Josh Kohn-Lindquist, The Motley Fool
Wed, April 22, 2026 astatine 12:21 PM CDT 3 min read
Shares of starring robotic-assisted country (RAS) specializer Intuitive Surgical (NASDAQ: ISRG) are up 8% arsenic of noon ET connected Wednesday aft the institution sailed past Wall Street's expectations with its first-quarter earnings. Intuitive Surgical grew income and adjusted net per stock by 23% and 38%, respectively, and guided that its next-gen da Vinci strategy volition spot process maturation of 13.5% to 15.5% this year, spurring the stock's steadfast rally today.
Intuitive Surgical reported that:
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total procedures grew 17%
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Ion procedures (bronchoscopies for aboriginal lung crab detection) accrued 39%
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overall instrumentality placements grew astir 4%
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instrument and accessory income grew 23%
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recurring gross (accessories and services) present equals 86% of full revenue
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it repurchased 0.65% of its shares outstanding successful Q1 for $1.1 billion
In simplest terms, it was an fantabulous 4th for Intuitive Surgical, arsenic the institution delivered its 13th-straight 4th of double-digit income maturation oregon higher. On apical of the figures listed above, Intuitive Surgical delivered 19% maturation successful da Vinci procedures extracurricular of the United States. These planetary markets present relationship for 38% of full da Vinci measurement and item dependable adoption internationally arsenic "expanded reimbursement sum and argumentation changes successful Japan and Europe" assistance substance planetary expansion.
Elsewhere, Intuitive Surgical continues to marque incremental innovations that assistance support the institution the person successful its niche. One illustration of this is its force-feedback instrumentation, which reduces insubstantial forces and improves surgical outcomes. President David Rosa spoke astir the imaginable of this caller instrumentation, saying, "In March, we received FDA 510(k) clearance for further uses of our Force Feedback instruments. Five of 6 instruments are present cleared for 15 uses, portion our Mega SutureCut Needle Driver is cleared for 10 uses."
Powered by innovations similar these -- paired with the semipermanent ambition to marque telesurgery (remote RAS) communal -- Intuitive Surgical's maturation communicative is acold from implicit successful my eyes. Trading astatine 49 times guardant earnings, Intuitive Surgical commands a well-deserved premium valuation, but considering its way grounds of double-digit income maturation and industry-leading innovation, I'm blessed to support adding to my shares implicit time.

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