Intuitive SurgicalTSX:ISRG +1.76%75 EV-to-FCF is 53.33 as of Jul. 05, 2026, which is 18% below its 10-year median of 64.77. GuruFocus rates TSX:ISRG with a GF Score™ of 75/100 and a GF Value™ of C$31.84 (Modestly Undervalued). The stock has 1 warning sign investors should review. Among 417 Medical Devices & Instruments companies, Intuitive Surgical ranks worse than 76.02% on this metric.
EV-to-FCF is calculated as enterprise value divided by its free cash flow. As of today, Intuitive Surgical's Enterprise Value is C$207,961 Mil.
Intuitive Surgical's Free Cash Flow for the trailing twelve months (TTM) ended in Mar. 2026 was C$3,900 Mil. Therefore, Intuitive Surgical's EV-to-FCF for today is 53.33.
The historical rank and industry rank for Intuitive Surgical's EV-to-FCF or its related term are showing as below:
TSX:ISRG'
s EV-to-FCF Range Over the Past 10 Years
Min: 21.91 Med: 64.77 Max: 412.8
Current: 51.68
During the past 13 years, the highest EV-to-FCF of Intuitive Surgical was 412.80. The lowest was 21.91. And the median was 64.77.
TSX:ISRG's EV-to-FCF is ranked worse than 76.02% of 417
companies
in the Medical Devices & Instruments industry
Industry Median: 23.4
vs TSX:ISRG: 51.68
EV-to-FCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
EV-to-FCF is a valuation multiple that allows analysts and investors to compare stocks, preferably in the same sector or industry. This important multiple is often used in conjunction with, or as an alternative to, the PE Ratio (TTM) to determine the fair market value of a company.
Intuitive Surgical's PE Ratio (TTM) for today is calculated as:
Intuitive Surgical's share price for today is C$22.50.
Intuitive Surgical's Earnings per Share (Diluted) for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was C$0.454.
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
Enterprise Value is used because it is a more complete measure in reflecting how much an investor pays when buying a company. Free Cash Flow is an important financial metric because it represents the actual amount of cash at a company's disposal. Companies with a low EV-to-FCF ratio, combined with a strong balance sheet are generally considered as undervalued.
Intuitive Surgical EV-to-FCF Related Terms
Intuitive Surgical EV-to-FCF Historical Data
* Premium members only.
The historical data trend for Intuitive Surgical's EV-to-FCF can be seen below:
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
For the Medical Instruments & Supplies subindustry, Intuitive Surgical's EV-to-FCF, along with its competitors' market caps and EV-to-FCF data, can be viewed below:
* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.
Intuitive Surgical EV-to-FCF vs Medical Devices & Instruments Industry
For the Medical Devices & Instruments industry and Healthcare sector, Intuitive Surgical's EV-to-FCF distribution charts can be found below:
* The bar in red indicates where Intuitive Surgical's EV-to-FCF falls into.
Intuitive Surgical's current Enterprise Value is C$207,961 Mil.
Intuitive Surgical's Free Cash Flow for the trailing twelve months (TTM) ended in Mar. 2026 adds up the quarterly data reported by the company within the most recent 12 months, which was C$3,900 Mil.
* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD. * For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.
Intuitive Surgical (TSX:ISRG) has a EV-to-FCF of 53.33 as of Jul. 05, 2026. EV to FCF ratio is the company's enterprise value divided by free cash flow. View historical data on Intuitive Surgical and its competitors. This is 18% below median its historical median of 64.77. Over the past decade, Intuitive Surgical's EV-to-FCF has ranged from 21.91 to 412.80. According to the industry distribution chart, Intuitive Surgical ranks #317 out of 417 companies in the Medical Devices & Instruments industry, placing it in the top 76%.
Is Intuitive Surgical's EV-to-FCF too high?
Intuitive Surgical's current EV-to-FCF of 53.33 is 18% below median its 10-year median of 64.77. Over the past 10 years, this metric has ranged from a low of 21.91 to a high of 412.80. The Medical Devices & Instruments industry median EV-to-FCF is 23.40. Intuitive Surgical's value of 53.33 is 127.9% above this industry median. Based on the distribution chart, Intuitive Surgical ranks #317 out of 417 companies in the Medical Devices & Instruments industry, which is in the bottom quartile relative to peers. Overall, Intuitive Surgical has a GF Score™ of 75/100 and is considered Modestly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Intuitive Surgical's EV-to-FCF compare to BDX and MDLN?
According to the Medical Devices & Instruments industry distribution chart, Intuitive Surgical ranks #317 out of 417 companies for EV-to-FCF. This places Intuitive Surgical in the lower half of its industry. The industry median EV-to-FCF is 23.40. Intuitive Surgical's value of 53.33 is 127.9% above this benchmark. Historically, Intuitive Surgical's own EV-to-FCF has ranged from 21.91 to 412.80 over the past decade. While the company's 10-year median is 64.77 vs. the industry median of 23.40, Intuitive Surgical has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good EV-to-FCF for a Medical Devices & Instruments company?
The median EV-to-FCF among Medical Devices & Instruments companies is 23.40, based on 417 companies in the industry. Companies in the top quartile (top 25%) have a EV-to-FCF significantly above this median, while those in the bottom quartile fall well below. However, EV-to-FCF should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Intuitive Surgical's current EV-to-FCF of 53.33 is 127.9% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high EV-to-FCF mean?
A high EV-to-FCF can signal that a stock is expensive relative to its fundamentals. EV to FCF ratio is the company's enterprise value divided by free cash flow. View historical data on Intuitive Surgical and its competitors. For the Medical Devices & Instruments industry, the median EV-to-FCF is 23.40 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Intuitive Surgical's current EV-to-FCF is 53.33, which is 18% below median its own 10-year median of 64.77. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Intuitive Surgical stock overvalued right now?
Based on GuruFocus' analysis, Intuitive Surgical (TSX:ISRG) is currently considered Modestly Undervalued. The stock's GF Value™ is C$31.84, compared to a current price of C$22.50 — trading 29.3% below its estimated fair value. The current EV-to-FCF is 53.33, which is 18% below median its 10-year median of 64.77 and 127.9% above the Medical Devices & Instruments industry median of 23.40. Intuitive Surgical's overall GF Score™ is 75/100 with 1 warning sign to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is EV-to-FCF calculated?
EV-to-FCF is calculated from a company's financial statements. For Intuitive Surgical (TSX:ISRG), the current EV-to-FCF is 53.33 as of Jul. 05, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.
Is Intuitive Surgical (TSX:ISRG) Overvalued in 2026?
Based on GuruFocus' analysis, Intuitive Surgical stock appears to be undervalued.
The current stock price of C$22.50 is trading 29.3% below its estimated GF Value™ of C$31.84.
GuruFocus considers Intuitive Surgical to be Modestly Undervalued.
Key valuation signals for TSX:ISRG:
EV-to-FCF: 53.33 (18% below median its 10-year median of 64.77)
GF Value™: C$31.84 vs. price of C$22.50 (29.3% below fair value)
Industry Position: 127.9% above the Medical Devices & Instruments median (#317 of 417)
No single metric tells the full story. See the TSX:ISRG stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.
Intuitive develops, produces, and markets a robotic system for assisting minimally invasive surgery. It also provides the instrumentation, disposable accessories, and warranty services for the system. The company has placed more than 10,000 da Vinci systems in hospitals worldwide, with more than 6,000 installations in the US and a growing number in emerging markets.
75GF Score
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