Strong Revenue Growth
2025 revenue grew 21% year-over-year to $10.1 billion, driven by broad procedure adoption and higher recurring revenue.
Robust Procedure Volume Expansion
Total procedures grew 19% in 2025 to more than 3.1 million patients treated; da Vinci procedures grew ~18% (multiport +17%, single-port +87%) and Ion procedures grew 51%.
Geographic Procedure Strength
U.S. da Vinci procedures increased 15 to over 2 million; international procedures increased 23% to over 1.1 million, with OUS markets accounting for ~35% of global procedures.
System Placements and Platform Adoption
Placed 1,721 da Vinci systems in 2025 including 870 da Vinci 5 systems, 107 SP and 195 Ion systems; Q4 placements were 532 systems (8% YoY), with 303 da Vinci 5 placements in the quarter.
Installed Base and Utilization Gains
Total da Vinci installed base grew ~12% to just over 11,100 systems with average da Vinci utilization up 3% globally (multiport +3%, single‑port +29%, Ion +9%); da Vinci 5 installed base noted at ~1,232 systems since launch.
Strong Financial Profitability and Cash Generation
Pro forma operating margin ~37% (improved ~70 bps for the year); 2025 pro forma EPS increased 22%; free cash flow rose to $2.5 billion from $1.3 billion in 2024.
High Recurring Revenue Mix
Q4 recurring revenue grew 20% to $2.3 billion and represented 81% of total revenue, supporting revenue visibility.
Single-Port and Ion Momentum
Single-port procedures grew 87% in 2025 (installed base +39% to 377 systems) with multiple new clearances; Ion procedures grew 51% to ~144,000 procedures and installed base approached ~1,000 systems (installed base +24%).
Share Repurchases and Balance Sheet
Repurchased $2.3 billion of stock during 2025 (average price $478) and ended the year with $9.0 billion in cash and investments.
Product & Clinical Progress
Received FDA clearance for several cardiac procedures on da Vinci 5 (non-Force Feedback), continued rollout of da Vinci 5 features (Force Feedback instruments planned), new SP 510(k) clearances (e.g., nipple-sparing mastectomy) and published clinical studies showing reduced open conversion and favorable procedural economics for robotic approaches.
Guidance and Margin Outlook
2026 guidance: da Vinci procedure growth forecast 13–15%; pro forma gross profit margin guidance 67–68%; pro forma operating expense growth expected 11–15%.