What's Going On With Intuitive Surgical Stock Wednesday? - Intuitive Surgical (NASDAQ:ISRG)

Core Insights - Intuitive Surgical, Inc. reported preliminary fourth-quarter and full-year 2025 results, showing growth in procedures, system placements, and revenue despite a stock decline of 4.24% on the announcement day [1][6] Procedure Expansion - Worldwide procedures using da Vinci and Ion systems increased by approximately 18% in Q4 2025 compared to the previous year, with da Vinci procedures rising by about 17% and Ion procedures surging by around 44% [2] - For the full year 2025, combined procedures grew approximately 19% compared to 2024, with expectations of a 13% to 15% growth in global da Vinci procedures in 2026 [2] System Placements - In Q4 2025, the company placed 532 da Vinci surgical systems, including 303 da Vinci 5 units [3] - For the entire year, Intuitive placed 1,721 da Vinci systems, although there were fewer Ion endoluminal system placements earlier in the year compared to 2024 [3] Revenue Performance - Preliminary revenue for Q4 2025 was about $2.87 billion, exceeding the Street's expectation of $2.72 billion, marking a 19% increase from Q4 2024 [4] - Total revenue for the full year reached approximately $10.06 billion, reflecting a 21% increase from 2024, driven by higher procedure volumes and increased system placements [4] - Revenue from instruments and accessories grew around 17% in Q4, while full-year revenue for these segments rose about 19% compared to the prior year [5] Management Commentary - CEO Dave Rosa highlighted wider platform adoption and growing procedure volumes, emphasizing the company's commitment to improving patient care and outcomes [5]