standpoint, Intuitive Surgical trades at a forward price-to-earnings ratio of 34.18X, above the industry average. But, it is still lower than its five-year median of 69.50X. ISRG carries a Value Score of D.
Image Source: Zacks Investment Research
The Zacks Consensus Estimate for Intuitive Surgical’s 2026 earnings implies a 16.6% rise from the year-ago period’s level.
Image Source: Zacks Investment Research
The stock currently carries a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Intuitive Surgical zveřejní výsledky po uzavření trhu 16. července; akcie letos klesly o něco více než 30 %. Firma má za sebou čtyři po sobě jdoucí překonání odhadů.
Intuitive Surgical (ISRG +0.51%) is scheduled to report earnings after the market closes on July 16. The robotic healthcare stock has suffered so far this year, falling a little more than 30%, despite a strong first-quarter earnings report.
Positioning a trade or an investment right before an earnings report always carries a bit of event risk, but the current setup for Intuitive Surgical presents a compelling bull case.
It's worth noting that the stock has a recent history of earnings beats, bettering analysts' predictions in each of the past four quarters. If Intuitive reports better earnings than the current predictions of $2.81 billion in revenue and $2.48 in earnings per share (EPS), the stock will likely go up. However, it's important to take a longer view of the company's potential if you're planning on investing.
Here are three reasons why Intuitive Surgical's stock is a good long-term buy:
Image source: Getty Images.
The price is right, for now While Intuitive historically commands a premium multiple due to its absolute dominance in robotic surgery, the stock's sell-off this year has driven its forward price-to-earnings (P/E) multiple down to around 36x. That's a stark discount to its 5-year historical average of more than 58 times forward P/E. This compression offers a much more attractive entry point into a company where more than 80% of revenue is highly durable and recurring, from instruments, accessories, and services.
In the first quarter, recurring revenue from instruments and services grew 23% year over year to $2.12 billion. The increase in instruments and accessories revenue was primarily driven by approximately 16% growth in da Vinci procedure volume, customer buying patterns, and approximately 39% growth in Ion procedure volume.
Once a hospital installs a machine, it is effectively locked into the Intuitive ecosystem, creating a powerful, reliable revenue stream for investors.
It's worth noting that in the first quarter, revenue and EPS both grew by double-digit percentages, with revenue reported as $2.77 billion, up 23% year over year, and EPS of $2.28, up nearly 19% over the same period a year ago.
One reason for pessimism among investors is that GLP-1 obesity drugs are lowering bariatric surgical volumes. However, Intuitive is making up for that with the growth in other medical procedures performed using its systems. The other concern is that the company is now promoting a longer lifespan for its instruments to lower hospital costs, but while that may cut down on revenue from instruments and accessories, it also builds customer loyalty and improves the company's moat.
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Its da Vinci 5 system is seeing a nice uptake The central near-term driver for Intuitive is the rollout of its next-generation da Vinci 5 system. Early data show that hospital utilization of the da Vinci 5 is roughly 11% higher than the legacy Xi platform. Because customer adoption has moved faster than expected, the accelerating trade-in and upgrade cycle serves as a major fundamental catalyst that could drive an upside surprise in system placements and forward guidance.
The first quarter 2026 da Vinci surgical system placements included 232 da Vinci 5 systems, compared with 147 in the first quarter of 2025.
The launch of the da Vinci 5 platform introduces true hardware-enabled artificial intelligence and Force Feedback technology, which provide surgeons with a physical sense of resistance and tissue pressure for the first time. Beyond just a near-term upgrade cycle, this establishes the technology baseline for the next decade of surgery. It also creates a massive technical barrier that newer competitors will find difficult to replicate.
Expansion into diagnostics and soft tissue treatment For years, the company focused strictly on treating disease through general surgery with the da Vinci platform. With its Ion platform, it is moving upstream to own the diagnosis and early intervention stage as well.
The spearhead of this diagnostic expansion is the Ion endoluminal system, a robotic bronchoscopy platform designed for minimally invasive lung biopsies. Ion uses an ultrathin, highly flexible robotic catheter.
Ion feeds Intuitive's high-margin recurring revenue model. Each procedure requires single-use flexible needles, vision probes, and patient-specific 3D planning software. Furthermore, Intuitive is currently integrating adjunctive diagnostic technologies such as endobronchial ultrasound (EBUS) directly into the Ion workflow to increase revenue per procedure.
Intuitive is also deepening its moat in soft tissue treatment through its da Vinci SP (Single Port) platform. While the da Vinci 5 requires multiple small incisions across the abdomen, the SP platform allows an entire surgical team of camera and instruments to enter through one single 2.5-centimeter incision or a natural orifice. The SP platform is rapidly gaining traction in urology and transoral otolaryngology (head and neck surgeries), driving high-volume procedure growth.
So Intuitive Surgical looks undervalued heading into the Q2 report. For those with a multi-year horizon, the setup looks favorable.
Akcie Intuitive Surgical v prvních zhruba sedmi měsících roku 2026 klesly o více než 25 % a jsou 30 % pod 52týdenním maximem. Firma ale dál roste: instalovaná základna robotů vzrostla ve 4Q 2025 i v 1Q 2026 o 12 % meziročně.
Intuitive Surgical's (ISRG 6.86%) stock is having a tough year. The stock has fallen 30% from its 52-week high, with a decline of more than 25% in the first seven months or so of 2026. There are multiple reasons for this drop, but the biggest issue isn't the company's business. Here's why this sell-off may not be as scary as it seems.
Intuitive Surgical has yet another big drawdown If you look back to Intuitive Surgical's initial public offering, it has suffered through eight drawdowns of 30% or more. So the current decline isn't really unusual for the growth-oriented stock.
Image source: Getty Images.
In fact, the medical device maker's recent performance has been pretty solid. In the fourth quarter of 2025, its installed base of surgical robots increased 12% year over year. In the first quarter of 2026, the installed base was larger 12% year over year, too. There hasn't been a dramatic shift in direction here.
That said, the real story isn't the number of new da Vinci surgical systems it sells. Robot sales only account for around 25% of the company's revenues. The rest comes from the sale of services, instruments, and accessories. These are annuity-like income streams that will continue to flow as long as the da Vinci robots that support them are in use. It is an attractive growth story, with each new da Vinci robot building an ever stronger income stream from selling what amounts to parts and services.
The big problem, and a smaller one The most notable issue for Intuitive Surgical's stock price is really investor perception. Even after the dramatic drawdown, the stock's price-to-earnings ratio remains lofty at 50x. What's shocking is that this figure is well below the five-year average of 69x. Over the past five years, the P/E has reached as high as 84x. Investors have a history of pricing in a lot of good news here.
With such a lofty P/E ratio, it doesn't take much of a shift in investor sentiment to cause a sizable stock pullback. So far, after each big pullback, however, the stock has eventually gone on to even higher highs. That doesn't mean that pattern will repeat this time around, but it does suggest growth investors who have been watching from the sidelines should take a second look at what might be a wish-list stock.
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The deeper issue here is that Intuitive Surgical is no longer the leader it once was. It helped create the surgical robotics market and remains one of the industry's most important players. But there are new, formidable competitors to consider, including Medtronic (MDT 5.11%), among others. That could make it harder for Intuitive Surgical to sell its robots in the future, even if the market is large enough to support more than one surgical robotic system. Still, hospitals that have bought a da Vinci system aren't going to suddenly stop using it just because other surgical robots are on the market.
Pay attention to new da Vinci placements, but remember the real flywheel When Intuitive Surgical reports second-quarter earnings, investors should pay close attention to the number of da Vinci systems it has in place. A dramatic slowdown in growth would be worrying and could further compress the stock's valuation. However, the story is much more robust than just the sale of robots, given that parts and services are the main drivers of revenues.
That's why you'll also want to look at the number of surgeries performed with a da Vinci system. The company entered 2026 expecting that figure to rise between 13% and 15%, down from 18% in 2025. However, the first quarter was above the target range at 17%, suggesting that Intuitive Surgical is still a fast-growing company even if investors are less excited about the future than they were not too long ago. And even if the full-year number drops to 13%, it will hardly suggest that Intuitive Surgical's business model is broken.
Intuitive Surgical rozšiřuje robotický ekosystém o AI a digitální nástroje; v 1. čtvrtletí 2026 hlásila širší adopci da Vinci, Ion i digitálních platforem.
Key Takeaways ISRG expands its robotic ecosystem with AI, digital tools and minimally invasive platforms. TER, CDNS, MCHP and FTV are advancing robotics through AI, automation and data center innovation.The picks are set to benefit from rising robotics adoption despite industry dynamics and regulatory risks. Robotics companies are at the forefront of innovation, driving efficiency and productivity across industries such as manufacturing, healthcare and logistics. The global robotics market is poised for significant growth, fueled by technological breakthroughs, and rising demand for automation and advancements in artificial intelligence (AI) and machine learning.
This potential for high growth promises substantial returns to investors. Also, robotics can address labor shortages and enhance precision in tasks, thereby reducing operational costs and improving quality. This space includes companies that integrate hardware, software and AI to build intelligent machines capable of performing complex tasks autonomously or semi-autonomously.
Pros and Cons of Robotics ApplicationDespite the rapid growth and transformative potential of this space, the investment landscape is not without risks. Robotics technology is still evolving, and companies in this space often face high research and development costs with no guaranteed success. Regulatory challenges, market volatility, concerns about job displacement and data privacy, along with the societal impact of automation add to the uncertainty.
At this stage, we recommend five robotics stocks for investment in second-half 2026. These are: Intuitive Surgical Inc. (ISRG - Free Report) , Teradyne Inc. (TER - Free Report) , Cadence Design Systems Inc. (CDNS - Free Report) , Microchip Technology Inc. (MCHP - Free Report) and Fortive Corp. (FTV - Free Report) . Each of our picks currently carries a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 (Strong Buy) Rank stocks here.
The chart below shows the price performance of our five picks in the past three months.
Image Source: Zacks Investment Research
Intuitive Surgical Inc.Intuitive Surgical is increasingly embedding AI and digital tools into its robotic ecosystem. ISRG operates in the robotic surgery market for soft tissue procedures, where adoption is supported by the shift toward minimally invasive care. The company’s platforms include the da Vinci surgical system and the Ion endoluminal system.
ISRG continues to add digital capabilities that can improve training, workflow and program management for hospitals. These efforts include software and analytics that connect systems, instruments and services and can deepen customer engagement over time.
In the first quarter of 2026, ISRG highlighted expanded adoption of its da Vinci, Ion and digital platforms, which support continued investment in the connected ecosystem. Over time, digital features can differentiate the installed base and support incremental service and software revenues as hospitals focus on standardizing surgical programs.
Intuitive Surgical has an expected revenue and earnings growth rate of 16.5% and 16.7%, respectively, for the current year. The Zacks Consensus Estimate for the current year’s earnings has improved 0.1% over the last 30 days.
Teradyne Inc.Teradyne benefits from strong AI-related demand that is driving significant investments in cloud AI build-out as customers accelerate the production of a wide range of AI accelerators, networking, memory, and power devices. AI computing is witnessing technological progress, which is bringing rapid transformation to design, process, and packaging technologies.
Robotics delivered $91 million of first-quarter 2026 revenues, up 32% year over year, and management highlighted a fourth consecutive quarter of sequential growth. The company cited customer engagement across e-commerce, electronics manufacturing, and semiconductor end markets, and noted that AI-related revenues in Robotics increased to 15% of quarterly sales with emerging data center applications.
TER continues to expect its large e-commerce customer to triple its revenue contribution in 2026 versus 2025, which, if executed, would improve scale and utilization in the Robotics segment. Over time, the use of robots in assisted assembly, test and data center operations could broaden the installed base beyond traditional factory automation deployments.
Teradyne has an expected revenue and earnings growth rate of 42.1% and 81.8%, respectively, for the current year. The Zacks Consensus Estimate for the current year’s earnings has improved 1.6% over the last 30 days.
Cadence Design Systems Inc.Cadence Design Systems is benefiting from higher design complexity and rising customer spend on AI-driven automation. CDNS’ efforts to unify EDA, IP, 3D-IC, PCB and system analysis are aiding in capitalizing on the opportunity presented by the AI super cycle. The focus on generative AI, agentic AI and physical AI is leading to an exponential increase in computing demand and semiconductor innovation.
Amid rapid AI proliferation, the Cadence.ai portfolio has been gaining strength and new product launches (like AgentStack along with ChipStack, ViraStack and InnoStack AI Super Agents) are expected to aid in sustaining the momentum.
CDNS’ hardware systems continue to gain traction from AI, HPC, robotics and automotive companies. The inorganic strategy is the calculated execution of its Intelligent System Design vision. Backlog stood at $8 billion. CDNS now expects 2026 revenues to be between $6.125-$6.225 billion compared with $5.3 billion in 2025.
Cadence Design Systems has an expected revenue and earnings growth rate of 17.1% and 11.2%, respectively, for the current year. The Zacks Consensus Estimate for the current year’s earnings has remained the same over the last 30 days.
Microchip Technology Inc.Microchip Technology benefits from growing AI investments. The company’s Gen 4 and Gen 5 data center products are witnessing strong sales growth. MCHP’s new products are expected to gain traction with the launch of the industry's first 3-nanometer-based PCIe Gen 6 switch that powers modern AI infrastructure.
These switches offer double bandwidth, lower latency, advanced security and high-density AI connectivity for next-generation cloud and data center performance. The success of the restructuring plan also bodes well for MCHP’s prospects. The company also entered the PCIe retimer market in the June 2026 quarter as a companion device for Gen6 switches, and disclosed an OEM design win that displaced a competitor.
MCHP has expanded connectivity, storage and compute offerings for AI and data center applications, as well as intelligent power modules for AI at the edge. These factors are expected to drive top-line growth in the long term.
Microchip Technology has an expected revenue and earnings growth rate of 31.7% and 88.4%, respectively, for the current year (ending March 2027). The Zacks Consensus Estimate for the current year’s earnings has improved 0.3% in the last 30 days.
Fortive Corp.Fortive has been benefiting from productivity actions and reinvestment in innovation and commercial initiatives. FTV is benefiting from steady demand across Intelligent Operating Solutions and Advanced Healthcare Solutions. The company’s Fortive Accelerated strategy bodes well.
FTV is building the new Fortive around faster, profitable organic growth, disciplined capital allocation and consistent delivery. In first-quarter 2026, the company cited higher innovation velocity with several hardware milestones and AI-enhanced launches.
In healthcare, FTV’s Provation Mira Documentation Assist was introduced as a real-time, AI-powered, voice-driven documentation capability embedded into GI procedural workflows, which can reduce administrative burden and support continued software adoption.
FTV’s commercial efforts are increasingly targeted at higher-growth verticals such as AI data centers, defense and distributed energy, alongside made-in-region actions in India and China and a European launch of STERRAD ULTRA GI.
Fortive has an expected revenue and earnings growth rate of -6.9% and 9.6%, respectively, for the current year. The Zacks Consensus Estimate for the current year’s earnings has improved 0.3% in the last 30 days.
Intuitive Surgical má ve 2. čtvrtletí vykázat zisk 2,50 USD na akcii a tržby 2,82 miliardy USD, což je více než loni. Akcie v pátek klesly o 1,2 % na 406,78 USD.
Intuitive Surgical, Inc. (NASDAQ:ISRG) will release its second quarter earnings report after the closing bell on Thursday, July 16.
Analysts expect the Sunnyvale, California-based company to report quarterly earnings of $2.50 per share, up from $2.19 per share in the year-ago period. The consensus estimate for Intuitive Surgical’s quarterly revenue is $2.82 billion. It reported $2.44 billion last year, according to Benzinga Pro.
On May 28, Intuitive announced the promotion of global senior vice president of Intuitive’s endoluminal business Taylor Patton to chief commercial and marketing officer.
Intuitive Surgical shares fell 1.2% to close at $406.78 on Friday.
Benzinga readers can access the latest analyst ratings on the Analyst Stock Ratings page. Readers can sort by stock ticker, company name, analyst firm, rating change or other variables.
Let’s have a look at how Benzinga’s most-accurate analysts have rated the company in the recent period.
Considering buying ISRG stock? Here’s what analysts think:
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Intuitive Surgical oznámí výsledky za 2. čtvrtletí 16. července; tržby mají vzrůst o 15 % na 2,81 mld. USD a EPS o 13,2 % na 2,48 USD. Firma ale čelí tlaku na marže kvůli rozjezdu da Vinci 5, clům a vyšším nákladům.
Key Takeaways Intuitive Surgical reports Q2 results on July 16, with sales seen up 15% and EPS up 13.2% year over year.ISRG faces margin pressure from da Vinci 5 rollout, tariffs and higher input costs despite strong growth.ISRG's recurring revenues, procedure growth and da Vinci 5 adoption support its long-term outlook. Intuitive Surgical (ISRG - Free Report) is set to release second-quarter results on July 16. The Zacks Consensus Estimate for sales is pegged at $2.81 billion, indicating year-over-year growth of 15%, and the same for earnings per share (EPS) implies an improvement of 13.2% to $2.48. The estimate for EPS has remained stable over the past seven days.
In the last reported quarter, Intuitive Surgical delivered an earnings surprise of 20.19%. The company’s earnings beat estimates in each of the trailing four quarters, delivering an average surprise of 16.82%.
Although ISRG’s top and bottom-line figures are likely to reflect strong growth during the second quarter, its shares have underperformed the Zacks Medical - Instrument industry as well as other robotic-surgery device makers — Stryker (SYK - Free Report) , Zimmer Biomet (ZBH - Free Report) , Globus Medical (GMED - Free Report) and Stereotaxis (STXS - Free Report) — so far this year. The stock has declined 27.4%, its industry has dipped 14.2%, and the S&P 500 Index has gained 9.5% in the same period. The share prices of SYK, ZBH, GMED and STXS have decreased 6.9%, 0.8%, 12.2% and 24.4%, respectively.
YTD Price Performance
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While Stryker commercializes its Mako robotic system for orthopedic joint replacements, Zimmer Biomet has ROSA system, which is available for orthopedic and neurosurgical procedures. Globus Medical and Stereotaxis’ robotic portfolios include ExcelsiusGPS and Genesis systems, respectively, used for spine and cranial procedures, and endovascular interventions.
The underperformance of the ISRG stock has led to a decline in its valuation multiples as well. The Price-to-Earnings Forward 12 Month (P/E F12M) valuation has fallen from a high of 96.05X at the beginning of 2025 to its current 37.12X, reflecting a significant decline despite robust earnings growth. At its current valuation multiples, the ISRG stock looks attractive amid its strong fundamentals.
P/E F12M Valuation of ISRG vs Industry
Image Source: Zacks Investment Research
Why Investors Are Selling ISRG StockDespite consistently delivering double-digit revenue and earnings growth, Intuitive Surgical stock has remained under pressure this year as investors weigh near-term margin headwinds against its long-term growth story. The biggest concern stems from the ongoing rollout of the next-generation da Vinci 5 platform.
Although customer adoption has exceeded expectations, the system currently carries lower margins than the mature Xi platform due to higher manufacturing, service and support costs. The company also expects elevated trade-in activity as hospitals replace older systems with da Vinci 5, creating an additional drag on profitability. Management further expects faster growth of newer da Vinci 5 and Ion platforms, along with higher depreciation from recent manufacturing expansions, to keep gross margins under pressure in 2026.
Tariffs, higher freight expenses and rising semiconductor memory costs are expected to increase input costs through the remainder of the year, while management continues to monitor potential supply constraints across components. Internationally, China remains a difficult market due to lower tender activity, domestic competition and pricing pressure, while Japan continues to face slower capital placements despite supportive reimbursement initiatives.
Investors are also watching the impact of GLP-1 obesity drugs, which continue to reduce bariatric procedure volumes. Although none of these challenges materially alter Intuitive Surgical’s long-term outlook, they have contributed to weaker investor sentiment and multiple compression in recent months. The entry of both large and smaller players, including Stryker, Zimmer Biomet, Globus Medical and Stereotaxis, into the robotic surgery market could intensify competition over time and erode ISRG's market share.
The Bull Case: What Drives ISRG's Prospect?While short-term concerns have weighed on the stock, Intuitive Surgical's underlying business remains exceptionally strong. The company continues to generate robust financial performance, reporting 23% revenue growth and a 36% increase in adjusted earnings during the first quarter of 2026, supported by 17% overall procedure growth across its da Vinci and Ion platforms.
Recurring revenues accounted for 86% of total sales, highlighting the resilience of its business model. Higher utilization of installed systems continues to drive high-margin instruments, accessories and service revenues, creating a recurring revenue stream that becomes increasingly valuable as the installed base expands. U.S. da Vinci utilization increased 4% during the first quarter, while utilization of da Vinci 5 systems remains approximately 11% higher than the legacy Xi platform.
The da Vinci 5 upgrade cycle is likely to remain Intuitive Surgical's biggest growth catalyst over the next several quarters. Customer adoption has been stronger than expected, with nearly 1,500 da Vinci 5 systems installed and approximately 13,000 surgeons already using the platform. Hospitals continue to upgrade their older systems, reflected by a sharp increase in trade-ins.
da Vinci Market Opportunity
Image Source: Intuitive Surgical
New Force Feedback instruments, additional FDA clearances and ongoing software enhancements are expected to improve clinical outcomes and further accelerate adoption. Intuitive Surgical continues to invest heavily in AI-enabled capabilities through its digital ecosystem. The company is leveraging surgical video, robotic data, force-feedback information and electronic medical records to develop AI-powered anatomy identification, decision support, workflow optimization and, eventually, augmented dexterity and automation.
Combined with rapid growth in the Ion lung biopsy platform, expanding SP procedures, rising international adoption and a growing installed base, these innovations provide multiple long-term growth drivers that reinforce Intuitive Surgical's leadership in robotic-assisted surgery.
Earnings Beat LikelyOur proven model predicts an earnings beat for ISRG this earnings season. The combination of a positive Earnings ESP and a Zacks Rank #1 (Strong Buy), 2 (Buy) or 3 (Hold) increases the chances of an earnings beat, which is the case here.
Earnings ESP: Earnings ESP, which represents the difference between the Most Accurate Estimate ($2.55) and the Zacks Consensus Estimate ($2.48), is +2.78%. You can uncover the best stocks to buy or sell before they are reported with our Earnings ESP Filter.
Zacks Rank: The company carries a Zacks Rank #2 at present. You can see the complete list of today’s Zacks #1 Rank stocks here.
Image Source: Zacks Investment Research
ConclusionAlthough near-term margin pressure from the da Vinci 5 rollout, tariffs and higher input costs has weighed on investor sentiment, Intuitive Surgical's long-term investment thesis remains intact. The company continues to deliver industry-leading procedure growth, expanding recurring revenues, increasing system utilization, and driving strong adoption of its newest robotic platforms while building a differentiated AI-enabled surgical ecosystem.
ISRG Short-Term Price Target
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With consistent strong execution and valuation multiples that have compressed significantly from its 2025 peak to around 37.1X despite healthy earnings growth, ISRG's valuation appears considerably more attractive than it was earlier this year. For long-term investors seeking exposure to robotic surgery, the recent pullback presents an opportunity to accumulate shares of a company with durable competitive advantages and robust growth fundamentals. Moreover, an expected earnings beat in the second quarter, along with its favorable rank, makes it an attractive bet before its second-quarter earnings release.
Intuitive Surgical uvedla, že apendektomie má v USA adresovatelný trh zhruba 300 000 zákroků ročně. První analýzy podle firmy ukázaly, že da Vinci překonává laparoskopii v několika měřeních.
Key Takeaways ISRG sees about 300,000 U.S. appendectomies as an addressable market still being evaluated.Intuitive Surgical said early analyses showed da Vinci outperformed laparoscopy on multiple measures.ISRG expects appendectomy to lift procedure volume, though lower reimbursement may weigh on revenue mix. Although the appendectomy is in its early stages, it is emerging as one of the newest growth avenues for Intuitive Surgical’s (ISRG - Free Report) robotic surgery franchise. During the first quarter of 2026, the company highlighted continued strength in U.S. general surgery, with cholecystectomy and appendectomy procedures collectively growing 31%.
The growth was primarily supported by increasing use of da Vinci systems during after-hours and weekend surgeries. Management also noted that appendectomy represents an addressable market of roughly 300,000 annual procedures in the United States, though it is still evaluating what proportion of that market is realistically suitable for robotic surgery.
A key catalyst for broader adoption is the emergence of encouraging clinical evidence. Management stated that several institution-level analyses showed da Vinci surgery delivering superior outcomes across multiple functional measures compared with conventional laparoscopy. While these findings remain preliminary and require validation through larger clinical studies, they provide an important foundation for expanding robotic use in a procedure traditionally dominated by laparoscopic techniques.
However, reimbursement remains a meaningful constraint. Intuitive Surgical acknowledged that appendectomy is a relatively quick procedure with comparatively low reimbursement, limiting the immediate economic incentive for hospitals to adopt robotics broadly. The company believes stronger clinical evidence will be necessary before robotic appendectomy gains wider acceptance despite its promising outcomes.
From an investment perspective, appendectomy is likely to drive higher procedure volume, but the impact on margins may not be material in the near term. Higher procedure counts could increase utilization of Intuitive Surgical’s installed base, particularly during evenings and weekends, supporting recurring instrument and accessory revenues.
The lower reimbursement profile suggests the procedure may generate lower revenue per case than more complex robotic surgeries, creating a potential mix headwind. Even so, successful expansion into high-volume general surgery procedures aligns with Intuitive Surgical’s long-term strategy of broadening robotic adoption beyond its traditional specialties, reinforcing sustainable procedure growth over time.
Peer UpdatesZimmer Biomet (ZBH - Free Report) is expanding its robotic surgery opportunity by broadening both procedural indications and platform capabilities rather than relying solely on knee arthroplasty. The company has fully commercialized ROSA Shoulder, enabling robotic assistance for both anatomic and reverse shoulder replacements through glenoid reaming and humeral resection. The company is already developing a second-generation system with tighter integration into the broader ROSA digital ecosystem.
Beyond shoulders, Zimmer is preparing the semi-autonomous mBos robotic platform for a 2027 launch, positioning it as a faster, more accurate and easier-to-use system that could democratize robotic orthopedics across additional procedures. Coupled with investments in more than 200 robotic clinical specialists and continued growth of ROSA and TMINI, the company is building a multi-platform robotics portfolio designed to unlock new procedure categories and expand its addressable market.
Stryker (SYK - Free Report) is widening Mako's growth runway by transforming the platform from a knee-and-hip robot into a multifunctional orthopedic ecosystem. Following record first-quarter Mako installations, the company plans a full Mako 4 launch for shoulder surgery in mid-2026 while adding advanced hip and revision hip procedures that simplify technically demanding operations.
Management believes these new indications will increase robot utilization and ultimately drive demand for additional systems as hospitals require greater robotic capacity. Stryker is also targeting surgeons who have been hesitant to adopt full robotics through the new Mako RPS handheld system, particularly in ambulatory surgery centers, thereby expanding its customer base beyond traditional Mako users. The company indicated that more robotic indications are under development, reinforcing its strategy of creating new market opportunities through continuous procedural expansion rather than relying only on implant growth.
ISRG’s Price Performance, Valuation and EstimatesShares of ISRG have lost 23.6% so far this year compared with a 12.4% decline of the industry.
Image Source: Zacks Investment Research
From a valuation standpoint, Intuitive Surgical trades at a forward price-to-earnings ratio of 39.08X, above the industry average. But, it is still lower than its five-year median of 69.80X. ISRG carries a Value Score of D.
Image Source: Zacks Investment Research
The Zacks Consensus Estimate for Intuitive Surgical’s 2026 earnings implies a 16.6% rise from the year-ago period’s level.
Image Source: Zacks Investment Research
The stock currently carries a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Goldman Sachs zvýšil cílovou cenu Intuitive Surgical na 558 USD a tvrdí, že trh přehnaně reaguje na změny v životnosti nástrojů. V 1. čtvrtletí tržby vzrostly o 23 % na 2,77 mld. USD.
A 28% drop in Intuitive Surgical (ISRG +5.72%) stock this year has left investors anxious, but an analyst from Goldman Sachs argues the panic regarding the medical device maker is rooted in a misunderstanding of two major changes to Intuitive's instrument lifetimes.
Several analysts downgraded their positions in Intuitive after its first-quarter earnings, including those with Deutsche Bank, Bank of America, JPMorgan Chase, and HSBC. David Roman of Goldman Sachs, on the other hand, upped the stock's price target to $558.
Here is what changed, why the market reacted defensively, and what matters next.
Image source: Getty Images.
The instrument changes: What they mean Intuitive recently adjusted the number of times that hospitals can reuse its surgical tools. While investors feared this would kill recurring revenue, the reality is more nuanced.
In the first change, Intuitive increased the lifespan of five out of its six force-feedback tools (which allow surgeons to feel the push and pull used on tissues during surgery) from six uses to 15 uses. This change has zero impact on revenue per procedure. It was simply done to ease supply chain bottlenecks, allowing more hospitals to adopt these high-demand healthcare tools. In addition, the company sees the move as likely to increase adoption of force-feedback instrumentation.
The second change could have a small impact on revenue, as Intuitive plans to increase the maximum number of uses of older, standard instruments to lower hospitals' costs. This change will chip away at instruments and accessories revenue, the money that Intuitive collects each time a tool is used, but it also builds customer loyalty. In the first quarter, the segment grew 23% year over year to $1.69 billion.
Overall revenue also grew by 23%, to $2.77 billion, while earnings per share were $2.28, up 18.7% over the same period last year.
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Why Goldman thinks investors are needlessly panicking Some investors viewed these extensions as a panicked defensive swipe meant to undercut companies such as Restore Robotics that refurbish and resell used da Vinci parts. However, it's an established pattern, not a panic move. Intuitive started extending instrument life cycles well before third-party refurbishers were ever a market factor. Past data shows resilience.
When Intuitive launched its Extended Use Program in 2020, bumping tool lifespans from 10 uses to 12 to 18 uses, it modeled a 7% drop in revenue per procedure. The actual hit was just 2% before bouncing back to revenue growth.
Goldman expects history to repeat itself. Premium, higher-priced force-feedback tools and other advanced instruments will likely offset the lower margins of the cheaper, older core tools. As a result, the bank is maintaining its target, modeling a negligible 1% annual decline in U.S. revenue per procedure.
Key factors for investors to watch Intuitive's underlying business remains robust. Its instruments performed 847,000 procedures, a 16% year-over-year increase in the first quarter. Its da Vinci surgical system installed base grew 12% over the same period a year ago to 11,395 systems, and its Ion endoluminal systems installed base rose 22% year over year to 1,041 systems. The Ion endoluminal system is a robotic bronchoscopy platform that enables surgeons to navigate more precisely into the lungs for diagnostic and therapeutic procedures.
There are legitimate concerns about the stock. It commands a premium valuation of more than 49 times trailing earnings, leaving very little room for error. To hit Goldman's targets, the company will need to better explain the logistics of the 2027 instrument changes, calming the market's biggest worry. The company is also facing rising competition from the Hugo system from Medtronic and the Ottava robot from Johnson & Johnson.
Goldman's outlook suggests that patience will be rewarded over panic. However, the upcoming July earnings report remains the ultimate test of whether investor fears are justified.
Key Takeaways ISRG posted 23% revenue growth in Q1 2026, exceeding 17% procedure growth on pricing strength.ISRG cited SAGES data showing da Vinci Force Feedback lowered tissue force during surgery.ISRG is expanding AI and digital tools to strengthen workflow, automation and clinical value. Intuitive Surgical’s (ISRG - Free Report) long-term competitive advantage increasingly rests on its “Quintuple Aim” strategy, a framework centered on delivering better clinical outcomes, improved patient experience, enhanced care team efficiency, lower total cost of care, and broader access to treatment.
Management continues to position this strategy as the foundation behind the company’s premium pricing, particularly as the adoption of its newest da Vinci 5 platform accelerates. In the first quarter of 2026, management highlighted that revenue growth of 23% outpaced procedure growth of 17%, reflecting what executives described as “innovation-led revenue growth” driven by differentiated product capabilities and accretive pricing.
The pricing premium appears increasingly supported by measurable clinical evidence. Recent clinical abstracts presented at the SAGES conference demonstrated lower tissue force during procedures using da Vinci Force Feedback instrumentation, reinforcing management’s belief that greater precision can improve surgical outcomes. Similarly, the company emphasized emerging clinical evidence showing improved appendectomy outcomes compared with traditional laparoscopy, supporting broader procedural adoption.
The Quintuple Aim strategy is also deeply tied to Intuitive Surgical’s expanding digital and AI ecosystem. By leveraging surgical video, force data, kinematics and connected EMR integration, the company aims to improve workflow optimization, anatomy identification and future automation capabilities, creating a differentiated ecosystem that competitors may struggle to replicate.
However, long-term pricing power ultimately depends on maintaining superior clinical value. As robotic surgery competition intensifies globally, particularly from lower-cost entrants in China and Europe, Intuitive Surgical faces the risk that competitors could narrow the outcome gap while offering more affordable alternatives. For now, ISRG’s extensive clinical evidence, technology leadership and integrated ecosystem continue to justify its premium positioning.
Peer UpdatesEdwards Lifesciences (EW - Free Report) continues to support premium pricing through its strong clinical differentiation, long-term evidence generation, and technological leadership in structural heart therapies. In the first quarter of 2026, Edwards reported 12.7% sales growth, driven largely by robust demand for its SAPIEN TAVR platform, where average selling prices remained stable despite competitive pressure.
A major factor supporting premium pricing is the company’s unmatched clinical evidence base, including 7-year PARTNER 3 and 10-year PARTNER II durability data, which management said continues to reinforce physician confidence in SAPIEN’s long-term valve performance.
Premium pricing benefits from Edwards Lifesciences’ differentiated portfolio across TAVR, EVOQUE, PASCAL, and SAPIEN M3, supported by continued innovation, expanding indications, and strong physician adoption. The company’s ability to deliver superior clinical outcomes and maintain leadership in structural heart therapies continues to justify its pricing power globally.
Glaukos (GKOS - Free Report) is maintaining premium pricing through innovative ophthalmology therapies, backed by differentiated clinical outcomes, expanding reimbursement coverage, and first-mover advantage in new treatment categories. In the first quarter, Glaukos posted record sales growth of 41%, supported by strong adoption of iDose TR, which generated approximately $54 million in quarterly sales.
Premium pricing strength is primarily driven by 22 peer-reviewed clinical publications demonstrating strong efficacy, safety, and durability, giving physicians confidence in the product’s long-term therapeutic value. The company is further strengthening pricing power through Epioxa, a novel incision-free keratoconus treatment designed to improve patient experience, reduce procedural pain, and deliver meaningful clinical outcomes.
Expanding payer coverage, including access to more than 100 million covered commercial lives and new CMS reimbursement pathways, reinforces Glaukos’ ability to command premium pricing while building long-term market leadership in interventional ophthalmology.
ISRG’s Price Performance, Valuation and EstimatesShares of ISRG have lost 28.5% so far this year compared with a 14.1% decline of the industry.
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From a valuation standpoint, Intuitive Surgical trades at a forward price-to-earnings ratio of 36.64X, above the industry average. But, it is still lower than its five-year median of 69.93X. ISRG carries a Value Score of D.
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The Zacks Consensus Estimate for Intuitive Surgical’s 2026 earnings implies a 16.6% rise from the year-ago period’s level.
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The stock currently carries a Zacks Rank #3 (Hold). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Intuitive Surgical zvýšila výhled růstu procedur da Vinci pro rok 2026 na 13,5–15,5 % po silném 1. čtvrtletí. Tahounem je hlavně 31% růst v USA a 19% růst mimo USA.
Key Takeaways ISRG raised 2026 da Vinci procedure growth guidance to 13.5-15.5% after strong Q1 2026 results.Intuitive Surgical saw 31% U.S. general surgery growth and 19% international procedure growth.ISRG faces risks from GLP-1 pressure on bariatrics, China weakness, and healthcare spending concerns. Intuitive Surgical’s (ISRG - Free Report) raised its full-year outlook on the first-quarter earnings call, primarily supported by a broadly diversified procedure growth profile. The management increased its 2026 da Vinci procedure growth guidance to 13.5-15.5% from 13-15%, reflecting confidence in sustained adoption trends.
The biggest growth driver continues to be U.S. general surgery, where procedures such as cholecystectomies and appendectomies surged 31% year over year. Growth was supported by increased after-hours utilization and higher adoption of the da Vinci 5 platform, which delivers utilization rates roughly 11% higher than those of the earlier Xi system.
International markets are also becoming an increasingly important contributor, with ex-U.S. da Vinci procedures growing 19%, driven by strong momentum in Europe, India, Korea, Taiwan, and Canada. Overseas procedures now represent 38% of total da Vinci volume, highlighting the growing diversification of Intuitive Surgical’s revenue base and long-term expansion potential.
However, some headwinds could limit upside. In the United States, bariatric procedures declined approximately 10%, as rising adoption of GLP-1 obesity drugs continues to reduce surgical demand in weight-loss procedures.
Internationally, China remains challenged by weak tender activity, domestic competition, and pricing pressure, while Japan continues to face slower adoption following reduced system placements.
Management remains cautious about external risks, particularly the potential impact of ACA subsidy changes in the U.S. healthcare market and broader macroeconomic pressures affecting hospital capital spending in Europe and Asia. While procedure growth appears broad-based enough to support 2026 guidance, sustaining momentum will depend on whether strength in general surgery and international expansion can offset these emerging structural headwinds.
Peer UpdatesBoston Scientific (BSX - Free Report) delivered solid procedural momentum in the first quarter of 2026, supported by strength across electrophysiology, cardiovascular, and neuromodulation franchises. The standout performer was electrophysiology, where sales surged 22% organically, driven by strong adoption of the FARAPULSE pulsed field ablation platform, expanded OPAL mapping utilization, and robust international demand, particularly in Europe.
Cardiovascular procedures also remained healthy, with WATCHMAN growing 19%. The interventional cardiology is benefiting from strong demand for AGENT DCB and imaging portfolio. However, procedural growth was partially offset by weakness in standalone WATCHMAN procedures due to hospital capacity constraints and softer Urology volumes, highlighting pockets of demand normalization despite innovation-led strength.
Medtronic’s (MDT - Free Report) results in the fourth quarter of fiscal 2026 reflected broad-based procedural strength, led by exceptional performance in high-growth cardiovascular technologies. Cardiac Ablation Solutions grew 78% globally, with Pulsed Field Ablation procedures surging 145%, driven by rapid adoption of the Affera platform and Sphere-9 catheter. The expanding installed base, rising 40% sequentially in the United States, also aided growth.
Surgical procedures gained momentum as Hugo robotic-assisted surgery system volumes grew 2x–3x faster than the market, supported by rising utilization and expanding U.S. placements. Additional procedural tailwinds came from the Symplicity renal denervation platform, where weekly procedure volumes doubled, reinforcing Medtronic’s innovation-driven growth trajectory and supporting an increasingly favorable procedure growth outlook heading into fiscal 2027.
ISRG’s Price Performance, Valuation and EstimatesShares of ISRG have lost 28.9% so far this year compared with an 18.2% decline of the industry.
Image Source: Zacks Investment Research
From a valuation standpoint, Intuitive Surgical trades at a forward price-to-earnings ratio of 36.55X, above the industry average. But, it is still lower than its five-year median of 70.02X. ISRG carries a Value Score of D.
Image Source: Zacks Investment Research
The Zacks Consensus Estimate for Intuitive Surgical’s 2026 earnings implies a 16.6% rise from the year-ago period’s level.
Image Source: Zacks Investment Research
The stock currently carries a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.