ISRG AI Stock Analysis – Buy, Hold, or Avoid?

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Intuitive Surgical, Inc. (ISRG)

$496.70-4.48 (-0.89%) today

Open
$495.20
High
$502.05
Low
$488.81
Volume
1.51M
Mkt Cap
$176.39B
52W High
$603.88
AI Verdict
Confidence 89%
ISRGIntuitive Surgical, Inc.
AlphaCrew AI
HOLD
Overall
Summary

Intuitive Surgical (ISRG) is a fundamentally strong MedTech leader with robust growth, high margins, and a dominant market position, but currently trades at a significant valuation premium and faces short-term technical weakness. While long-term prospects remain compelling, near-term downside risk and overvaluation suggest caution for new buyers, making it best suited for patient investors or those looking to add on pullbacks.

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Agent Signals
122
Fund
Tech
Val
Sent
Risk

Fundamentals

Essentia
Essentia
Fundamental Analysis
BULLISH

Intuitive Surgical (ISRG) demonstrates standout financial health, consistent revenue and earnings growth, and high profitability margins, underpinned by robust execution and dominant market share within robotic-assisted surgery. The stock trades at a premium P/E, reflecting its leading position and above-market growth prospects, though future returns may hinge on sustained innovation and broader adoption trends.

Financial Highlights

Q4 2024Q1 2025Q2 2025Q3 2025Q4 2025$0$750.0M$1.5B$2.3B$3.0BRevenue & Net Income ($)26%28%30%32%34%Net Margin (%)
  • Revenue
  • Net Income
  • Net Margin (%)

Revenue

$2.87B

18.76% YoY

Q4 2025

Net Income

$794.80M

15.91% YoY

Q4 2025

Net Margin

27.73%

Q4 2025

Growth Metrics

Revenue Growth YoY

18.76%

Latest Quarter: Q4 2025

Net Income Growth YoY

15.91%

Latest Quarter: Q4 2025

Revenue Per Share Growth YoY

19.26%

Latest Quarter: Q4 2025

EPS Growth YoY

16.67%

Latest Quarter: Q4 2025

Book Value Per Share Growth YoY

9.00%

Latest Quarter: Q4 2025

 Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024
Revenue2.9B2.5B2.4B2.3B2.4B2.0B2.0B1.9B
Revenue Growth YoY+18.76%+22.91%+21.40%+19.19%+25.16%+16.88%+14.47%+11.46%
Net Income794.8M704.4M658.4M698.4M685.7M565.1M526.9M544.9M
Net Income Growth YoY+15.91%+24.65%+24.96%+28.17%+13.11%+35.94%+25.21%+53.36%
EPS$2.24$1.98$1.84$1.95$1.92$1.59$1.48$1.54
EPS Growth YoY+16.67%+24.53%+24.32%+26.62%+11.63%+34.75%+23.33%+52.48%

Profitability Metrics

No profitability metrics available

Technical Analysis

Candela
Candela
Technical Analysis
BEARISH

ISRG is currently in a topping phase with bearish tendencies as price trades below key moving averages, indicating potential distribution and increased volatility. The stock is confined within a horizontal channel with critical support around $485 and resistance near $506-$513, while a bear flag pattern points to short-term downside risk. Momentum indicators are mixed but skew toward bearishness, suggesting caution for traders.

RSI
Hold
Neutral44

No extreme reading

03070100
Trend
Sell
Downtrend

Price in downtrend

-3.2% from 200 SMA
ADX
Buy
Strong Trend28

Strong trend active

Strong
MA Cross
Hold
Golden Cross

Watching for cross

50
200

Key Technical Values

Price
$496.70
50 SMA
$526.33
150 SMA
$508.28
200 SMA
$513.18
52W High
$603.88
52W Low
$425.00

Price with Moving Averages

50-day, 150-day and 200-day simple moving averages

Price
50 SMA
150 SMA
200 SMA

Relative Strength Index

Momentum oscillator measuring speed and magnitude of price changes

RSI (14)

≤30 Oversold
≥70 Overbought
44Neutral

Earnings

Essentia
Essentia
Fundamental Analysis
BULLISH

Intuitive Surgical (ISRG) demonstrates standout financial health, consistent revenue and earnings growth, and high profitability margins, underpinned by robust execution and dominant market share within robotic-assisted surgery. The stock trades at a premium P/E, reflecting its leading position and above-market growth prospects, though future returns may hinge on sustained innovation and broader adoption trends.

Latest Earnings

Q4 2025 Earnings (Dec 31, 2025)

Earnings Per Share (EPS)

Beat

Actual

$2.53

Estimated

$2.27

Surprise

+$0.26

Surprise %

+11.45%

Revenue

Beat

Actual

$2.87B

Estimated

$2.76B

Surprise

+$103.57M

Surprise %

+3.75%

Historical Earnings

 Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024
Earnings Per Share
EPS (Actual)$2.53$2.40$2.19$1.81$2.21$1.84$1.78$1.50
EPS (Estimated)$2.27$1.99$1.93$1.74$1.76$1.63$1.54$1.41
EPS Surprise+$0.26+$0.41+$0.26+$0.07+$0.45+$0.21+$0.24+$0.09
% Diff+11.5%+20.6%+13.5%+4.0%+25.6%+12.9%+15.6%+6.4%
Revenue
Revenue (Actual)$2.87B$2.51B$2.44B$2.25B$2.41B$2.04B$2.01B$1.89B
Revenue (Estimated)$2.76B$2.41B$2.35B$2.19B$2.25B$2.01B$1.97B$1.87B
Revenue Surprise+$103.57M+$98.71M+$88.75M+$67.59M+$164.64M+$32.62M+$38.31M+$20.39M
% Diff+3.7%+4.1%+3.8%+3.1%+7.3%+1.6%+1.9%+1.1%

Valuation

Valorem
Valorem
Valuation Analysis
OVERVALUED

Intuitive Surgical (ISRG) exhibits a robust growth profile reflected in high revenue and earnings expansion, supported by innovation and expanding procedure volumes. Despite commanding premium valuation multiples well above sector norms, analyst sentiment remains positive with significant upside potential indicated by consensus price targets. However, elevated multiples introduce risk should growth not fully materialize as expected.

Valuation Metrics

Price to Earnings

61.72

TTM

Price to Sales

17.53

TTM

Price to Book

9.89

TTM

Enterprise Value to EBITDA

47.85

TTM

Enterprise Value to Revenue

17.22

TTM

 Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024Q1 2024
Price to Earnings63.2256.6073.9763.3867.8277.3373.4864.04
Price to Sales70.1363.6679.8478.5777.0885.7677.0573.83
Price to Book11.289.4210.9210.3511.3211.2210.5310.00
Enterprise Value to EBITDA182.40170.36212.98242.68214.22248.57223.57236.30
Enterprise Value to Revenue69.0662.5478.4577.4376.3084.5875.5472.33

Sentiment & Analyst Ratings

Pulse
Pulse
Sentiment Analysis
MIXED

Market sentiment for Intuitive Surgical (ISRG) is moderately positive, anchored by strong recent earnings, expansion in Europe, and promising growth catalysts like its digital subscription service. However, valuation concerns and integration risks from recent acquisitions temper enthusiasm, leading to a cautiously optimistic investor outlook. Analyst consensus largely favors a Moderate Buy with upside potential balanced by guarded risk assessment.

Analyst Recommendations

As of Mar 1, 2026
Strong SellSellHoldBuyStrong Buy
Buy
3.8 / 5.0
Based on 36 analyst ratings
Strong Sell
1
Sell
1
Hold
10
Buy
16
Strong Buy
8

Risk Assessment

Sentinel
Sentinel
Risk Assessment
MODERATE

Intuitive Surgical exhibits a robust financial position with exceptionally strong liquidity and minimal debt, signaling low financial distress. However, competitive pressures especially from Chinese rivals, regulatory scrutiny, and macroeconomic risks globally introduce moderate operational and market risks. The company’s strong market position in surgical robotics and high growth prospects are balanced against premium valuation and ongoing challenges in market acceptance and reimbursement environments.

Liquidity & Solvency

Frequently Asked Questions about ISRG

AI Answers: Common Questions About ISRG

Get AI-powered answers to the questions investors ask most about Intuitive Surgical, Inc.

ISRG is not an ideal buy at current levels ($497.42) due to a high P/E of 63.37 and technical weakness, but it remains a strong long-term holding for those willing to tolerate short-term volatility. Consider waiting for a pullback toward support ($485 or lower) before adding new positions.

Unless your thesis has changed or you need to reduce risk, there is no urgent reason to sell; fundamentals remain strong and long-term growth is intact. However, traders may consider trimming if price breaks below $485, as technicals suggest further downside.

The biggest risks are valuation compression (P/E 63+ vs. sector average), intensifying competition (especially from Chinese robotic firms), and macro/regulatory shocks that could slow hospital spending or procedure growth. Sentinel notes debt is minimal (debt/equity 0.017), so financial risk is low.

Key technical levels are $485.83 (support) and $506-$513 (resistance), with further downside to $452 if support fails. Analyst consensus targets are above current price, but technicals suggest waiting for a reversal before expecting a move toward $524 or higher.

ISRG is overvalued on most metrics: P/E at 63.37, P/S and EV/EBITDA well above sector averages. The premium is justified by growth, but any slowdown could trigger multiple compression and price volatility.

Fundamentals are excellent: 20.5% revenue growth (FY2025), 22.7% EPS growth, gross margin 66%, operating margin 29%, net margin 28.4%, and a near debt-free balance sheet. Recurring revenue and global expansion support high-quality, sustainable earnings.

Technical analysis is bearish: price is below all major moving averages, RSI is 44 (neutral-bearish), MACD is negative, and a bear flag pattern suggests further downside. Key support is $485; a break below this could lead to $452.

Watch for upcoming earnings reports, integration progress from European acquisitions, and the launch of digital subscription revenue (My Intuitive+ mid-2026). Product innovation (da Vinci 5, AI features) and macroeconomic developments in healthcare spending are also key.

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