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.com 

Boston Scientific looks reasonably priced for the risk after a 45% drawdown. It is a cardiology medtech leader with high-single-digit organic growth, a strong margin profile and a proven eye for tuck-in M&A, now at a mid-to-high-teens P/E, a discount to the market where it historically traded at a premium. The selloff happened for a reason, and the case fails only if the Penumbra deal and current revenue scale mean its growth is over. x.com  x.com 

Boston Scientific warrants caution because its debt levels leave it behind much cleaner, higher-quality medical-device stories. x.com 

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.com 

Boston Scientific's H2 2027 heart-device launches could revive growth in 2028, lifting earnings and its valuation multiple. Slowing heart-treatment growth led to a guidance cut, though Q2 organic sales grew 7% and adjusted EPS about 15%. August's cyberattack later disrupted operations, which have recovered. The potential opportunity requires patience: management expects minimal EPS growth in 2027, and competition could keep growth subdued after the launches. x.com 

Boston Scientific and Abbott are cheaper than their history but unlikely to compound at 20% over the next five years. The medical-device selloff looks like a clear overreaction, but Intuitive Surgical is worth paying up for even after a 30% drawdown, and TransMedics and PROCEPT BioRobotics have a real shot at about 30% annual returns over five years on 20%-plus revenue growth, operating leverage and possible multiple expansion. Favoring growth over cheaper names means more risk but more upside. … Show more

Boston Scientific seems to have a lot priced in: shares are flat over five years while the business has doubled. Revenue roughly doubled, mainly from Farapulse and Watchman rather than M&A; operating income rose from $1.8B to $4.1B, EPS grew 3.5x to $2.40, margins expanded and free cash flow more than doubled with flat share count. Growth is slowing from high levels amid new competition and possible GLP-1 effects on case volumes, but medtech offers a margin of safety until the market rotates. … Show more

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.com 

Boston Scientific's key franchises look vulnerable to competition in 2027, with a big acquisition at a bad multiple seeming the solution. Insider buying is the only positive; it makes a random bounce to $60 very likely, but the stock is still unconvincing. The possible bull case is that management knows the acquisition will go very well and is buying the dip. x.com 

Intuitive Surgical's 40% year-to-date drop is extremely disrespectful to one of the best businesses in the world, with revenue growing 19%. A model assuming 14% revenue CAGR, a 33% 2031 margin, a 38x P/E and 1% yearly buybacks gives a $487 fair value and a $535 one-year target, about 49% upside from $360. It is too far ahead of competitors, Chinese robots are unlikely to disrupt Western markets, and about 40x is fair, half the multiple of five years ago. x.com  x.com  x.com  x.com  x.com  x.com  x.com