CANADA - 2025/04/03: In this photo illustration, the Intuitive Surgical logo is seen displayed on a smartphone screen. (Photo Illustration by Thomas Fuller/SOPA Images/LightRocket via Getty Images)SOPA Images/LightRocket via Getty ImagesIntuitive Surgical stock (NASDAQ: ISRG) experienced an impressive 17% increase in extended trading on Tuesday, October 21, 2025, after significantly exceeding investor expectations with its Q3 results across all key metrics. The pioneer in medical robotics not only posted st ...

Core Insights - Intuitive Surgical reported solid Q2 financial results, with a notable growth in sales and earnings, but shares did not rise significantly due to a conservative outlook on future growth [1][2][8] Financial Performance - Q2 sales reached $2.44 billion, a growth of over 21% year-over-year, surpassing Wall Street estimates by approximately $90 million [3] - Adjusted net income per diluted share was $2.19, reflecting a 23% increase, exceeding analyst expectations of $1.92 [3] Key Metrics and Guidance - Da Vinci procedure growth remained strong at 17%, consistent with Q1 and the full year 2024 [2] - The company raised its 2025 full-year guidance, increasing da Vinci procedure growth expectations by 25 basis points to a midpoint of 16.25% [4] - Adjusted gross margin forecast was boosted by 75 basis points to 66.5%, attributed to a reduced estimated tariff impact [4] Product Performance - Intuitive placed 180 da Vinci 5 systems in Q2, marking a 157% increase from the previous year, indicating strong interest in the new product [5] - The da Vinci SP system saw an 88% increase in procedure growth, while the Ion lung biopsy robot experienced a 52% growth [11] International Market Challenges - International system placements fell to 179 from 192 a year ago, impacted by budgetary pressures in Japan, China, and Europe [6] Long-Term Outlook - The robotics-assisted surgery market remains under-penetrated, providing a long-term growth opportunity for Intuitive Surgical, especially internationally [9] - A new factory opened in Bulgaria aims to meet future international demand [9] Analyst Ratings and Price Targets - Current price target for Intuitive Surgical is $593.09, indicating a potential upside of 16% based on analyst ratings [12] - Analysts may raise price targets following the positive earnings results, suggesting increased near-term upside potential [13]