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            <secFileNumber>000-30713</secFileNumber>
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                <ns2:city>SUNNYVALE</ns2:city>
                <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                <ns2:zipCode>94086</ns2:zipCode>
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            <issuerContactPhone>(408) 523-2100</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>ROBERT DESANTIS</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Officer</relationshipToIssuer>
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                <name>Morgan Stanley Smith Barney LLC Executive Financial Services</name>
                <address>
                    <ns2:street1>1 New York Plaza</ns2:street1>
                    <ns2:street2>8th Floor</ns2:street2>
                    <ns2:city>New York</ns2:city>
                    <ns2:stateOrCountry>NY</ns2:stateOrCountry>
                    <ns2:zipCode>10004</ns2:zipCode>
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            <aggregateMarketValue>192804.48</aggregateMarketValue>
            <noOfUnitsOutstanding>355354176</noOfUnitsOutstanding>
            <approxSaleDate>08/26/2024</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
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            <acquiredDate>08/26/2024</acquiredDate>
            <natureOfAcquisitionTransaction>Stock Option Exercise</natureOfAcquisitionTransaction>
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            <isGiftTransaction>N</isGiftTransaction>
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            <paymentDate>08/26/2024</paymentDate>
            <natureOfPayment>Cash</natureOfPayment>
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                    <ns2:city>SUNNYVALE</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>94086</ns2:zipCode>
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            <amountOfSecuritiesSold>240</amountOfSecuritiesSold>
            <grossProceeds>111542.40</grossProceeds>
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            </sellerDetails>
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            <grossProceeds>167921.60</grossProceeds>
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                    <ns2:zipCode>94086</ns2:zipCode>
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            <grossProceeds>619741.80</grossProceeds>
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        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>ROBERT DESANTIS</name>
                <address>
                    <ns2:street1>1020 KIFER ROAD</ns2:street1>
                    <ns2:city>SUNNYVALE</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>94086</ns2:zipCode>
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            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>06/10/2024</saleDate>
            <amountOfSecuritiesSold>239</amountOfSecuritiesSold>
            <grossProceeds>99567.40</grossProceeds>
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                <name>ROBERT DESANTIS</name>
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                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>94086</ns2:zipCode>
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            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>05/29/2024</saleDate>
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                    <ns2:zipCode>94086</ns2:zipCode>
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            <grossProceeds>236175.44</grossProceeds>
        </securitiesSoldInPast3Months>
        <noticeSignature>
            <noticeDate>08/26/2024</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>12/08/2023</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Robert James DeSantis</signature>
        </noticeSignature>
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144
0001808942
XXXXXXXX
LIVE
0001035267
INTUITIVE SURGICAL, INC.
000-30713
1020 KIFER ROAD
SUNNYVALE
CA
94086
(408) 523-2100
ROBERT DESANTIS
Officer
Common
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
8th Floor
New York
NY
10004
396
192804.48
355354176
08/26/2024
NASDAQ
COMMON
08/26/2024
Stock Option Exercise
ISSUER
N
396
08/26/2024
Cash
N
ROBERT DESANTIS
1020 KIFER ROAD
SUNNYVALE
CA
94086
Common
08/12/2024
240
111542.40
ROBERT DESANTIS
1020 KIFER ROAD
SUNNYVALE
CA
94086
Common
07/29/2024
376
167921.60
ROBERT DESANTIS
1020 KIFER ROAD
SUNNYVALE
CA
94086
Common
07/26/2024
1413
619741.80
ROBERT DESANTIS
1020 KIFER ROAD
SUNNYVALE
CA
94086
Common
06/10/2024
239
99567.40
ROBERT DESANTIS
1020 KIFER ROAD
SUNNYVALE
CA
94086
Common
05/29/2024
188
74558.92
ROBERT DESANTIS
1020 KIFER ROAD
SUNNYVALE
CA
94086
Common
05/28/2024
584
236175.44
08/26/2024
12/08/2023
/s/ Robert James DeSantis