Intuitive Surgical's valuation has become much more reasonable but is still a little too expensive with growth slowing. At its highs it traded at about 18x next-twelve-month revenue, which was nonsense. x.comÂ
Jonah Lupton
CEO & CIO of FirstWave Capital, Long-Biased Growth
Intuitive Surgical is still expensive, even at a 31x forward P/E that marks its lowest forward multiple in a decade. x.comÂ
Intuitive Surgical is worth 30 times earnings at most, below where it trades. Judged purely on its financials, without knowing what the company does, even 30 times would be too high. x.comÂ
Intuitive Surgical is a high-quality business near its 200-week moving average, the entry point Charlie Munger said would beat the S&P 500 by a wide margin over time. At the cutting edge of robotics and soon AI in healthcare, with no competition, very high barriers to entry and huge switching costs, it deserves a premium. At 34x forward earnings it is expensive but tolerable; about 30x is close to fair value, 25x is cheap and 20x a slam dunk. x.com x.com x.comÂ
Intuitive Surgical does not look cheap at the current price, contrary to the view that it is very tempting, though something could be missing. x.comÂ
Intuitive Surgical is a great company, but 13-15% growth will probably bring the stock under pressure. x.comÂ
Intuitive Surgical's share repurchases add capital return to its case as one of the highest-quality compounders in medical robotics. It bought back $4.45B of shares in the first nine months of 2026, including $2.94B in Q3, while kicking off an early Stage 2 uptrend after reclaiming its 200-day SMA. x.comÂ
Stryker's 10% post-earnings drop is unwarranted because the numbers were fine. Organic revenue was in line, margins beat, full-year guidance was reiterated and MedSurg is tracking to the high end of its range. Keeping guidance after a cyber incident, despite end-market callouts from Intuitive Surgical and HCA, should be positive. The stock is at its lowest multiple since 2015, derated from over 30x to 18x, with Mako and neurovascular strong; a collapse in hospital buying is the risk. x.com x.comÂ
Demographics should offset the risks to procedure growth at surgery-related device makers such as Boston Scientific, CONMED, Edwards Lifesciences and AtriCure for the next five years, though those risks eventually bite. @Borlaug_ argues that falling obesity rates could cut a couple hundred basis points from long-term growth in many procedure categories, with policy the near-term negative. Intuitive Surgical flagged the ACA-sensitive areas well. Within devices, S-curve stories are preferable. … Show more
Intuitive Surgical has fallen about 34% from its high and trades at 35x forward earnings, a drawdown that puts it on a list of names alongside Kinsale Capital. x.comÂ
Intuitive Surgical's surgical-robot moat is sturdier than the fear that sent it down about a third this year. The worry is that Medtronic and J&J will finally break its monopoly; maybe eventually, but surgeons train on its system for years and hospitals build workflows around it, so switching is hard. Thousands of placed systems keep generating recurring revenue for years. It's also a genuinely different bet from rates or AI spending. x.comÂ