How Does Intuitive Surgical Stock Stack Up Against Its Peers?

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ISRG: Intuitive Surgical logo
ISRG
Intuitive Surgical

Intuitive Surgical (ISRG) stock has underperformed many peers over the past year, recently experiencing an -11% decline after its 2026 procedure growth guidance disappointed, despite reporting strong Q4 2025 earnings on January 22, 2026. But how does it truly measure up in the rapidly evolving med-tech space, characterized by accelerating AI and robotics? A closer look reveals robust revenue growth and industry-leading operating and free cash flow margins. Yet, a premium PE ratio signals a stretched valuation, implying limited upside potential despite strong underlying fundamentals.

  • ISRG’s 29.3% operating margin leads peers, driven by high-margin recurring revenue from instruments/accessories and da Vinci system utilization.
  • ISRG’s 22.2% revenue growth outpaces peers, fueled by rising da Vinci system placements, procedure volumes, and new platform adoption.
  • ISRG’s stock is down 13.9% with a P/E of 68.3, underperforming peers due to a demanding valuation reflecting high growth expectations.

Here’s how Intuitive Surgical stacks up across size, valuation, and profitability versus key peers.

  ISRG MDT JNJ SYK ZBH GMED
Market Cap ($ Bil) 187.5 129.9 526.2 137.2 17.3 12.7
Revenue ($ Bil) 9.6 34.8 92.1 24.4 8.0 2.8
PE Ratio 68.3 27.3 20.9 46.6 21.5 30.0
LTM Revenue Growth 22.2% 5.3% 5.1% 11.0% 5.5% 11.7%
LTM Operating Margin 29.3% 19.3% 26.2% 19.6% 18.7% 15.7%
LTM FCF Margin 23.6% 15.0% 20.3% 16.7% 17.6% 20.6%
12M Market Return -13.9% 19.0% 55.0% -7.3% -19.4% 1.4%

For more details on Intuitive Surgical, read Buy or Sell ISRG Stock. Below we compare ISRG’s growth, margin, and valuation with peers across years

Revenue Growth Comparison

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  LTM 2025 2024 2023 2022
ISRG 22.2% 17.2% 14.5% 9.0%
MDT 5.3% 3.6% 3.6% -1.4%  
JNJ 5.1% 4.3% 6.5% 1.6%
SYK 11.0% 10.2% 11.1% 7.8%
ZBH 5.5% 3.8% 6.5% 1.6%
GMED 11.7% 60.6% 53.3% 6.8%

Operating Margin Comparison

  LTM 2025 2024 2023 2022
ISRG 29.3% 28.1% 24.8% 25.3%
MDT 19.3% 19.5% 17.1% 18.7%  
JNJ 26.2% 24.9% 27.5% 26.3%
SYK 19.6% 20.7% 19.1% 16.9%
ZBH 18.7% 19.9% 19.6% 17.2%
GMED 15.7% 8.7% 12.9% 23.1%

PE Ratio Comparison

  LTM 2025 2024 2023 2022
ISRG 68.3 86.6 102.0 90.8
MDT 27.3 26.5 28.9 29.2  
JNJ 20.9 35.4 10.4 22.9
SYK 46.6 44.7 43.2 48.0
ZBH 21.5 20.2 21.5 110.2
GMED 30.0 115.1 76.1 28.2

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