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Intuitive Surgical (Q2 results): solid beat but guidance disappoints

Second-quarter numbers came in a little stronger than expected for Intuitive Surgical, but the near-term outlook was mixed.
Intuitive Surgical

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Intuitive Surgical’s second-quarter revenue rose 18.5% to $2.9bn ($2.8bn expected), with system sales and recurring revenue streams growing at similarly strong rates.

Underlying operating profit was up 28.7% to $1.2bn ($1.1bn expected), driven by revenue growth, gross margin improvement and continued cost discipline.

Cash on hand rose by $0.7bn quarter-on-quarter, supported by strong cash generation from the business. Intuitive also spent $0.4bn on share buybacks.

Management kept full-year procedure growth guidance at 13.5-15.5% but expects the outcome to be closer to the 14.5% midpoint, against a backdrop of slower US growth. Underlying gross margin guidance improved slightly, helped by a better mix and lower tariff costs.

The shares fell 10.8% in after-hours trading.

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Intuitive Surgical key facts

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This article is original Hargreaves Lansdown content, published by Hargreaves Lansdown. It was correct as at the date of publication, and our views may have changed since then. Unless otherwise stated estimates, including prospective yields, are a consensus of analyst forecasts provided by LSEG. These estimates are not a reliable indicator of future performance. Yields are variable and not guaranteed. Investments rise and fall in value so investors could make a loss.

This article is not advice or a recommendation to buy, sell or hold any investment. No view is given on the present or future value or price of any investment, and investors should form their own view on any proposed investment.

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Written by
Derren Nathan
Derren Nathan
Head of Equity Research

Derren leads our Equity Research team with more than 15 years of experience in his field. Thriving in a passionate environment, Derren finds motivation in intellectual challenges and exploring diverse ideas within his writing.

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Article history
Published: 17th July 2026