2 Reasons to Like ISRG (and 1 Not So Much)

By Petr Huřťák | August 21, 2025, 12:03 AM

ISRG Cover Image

Over the last six months, Intuitive Surgical’s shares have sunk to $480, producing a disappointing 18.9% loss - a stark contrast to the S&P 500’s 6.4% gain. This may have investors wondering how to approach the situation.

Following the drawdown, is now a good time to buy ISRG? Find out in our full research report, it’s free.

Why Does ISRG Stock Spark Debate?

Pioneering minimally invasive surgery since its first da Vinci system was FDA-cleared in 2000, Intuitive Surgical (NASDAQ:ISRG) develops and manufactures robotic-assisted surgical systems that enable minimally invasive procedures across various medical specialties.

Two Positive Attributes:

1. Elevated Demand Drives Higher Sales Volumes

Revenue growth can be broken down into changes in price and volume (the number of units sold). While both are important, volume is the lifeblood of a successful Surgical Equipment & Consumables - Specialty company because there’s a ceiling to what customers will pay.

Intuitive Surgical’s system placement punched in at 395 in the latest quarter, and over the last two years, averaged 11.4% year-on-year growth. This performance was impressive and shows its offerings have a unique value proposition (and perhaps some degree of customer loyalty).

Intuitive Surgical System Placement

2. Outstanding Long-Term EPS Growth

We track the long-term change in earnings per share (EPS) because it highlights whether a company’s growth is profitable.

Intuitive Surgical’s astounding 17.7% annual EPS growth over the last five years aligns with its revenue performance. This tells us its incremental sales were profitable.

Intuitive Surgical Trailing 12-Month EPS (Non-GAAP)

One Reason to be Careful:

New Investments Fail to Bear Fruit as ROIC Declines

A company’s ROIC, or return on invested capital, shows how much operating profit it makes compared to the money it has raised (debt and equity).

We like to invest in businesses with high returns, but the trend in a company’s ROIC is what often surprises the market and moves the stock price. On average, Intuitive Surgical’s ROIC decreased by 3.1 percentage points annually over the last few years. Only time will tell if its new bets can bear fruit and potentially reverse the trend.

Intuitive Surgical Trailing 12-Month Return On Invested Capital

Final Judgment

Intuitive Surgical has huge potential even though it has some open questions. After the recent drawdown, the stock trades at 57.4× forward P/E (or $480 per share). Is now a good time to buy? See for yourself in our full research report, it’s free.

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