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

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Intuitive Surgical, Inc. (ISRG)

$431.87+11.81 (+2.81%) today

Open
$422.75
High
$435.56
Low
$420.00
Volume
2.33M
Mkt Cap
$152.95B
52W High
$603.88
AI Verdict
Confidence 88%
ISRGIntuitive Surgical, Inc.
AlphaCrew AI
HOLD
Overall
Summary

Intuitive Surgical (ISRG) remains a fundamentally strong, market-leading MedTech company with robust growth, profitability, and a fortress balance sheet, but its technical setup is currently bearish and valuation is demanding. Near-term downside risk is elevated due to weak momentum and recent product recalls, yet long-term prospects remain attractive for patient investors. The stock is best held or accumulated on further weakness, with a focus on monitoring regulatory and competitive developments.

By Timeframe
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Short
HOLD
Medium
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Long
Agent Signals
221
Fund
Tech
Val
Sent
Risk

Fundamentals

Essentia
Essentia
Fundamental Analysis
BULLISH

Intuitive Surgical (ISRG) demonstrates outstanding fundamentals marked by robust revenue and earnings growth, consistently strong profitability, and a proven record of beating market expectations. The company maintains high margins and impressive earnings quality, but its premium valuation warrants scrutiny, especially given pressure from competition and broader market volatility.

Financial Highlights

Q1 2025Q2 2025Q3 2025Q4 2025Q1 2026$0$750.0M$1.5B$2.3B$3.0BRevenue & Net Income ($)26%28%30%32%34%Net Margin (%)
  • Revenue
  • Net Income
  • Net Margin (%)

Revenue

$2.77B

22.96% YoY

Q1 2026

Net Income

$821.50M

17.63% YoY

Q1 2026

Net Margin

29.65%

Q1 2026

Growth Metrics

Revenue Growth YoY

22.96%

Latest Quarter: Q1 2026

Net Income Growth YoY

17.63%

Latest Quarter: Q1 2026

Revenue Per Share Growth YoY

23.86%

Latest Quarter: Q1 2026

EPS Growth YoY

18.46%

Latest Quarter: Q1 2026

Book Value Per Share Growth YoY

3.01%

Latest Quarter: Q1 2026

 Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024
Revenue2.8B2.9B2.5B2.4B2.3B2.4B2.0B2.0B
Revenue Growth YoY+22.96%+18.76%+22.91%+21.40%+19.19%+25.16%+16.88%+14.47%
Net Income821.5M794.8M704.4M658.4M698.4M685.7M565.1M526.9M
Net Income Growth YoY+17.63%+15.91%+24.65%+24.96%+28.17%+13.11%+35.94%+25.21%
EPS$2.31$2.24$1.98$1.84$1.95$1.92$1.59$1.48
EPS Growth YoY+18.46%+16.67%+24.53%+24.32%+26.62%+11.63%+34.75%+23.33%

Profitability Metrics

Gross Margin

66.06%

TTM

Operating Margin

30.87%

TTM

Net Margin

29.65%

TTM

Return on Equity

17.01%

TTM

Return on Assets

15.42%

TTM

 Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024
Gross Margin66.06%66.44%66.36%66.31%64.69%68.04%67.41%68.30%
Operating Margin30.87%30.15%30.33%30.47%25.65%30.45%28.33%28.23%
Net Margin29.65%27.73%28.12%26.98%30.99%28.41%27.73%26.22%
Return on Equity (ROE)4.70%4.46%4.16%3.69%4.08%4.17%3.63%3.58%
Return on Assets (ROA)4.25%3.92%3.71%3.33%3.70%3.71%3.25%3.24%

Technical Analysis

Candela
Candela
Technical Analysis
BEARISH

ISRG is currently in a strong downtrend phase, evidenced by its position below key moving averages and a death cross confirmation. Momentum is weak with RSI in a neutral zone, and ADX showing a lack of strong trend strength, indicating potential for continued range-bound or declining price action. Key resistance near $470 (50 SMA) is significant overhead, while support is close to the 52-week low near $427.

RSI
Hold
Neutral37

No extreme reading

03070100
Trend
Sell
Strong Downtrend

Price in downtrend

-13.3% from 200 SMA
ADX
Hold
Moderate Trend21

Trend developing

Moderate
MA Cross
Sell
Below 50/200

50 below 200 - bearish

50
200

Key Technical Values

Price
$431.87
50 SMA
$467.14
150 SMA
$509.60
200 SMA
$497.97
52W High
$603.88
52W Low
$417.74

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
37Neutral

Earnings

Essentia
Essentia
Fundamental Analysis
BULLISH

Intuitive Surgical (ISRG) demonstrates outstanding fundamentals marked by robust revenue and earnings growth, consistently strong profitability, and a proven record of beating market expectations. The company maintains high margins and impressive earnings quality, but its premium valuation warrants scrutiny, especially given pressure from competition and broader market volatility.

Latest Earnings

Q1 2026 Earnings (Mar 31, 2026)

Earnings Per Share (EPS)

Beat

Actual

$2.50

Estimated

$2.12

Surprise

+$0.38

Surprise %

+17.92%

Revenue

Beat

Actual

$2.77B

Estimated

$2.62B

Surprise

+$152.05M

Surprise %

+5.81%

Historical Earnings

 Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024
Earnings Per Share
EPS (Actual)$2.50$2.53$2.40$2.19$1.81$2.21$1.84$1.78
EPS (Estimated)$2.12$2.27$1.99$1.93$1.74$1.76$1.63$1.54
EPS Surprise+$0.38+$0.26+$0.41+$0.26+$0.07+$0.45+$0.21+$0.24
% Diff+17.9%+11.5%+20.6%+13.5%+4.0%+25.6%+12.9%+15.6%
Revenue
Revenue (Actual)$2.77B$2.87B$2.51B$2.44B$2.25B$2.41B$2.04B$2.01B
Revenue (Estimated)$2.62B$2.76B$2.41B$2.35B$2.19B$2.25B$2.01B$1.97B
Revenue Surprise+$152.05M+$103.57M+$98.71M+$88.75M+$67.59M+$164.64M+$32.62M+$38.31M
% Diff+5.8%+3.7%+4.1%+3.8%+3.1%+7.3%+1.6%+1.9%

Valuation

Valorem
Valorem
Valuation Analysis
FAIRLY VALUED

Intuitive Surgical (ISRG) trades at a premium valuation relative to its healthcare equipment peers but shows signs of being fairly valued or slightly undervalued against its own historical multiples given strong growth prospects. Analysts broadly support a positive outlook with consensus price targets well above current prices, reflecting confidence in continued procedural adoption and earnings growth.

Valuation Metrics

Price to Earnings

51.45

TTM

Price to Sales

14.45

TTM

Price to Book

8.77

TTM

Enterprise Value to EBITDA

40.15

TTM

Enterprise Value to Revenue

14.26

TTM

 Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024
Price to Earnings49.7963.2256.6073.9763.3867.8277.3373.48
Price to Sales59.0570.1363.6679.8478.5777.0885.7677.05
Price to Book9.3611.289.4210.9210.3511.3211.2210.53
Enterprise Value to EBITDA188.90182.40170.36212.98242.68214.22248.57223.57
Enterprise Value to Revenue58.3169.0662.5478.4577.4376.3084.5875.54

Sentiment & Analyst Ratings

Pulse
Pulse
Sentiment Analysis
POSITIVE

Intuitive Surgical (ISRG) currently shows generally positive market sentiment supported by strong 2026 Q1 financial results, procedure growth, and raised full-year guidance. While analysts mostly recommend buying the stock due to its strong fundamentals and innovation pipeline, some caution exists around valuation and regional growth headwinds. Social media sentiment is bullish yet tempered by technical signals suggesting some caution near support levels.

Analyst Recommendations

As of May 1, 2026
Strong SellSellHoldBuyStrong Buy
Buy
3.8 / 5.0
Based on 34 analyst ratings
Strong Sell
1
Sell
1
Hold
9
Buy
16
Strong Buy
7

Risk Assessment

Sentinel
Sentinel
Risk Assessment
MODERATE

Intuitive Surgical demonstrates a robust financial position characterized by exceptional liquidity and negligible debt, enabling strong operational flexibility. However, regulatory challenges including a serious product recall and cybersecurity incidents introduce potential near-term volatility. Competitive pressures, especially in emerging markets like China, alongside premium valuation metrics, suggest a cautiously optimistic risk profile from an investor perspective.

Liquidity & Solvency

Current Ratio

6.03

Latest Quarter: Q1 2026

Quick Ratio

5.01

Latest Quarter: Q1 2026

Debt-to-Equity

0.00

Latest Quarter: Q1 2026

Debt-to-Assets

0.00

Latest Quarter: Q1 2026

 Q1 2026Q4 2025Q3 2025Q2 2025Q1 2025Q4 2024Q3 2024Q2 2024
Liquidity Metrics
Current Ratio6.034.874.735.174.984.074.305.15
Quick Ratio5.013.963.744.183.973.223.424.22
Solvency Metrics
Debt-to-Equity0.000.020.000.000.000.010.000.00
Debt-to-Assets0.000.010.000.000.000.010.000.00

Liquidity Assessment

Current Ratio: 6.03(Strong)

Quick Ratio: 5.01(Strong)

The company has strong liquidity with sufficient short-term assets to cover liabilities.

Solvency Assessment

Debt-to-Equity: 0.000

Debt-to-Assets: 0.000

The company has conservative debt levels, indicating low financial risk and strong long-term 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 right now for short-term traders due to a bearish technical setup (death cross, price below $470 SMA, RSI ~42), but long-term investors may consider accumulating on further weakness given strong fundamentals, accelerating EPS (24.5% YoY in 2025), and a fair valuation (P/E 54.75, below historical highs). Waiting for a technical reversal or stabilization near $427 support is prudent.

Selling is not recommended unless your horizon is short-term, as the fundamental outlook remains robust and analyst targets are above current levels. However, if you are risk-averse to near-term volatility from recalls or technical breakdowns, trimming may be justified; otherwise, holding through volatility is supported by the long-term growth story.

The biggest risks include recent Class I product recalls with severe safety implications, cybersecurity incidents, and intensifying competition in China. While ISRG's liquidity is exceptional (current ratio >6, negligible debt), these operational and regulatory risks could cause near-term volatility and margin pressure.

Short-term downside target is near $427 (52-week low support), with resistance at $470 and $498; most analyst price targets remain well above $450, reflecting confidence in earnings growth and innovation. A sustained break above $470 could signal technical recovery, while further recall news could test $427 support.

ISRG trades at a P/E of 54.75 and high EV/EBITDA, well above sector averages but below its own historical peaks, suggesting it is fairly valued given its growth profile. The premium is justified by industry-leading margins and recurring revenue, but leaves little room for execution missteps.

ISRG is fundamentally strong, with 20.5% revenue growth, 24.5% EPS growth, gross margins of ~66%, net margins near 28%, and a debt-free balance sheet. Recurring revenue and high customer retention support earnings quality and sustainability.

Technical analysis is bearish: ISRG is below all major moving averages, a death cross is active, RSI is neutral (41.76), and volume is elevated on declines. Key support is at $427, with resistance at $470 and $498; no bullish reversal patterns are present, so further downside or range-bound trading is likely.

Key catalysts include resolution of recent product recalls, upcoming earnings reports (with ISRG consistently beating estimates), FDA approvals for new instruments, and continued innovation in the da Vinci platform. Macro factors like hospital capital spending and regulatory changes also bear watching.

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