How is ISRG valued relative to the market?

ISRG currently trades at a trailing P/E of 43.39x and a forward P/E of 31.26x. The stock has a beta of 1.47, meaning it moves roughly more than the broader market on average. Valuation multiples should always be considered alongside earnings growth rate and sector context.

How profitable is ISRG?

ISRG reports a gross margin of 66.68%, an operating margin of 33.60%, a net profit margin of 28.45%. Return on equity stands at 17.42% and return on assets at 10.51%. These figures provide context for evaluating the quality and sustainability of the company's earnings relative to its peers.

What is the analyst price target for ISRG?

Based on a consensus of 29 analysts, the median price target is $483.00, the most optimistic target is $685.00, the most conservative target is $324.00. At the current price of $414.52, the median target implies 16.5% upside. Analyst targets represent 12-month price expectations and should be considered alongside technical signals and momentum data.

Which ETFs hold ISRG?

ISRG is held by 3 ETFs tracked by StockBotty. The largest allocations are in XLV (3.13%), QQQ (0.94%), SPY (0.30%). Significant ETF ownership means institutional flows in and out of these funds can influence ISRG's price action, particularly around rebalancing dates.

What is the current trend signal for ISRG?

As of the most recent session, ISRG closed at $414.52. The swing trend is positive with ADX at 19.2 (moderate trend strength). Momentum is bullish and has been running for 15 days. No Golden Cross is currently active. 30-day historical volatility is at 28.9%.

When was the last Trendchange signal for ISRG and what is its historical edge?

The most recent Trendchange signal for ISRG fired on 18.09.26 at $393.33. The position has been held for 10 trading days. 10-day return from entry: +2.01%. 20-day return: +5.39%. The historical edge of the signal system for ISRG is +8.34% across 84 tracked signals. The best-performing entry bucket historically is the >20% range, averaging 26.9% at 10 days and 26.2% at 60 days.

ISRG – Intuitive Surgical, Inc.

Healthcare | Medical Instruments & Supplies | Website

Quick Stats

Trend Signal

$414.52

Last Close

Official EOD price – basis for all calculations

▲ Long

Swing Trend

Moving average structure confirms uptrend – bulls in control

+8.34%

Signal Edge

Slim positive edge across 3 signals – treat with caution

19.2

Trend Strength (ADX)

Moderate strength – trend forming, not confirmed

Options Signals

10%

IV-Rank (52w)

Options are historically cheap – premium buying favored

94% / 6%

Call / Put Flow

Bullish positioning – call premium dominates options flow

Last Trendchange Signal

18.09.26

Date

Signal entry date

$393.33

Entry Price

Closing price at signal date

10d

Days Held

Trading days since signal

+2.01%

+10d

Return after 10 trading days

+5.39%

+20d

Return after 20 trading days

–

+30d

Not yet reached

–

+60d

Not yet reached

Trend Overview

Trend Building – Constructive Composite Score: +3 / 7

ISRG is trending in a positive direction but the setup is not yet fully developed. Momentum has been running for 15 days though strength is not yet accelerating. The overall configuration is constructive but not yet at peak alignment.

What to watch

The trend deserves respect but not blind confidence. Position sizing should reflect the incomplete alignment. A further improvement in momentum strength and ADX would raise conviction.

Options Signal Highlight

HIGH Strength 8.3 Long Call 📖 View full options analysis →

ISRG Price Chart

Technical Trend Analysis

As of 07.10.2026 · Close: $414.52 · ATR14: $2.78

Trend Building – Constructive Composite Score: +3 / 7

What to watch

The trend deserves respect but not blind confidence. Position sizing should reflect the incomplete alignment. A further improvement in momentum strength and ADX would raise conviction.

Indicator	Signal	Detail
Swing Trend	▲ Long	Primary directional bias
Momentum	▲ Up · 15d	Strength: 0.54 – Fading
Trend Strength (ADX)	19.2 – Moderate	ADX38: 6.5
Volatility (HV30)	28.9% – Calm	HV90: 43.9% \| HV180: 37.7%
Vola Compression	None	Normal range
MA Structure	Death Cross ✗	Stack: Partially aligned (1/3)
EMA21 Distance	1.63 ATR ↑	EMA21: $389.94
GD200 Extension	-2.5 ATR – Normal	GD20: 1.8 \| GD50: 2.9 \| GD100: 1.9

⚠️ Momentum Fading

Upward momentum has been running 15 days but strength is declining (0.54). The trend is intact but losing energy.

🟡 Trend Strength – ADX14: 19.2 (Moderate)

Moderate trend strength. ADX38: 6.5. Sufficient for directional bias but not ideal for aggressive sizing.

🔻 Volatility Calm

HV30: 28.9% | HV90: 43.9% | HV180: 37.7%. Short-term vol is below its 90-day average. Calmer conditions favour tighter setups.

💀 Death Cross – Long-term Bearish

Death Cross in place. GD50 $383.43 below GD200 $444.98. Long-term structure remains bearish. MA stack: Partially aligned (1/3).

📈 EMA21 – Trend Accelerating

Price is pulling away from the EMA21 ($389.94) with 1.63 ATR distance and growing.

📐 Key Price Levels & ATR Distance

GD20: $395.16 (1.8 ATR) | GD50: $383.43 (2.9 ATR) | GD100: $393.84 (1.9 ATR) | GD200: $444.98 (-2.5 ATR). ATR14: $2.78.

Monthly Performance History

Year	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec	Total
2010	6.25	5.63	-2.93	3.14	-13.29	-2.64	5.22	-21.31	3.53	-9.21	-0.66	-3.21	-16.52
2011	20.04	-1.39	4.27	1.41	-1.46	7.83	5.78	-3.24	-3.99	24.40	1.89	6.29	72.12
2012	-2.50	10.52	3.92	5.93	-11.08	10.10	-14.92	3.15	0.92	8.49	-2.21	-6.67	3.96
2013	15.45	-12.64	-11.24	1.59	1.50	1.18	-22.64	-1.51	-2.31	-0.24	1.31	2.29	-22.80
2014	7.26	10.88	-3.49	-26.72	2.95	11.03	12.56	3.72	-2.58	7.13	4.42	2.96	39.19
2015	-5.92	-1.41	0.35	-2.08	-2.05	-3.52	9.74	-2.95	-8.71	9.01	3.13	4.58	3.92
2016	-1.19	T 3.66	5.17	3.27	0.21	3.72	4.42	-1.07	T 5.10	-6.39	-3.88	0.29	15.85
2017	T 7.93	5.74	3.42	9.31	8.95	1.77	1.80	T 6.77	3.89	6.19	6.31	-8.00	70.59
2018	T 15.04	0.12	0.17	T 9.95	2.71	-0.16	4.12	8.47	3.23	-9.32	2.36	T -12.75	27.63
2019	T 12.36	4.38	2.15	-11.28	-6.48	T 14.46	-1.85	-2.41	T 9.31	4.61	5.99	0.64	26.85
2020	-6.28	T -5.60	-11.42	T 11.48	16.27	-0.83	19.10	6.08	-4.32	T -6.11	7.41	11.51	36.98
2021	-6.55	T -1.25	-2.67	T 15.70	-2.92	T 10.00	6.90	6.15	-6.45	T 7.32	-8.64	T 12.31	34.74
2022	-21.06	1.33	T 3.47	-21.68	-5.41	-7.25	T 11.68	-9.98	-9.06	T 27.47	9.53	-3.33	-26.29
2023	-7.51	-8.68	T 12.38	18.81	1.59	10.11	-3.46	-3.48	-5.84	-11.11	T 14.93	7.03	27.00
2024	14.27	0.46	0.30	-6.14	T 8.18	10.15	1.92	9.25	1.62	T 3.94	7.04	-3.85	57.70
2025	T 9.13	-0.93	-12.65	T 3.92	6.80	-1.79	-10.58	-2.03	-4.66	T 21.97	5.38	-0.18	8.08
2026	-10.28	1.36	-7.11	-1.47	-7.24	-3.54	-12.19	T 0.39	T 10.12	3.31			-26.24

T A T badge marks a Trendchange signal in that month. Hover for entry price.

ISRG - Trendchange Chart

Trendchange Signal History

The last 10 Trendchange signals for ISRG:

Date	Entry Price	Days Held	+10d	+20d	+30d	+60d
18.09.26	$393.33	10d	+2.01%	+5.39%	+0%	+0%
13.08.26	$401.27	3d	-7.33%	-7.33%	-7.33%	+0%
22.10.25	$527.03	16d	+2.24%	+3.75%	+8.1%	+7.56%
29.04.25	$514.89	38d	+9.04%	+6.86%	+8.19%	+8.19%
10.01.25	$547.47	24d	+6.68%	+6.49%	+7.95%	+7.95%
18.10.24	$521.15	22d	-3.32%	+3.19%	+4%	+4.61%
15.05.24	$399.39	44d	-0.25%	+7.19%	+11.45%	+9.67%
14.11.23	$291.62	46d	+6.63%	+9.98%	+15.72%	+10.85%
24.03.23	$256.42	57d	+0.19%	+17.08%	+18.9%	+31.29%
24.10.22	$220.27	41d	+8.74%	+18.99%	+22.45%	+20.16%

Signal Statistics - Historical Edge

Calculated edge for ISRG: 8.34%

Range	N	10d	20d	30d	60d	Signal
>20%	3	+26.85%	+28.89%	+26.62%	+26.17%	Hold
15-20%	1	+15.71%	+8.83%	+8.62%	+8.62%	Close
10-15%	1	+10.55%	+4.87%	+4.87%	+4.87%	Close
7-10%	6	+8.99%	+11.16%	+10.94%	+10.56%	Hold
5-7%	6	+5.84%	+5.22%	+7.9%	+6.63%	Close
3-5%	6	+4.26%	+4.51%	+5.69%	+10.16%	Hold
1-3%	14	+1.73%	+4.1%	+3.4%	+3.63%	Close
0-1%	7	+0.28%	+4.92%	+5.71%	+12.1%	Hold
-1-0%	6	-0.57%	+1.87%	+3.65%	+3.76%	Neg
-3-1%	11	-1.96%	-1.12%	-0.97%	-1.06%	Neg
-5-3%	10	-4%	-3.49%	-2.57%	-1.22%	Neg
-7-5%	5	-5.85%	-6.93%	-6.93%	-5.86%	Neg
-10-7%	4	-7.9%	-7.49%	-7.49%	-5.65%	Neg
<-10%	4	-13.62%	-9.12%	-2.77%	+21.18%	Neg

Exit Rules: Stoploss: -10% | Close if below 0% after 10 days

Signal data as of October 7, 2026

HIGH ALERT ● Neutral Strength: 8.3

Options Metrics

IV-Rank (52w)

10%

Bottom 20% of the past 52 weeks – options are historically cheap. Conditions favor premium buyers (Long Call, Long Put).

Call / Put Flow

94% / 6%

More than 60% of options premium is flowing into calls. This indicates net bullish positioning by market participants.

GEX (Mio.)

10,096,888.2

Positive GEX: market makers are long gamma. They buy dips and sell rallies, which suppresses volatility and keeps price in a range.

GEX Flip Strike

$395.00 · 4.7%

The GEX flip strike is the price level where dealer gamma exposure shifts from positive to negative. A break through this level often accelerates the move.

Max Pain

$380.00 · 8.3%

Max Pain is the price at which the most options contracts expire worthless. As expiration approaches, price often gravitates toward this level due to dealer hedging flows.

Spot Price

$414.52

Last traded price at signal calculation time

Gamma Exposure Timeline

Key GEX levels, Max Pain, and unusual activity across weekly and monthly expirations, plotted around the current spot price.

ISRG GEX timeline showing put/call gamma pins, max pain and flip strike

Key GEX levels, Max Pain, Anchor, Ceiling and unusual activity across 14-30 DTE, plotted around the current spot price.

Put and call pins mark strikes where dealer gamma exposure concentrates. The GEX flip strike is where dealer hedging shifts from stabilizing (positive gamma) to amplifying (negative gamma) price moves. Max Pain is the strike where the most options expire worthless. Dashed markers flag unusual options activity. Learn how to use these signals in our options strategy guides →

Strategy Setups – You Decide

Based on current options data, 2 setups match the current conditions. Each strategy has different risk/reward characteristics – the final decision is always yours.

Setup 1 of 2 Long Call Full guide →

Why this fits today

IV-Rank at 10% – options are historically cheap. Bullish flow (94% calls) supports buying upside premium at below-average cost.

Advantages

✓ Unlimited upside potential with maximum loss capped at the premium paid

✓ Low IV-Rank means you are buying at historically cheap levels

✓ Benefits from both a price increase and a subsequent rise in implied volatility

Risks

✕ Time decay (theta) works against the position every day

✕ Requires a meaningful move to overcome the premium paid

✕ Full premium is lost if the stock stays below the strike at expiration

▶ FAQ: Long Call

What is a Long Call?

A Long Call gives the buyer the right to purchase the underlying at the strike price before expiration. The maximum loss is limited to the premium paid. It expresses a bullish directional view and profits if the underlying rises significantly above the strike price.

Why buy calls when IV-Rank is low?

Low IV-Rank means implied volatility is historically cheap - options are priced below their typical levels. Buying premium when it is cheap reduces the hurdle rate for profitability. If IV subsequently rises, the option gains value from both the price move and the increase in implied volatility.

What is the breakeven on a Long Call?

The breakeven equals the strike price plus the premium paid. For example, a call with a $100 strike bought for $3 breaks even at $103. Above that level, the position profits dollar-for-dollar with the stock. Below the strike at expiration, the full premium is lost.

Setup 2 of 2 Long Straddle Full guide →

Why this fits today

IV-Rank at 10% – buying both sides is cost-effective. A subsequent vol expansion or large move benefits both legs simultaneously.

Advantages

✓ Profits from any large directional move without needing to pick a side

✓ Buying when IV is historically cheap reduces the breakeven hurdle

✓ An unexpected vol expansion benefits both the call and put simultaneously

Risks

✕ Requires a significant move to recover the combined premium paid

✕ Theta decay accelerates as expiration approaches

✕ If the stock stays flat, both legs expire worthless

▶ FAQ: Long Straddle

What is a Long Straddle?

A Long Straddle buys a call and a put at the same strike and expiration. It profits from a large move in either direction. When IV is low, the premium cost is reduced, making the breakeven easier to reach on a directional move.

Why buy a straddle when IV is low?

Low IV means you are buying the options cheaply. If IV subsequently rises - due to an event or a directional move - both legs can gain value simultaneously, giving you a double benefit. The key is entering before the vol expansion.

All setups above are personal trade journal observations derived from options flow data. This is not financial advice. The decision to trade, and which strategy to use, is entirely yours.

View full options flow data and historical signals on the Options Flow Analysis Overview →

Valuation

Metric	Value
Market Cap	$135.41 B
PE Ratio (TTM)	43.39
Forward PE	31.26
PEG Ratio	1.72
EV/EBITDA	30.72
Price/Sales	12.27
Price/Book	7.36
Beta	1.47

Profitability

Metric	Value
Gross Margin	66.68%
Operating Margin	33.60%
Net Margin	28.45%
ROE	17.42%
ROA	10.51%

Analyst Consensus (29 Analysts)

Metric	Value
Median Target	$483
High Target	$685
Low Target	$324

About Intuitive Surgical, Inc.

Intuitive Surgical, Inc. develops, manufactures, and markets products that enable physicians and healthcare providers to enhance the quality of and access to minimally invasive care in the United States and internationally. It offers the da Vinci Surgical System that enables surgical procedures using a minimally invasive approach; and Ion endoluminal system, which extends its commercial offerings beyond surgery into diagnostic endoluminal procedures enabling minimally invasive biopsies in the lung. The company also provides a suite of stapling, energy, and core instrumentation for its multi-port da Vinci surgical systems; progressive learning pathways to support the use of its technology; infrastructure of customer service and support specialists, a complement of services to its customers, including installation, repair, maintenance, 24/7 technical support, and proactive system health monitoring; and integrated digital capabilities providing connected offerings, streamlining performance for hospitals with program-enhancing insights. It sells its products through direct sales organizations, such as capital and clinical sales teams. Intuitive Surgical, Inc. was incorporated in 1995 and is headquartered in Sunnyvale, California.

ETF Holdings

Intuitive Surgical, Inc. is included in 3 ETFs tracked by StockBotty.

ETF	Weight
XLV	3.13%
QQQ	0.94%
SPY	0.30%

Frequently Asked Questions – Intuitive Surgical, Inc. (ISRG)

Disclaimer: All trade history on this page reflects the author's personal trading activity only. This is not financial advice. Past performance is not indicative of future results. See our full Disclaimer.