ISRG – Intuitive Surgical, Inc.

Healthcare | Medical Instruments & Supplies | Website

Quick Stats

Trend Signal
$378.81
Last Close
Official EOD price – basis for all calculations
▲ Long
Swing Trend
Moving average structure confirms uptrend – bulls in control
+21.69%
Signal Edge
Strong positive edge across 1 signals – signal has a clear statistical advantage
3.3
Trend Strength (ADX)
Weak / ranging – trend signals less reliable
Options Signals
1%
IV-Rank (52w)
Options are historically cheap – premium buying favored
54% / 46%
Call / Put Flow
Neutral flow – call and put activity roughly balanced
Last Trendchange Signal
13.08.26
Date
Signal entry date
$401.27
Entry Price
Closing price at signal date
1d
Days Held
Trading days since signal
-5.6%
+10d
Return after 10 trading days
+20d
Not yet reached
+30d
Not yet reached
+60d
Not yet reached

Trend Overview

Neutral – No Clear Edge Composite Score: -1 / 7

ISRG is in a neutral phase with no clear directional edge. Trend and momentum indicators are roughly balanced between positive and negative readings.

What to watch

No actionable setup is present. The market is not offering a clean edge in either direction. Patience is the discipline here.

Options Signal Highlight

Latest ISRG Reports

Trendchange Signals and Reviews ISRG: 21.38% Historical Edge & Day 10 Exit Strategy
Aug 14, 2026

ISRG Price Chart

Technical Trend Analysis

As of 21.08.2026  ·  Close: $378.81  ·  ATR14: $3.46

Neutral – No Clear Edge Composite Score: -1 / 7

ISRG is in a neutral phase with no clear directional edge. Trend and momentum indicators are roughly balanced between positive and negative readings.

What to watch

No actionable setup is present. The market is not offering a clean edge in either direction. Patience is the discipline here.

Indicator Signal Detail
Swing Trend ▲ Long Primary directional bias
Momentum ▲ Up · 12d Strength: 0.66 – Fading
Trend Strength (ADX) 3.3 – Weak ADX38: 8.5
Volatility (HV30) 64.9% – Rising HV90: 47.0% | HV180: 37.1%
Vola Compression None Normal range
MA Structure Death Cross ✗ Stack: No MAs aligned
EMA21 Distance -1.31 ATR ↓ EMA21: $378.39
GD200 Extension -5.8 ATR – Normal GD20: 0.0 | GD50: -0.7 | GD100: -2.6
⚠️ Momentum Fading
Upward momentum has been running 12 days but strength is declining (0.66). The trend is intact but losing energy.
⚪ Trend Strength – ADX14: 3.3 (Weak)
Weak or ranging market. ADX38: 8.5. Trend-following signals carry lower reliability.
🔺 Volatility Rising
HV30: 64.9% | HV90: 47.0% | HV180: 37.1%. Short-term vol is running above its 90-day average. Wider stops and reduced size may be appropriate.
💀 Death Cross – Long-term Bearish
Death Cross in place. GD50 $388.30 below GD200 $473.15. Long-term structure remains bearish. MA stack: No MAs aligned.
📉 EMA21 – Gap Narrowing
Price is -1.31 ATR from the EMA21 ($378.39) but the distance is shrinking.
📐 Key Price Levels & ATR Distance
GD20: $378.68 (0.0 ATR) | GD50: $388.30 (-0.7 ATR) | GD100: $416.80 (-2.6 ATR) | GD200: $473.15 (-5.8 ATR). ATR14: $3.46.

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
0.91
-32.59

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

Trendchange Signal History

The last 10 Trendchange signals for ISRG:

Date Entry Price Days Held +10d +20d +30d +60d
13.08.26 $401.27 1d -5.6% +0% +0% +0%
22.10.25 $527.03 18d +2.24% +3.75% +8.1% -28.12%
29.04.25 $514.89 42d +9.04% +6.86% +8.19% +13.63%
10.01.25 $547.47 24d +6.68% +6.49% +7.95% +1.76%
18.10.24 $521.15 27d -3.32% +3.19% +4% +16.39%
15.05.24 $399.39 65d -0.25% +7.19% +11.45% +34.91%
14.11.23 $291.62 72d +6.63% +9.98% +15.72% +54.06%
24.03.23 $256.42 66d +0.19% +17.08% +18.9% +50.38%
24.10.22 $220.27 53d +8.74% +18.99% +22.45% +39.76%
20.07.22 $219.22 34d +8.79% +6.61% +4.79% +24.19%

Signal Statistics – Historical Edge

Calculated edge for ISRG: 21.69%

Range N 10d 20d 30d 60d Signal
15-20% 1 +15.71% +8.83% +8.18% +23.98% Hold
10-15% 1 +10.55% +4.87% +4.77% +15.61% Hold
7-10% 3 +8.86% +10.82% +11.81% +25.86% Hold
5-7% 2 +6.66% +8.23% +11.84% +27.91% Hold
3-5% 2 +4.46% +7.91% +11.72% +28.32% Hold
1-3% 7 +1.74% +3.98% +4.75% +6.82% Hold
0-1% 3 +0.51% +7.29% +10.29% +44.9% Hold
-1-0% 1 -0.25% +7.19% +11.45% +34.91% Neg
-3-1% 3 -1.46% +2.5% +6.5% +14.39% Neg
-5-3% 3 -4.05% -1.88% -1.61% +1.02% Neg
-7-5% 2 -5.6% -3.87% -3.87% -9.34% Neg
<-10% 1 -10.43% -10.43% -6.01% +0% Neg
Exit Rules: Stoploss: -10% | Close if below 0% after 10 days

Signal data as of August 21, 2026

LOW ALERT ● Neutral Strength: 3.8

Options Metrics

IV-Rank (52w)
1%
Bottom 20% of the past 52 weeks – options are historically cheap. Conditions favor premium buyers (Long Call, Long Put).
Call / Put Flow
54% / 46%
Call and put premium are roughly balanced. No clear directional bias from options flow.
GEX (Mio.)
524,625.1
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
$382.50 · 1%
GEX flip strike is very close to spot price. Crossing this level can trigger a regime change – from suppressed to amplified volatility.
Max Pain
$382.50 · 1%
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
$378.81
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.

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

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, one setup stands out. Each strategy has different risk/reward characteristics – the final decision is always yours.

Profit Loss $0 Stock Price →
Why this fits today

IV-Rank at 1% – 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

MetricValue
Market Cap$141.34 B
PE Ratio (TTM)46.09
Forward PE32.68
PEG Ratio1.97
EV/EBITDA32.69
Price/Sales12.81
Price/Book7.68
Beta1.46

Profitability

MetricValue
Gross Margin66.68%
Operating Margin33.60%
Net Margin28.45%
ROE17.42%
ROA10.51%

Analyst Consensus (30 Analysts)

MetricValue
Median Target$484
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.