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Revenue (Details)
$ in Millions
3 Months Ended
Mar. 31, 2022
USD ($)
units
Mar. 31, 2021
USD ($)
Dec. 31, 2021
USD ($)
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax $ 3,026 $ 2,752  
Emerging Markets total countries | units 20    
Net sales $ 3,026 2,752  
Contract with Customer, Liability [Abstract]      
Contract with Customer, Liability 491   $ 484
Change in Contract with Customer, Liability [Abstract]      
Contract with Customer, Liability, Revenue Recognized 42 36  
United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 1,778 1,586  
Net sales 1,778 1,586  
International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 1,248 1,166  
Net sales 1,248 1,166  
Emerging Markets [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 390 317  
Net sales 390 317  
Global Endoscopy (Endo) Reporting Unit [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 531 499  
Net sales 531 499  
Global Endoscopy (Endo) Reporting Unit [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 312 280  
Net sales 312 280  
Global Endoscopy (Endo) Reporting Unit [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 220 219  
Net sales 220 219  
Global Urology (Uro) Reporting Unit [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 413 361  
Net sales 413 361  
Global Urology (Uro) Reporting Unit [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 286 257  
Net sales 286 257  
Global Urology (Uro) Reporting Unit [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 127 104  
Net sales 127 104  
Global CRM Reporting Unit [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 519 469  
Net sales 519 469  
Global CRM Reporting Unit [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 325 276  
Net sales 325 276  
Global CRM Reporting Unit [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 195 193  
Net sales 195 193  
Global Electrophysiology (EP) Reporting Unit [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 118 83  
Net sales 118 83  
Global Electrophysiology (EP) Reporting Unit [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 50 30  
Net sales 50 30  
Global Electrophysiology (EP) Reporting Unit [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 68 53  
Net sales 68 53  
Global Neuromodulation (NM) Reporting Unit [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 209 198  
Net sales 209 198  
Global Neuromodulation (NM) Reporting Unit [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 161 151  
Net sales 161 151  
Global Neuromodulation (NM) Reporting Unit [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 49 46  
Net sales 49 46  
Global Interventional Cardiology (IC) Reporting Unit [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 1,407 1,248  
Net sales 1,407 1,248  
Global Interventional Cardiology (IC) Reporting Unit [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 764 650  
Net sales 764 650  
Global Interventional Cardiology (IC) Reporting Unit [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 644 599  
Net sales 644 599  
Global Peripheral Interventions (PI) Reporting Unit [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 465 433  
Net sales 465 433  
Global Peripheral Interventions (PI) Reporting Unit [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 256 238  
Net sales 256 238  
Global Peripheral Interventions (PI) Reporting Unit [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 210 195  
Net sales 210 195  
Specialty Pharmaceuticals [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 0 13  
Net sales 0 13  
Specialty Pharmaceuticals [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 0 10  
Net sales 0 10  
Specialty Pharmaceuticals [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 0 4  
Net sales 0 4  
Watchman      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 226 170  
Net sales 226 170  
Watchman | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 203 149  
Net sales 203 149  
Watchman | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 23 22  
Net sales 23 22  
Interventional Cardiology Therapies      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 544 526  
Net sales 544 526  
Interventional Cardiology Therapies | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 186 195  
Net sales 186 195  
Interventional Cardiology Therapies | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 358 331  
Net sales 358 331  
BSX Reportable Segments [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 3,026 2,739  
Net sales 3,026 2,739  
BSX Reportable Segments [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 1,778 1,577  
Net sales 1,778 1,577  
BSX Reportable Segments [Member] | EMEA [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 624 604  
Net sales 624 604  
BSX Reportable Segments [Member] | APAC [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 517 473  
Net sales 517 473  
BSX Reportable Segments [Member] | Latin America and Canada [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 107 85  
Net sales 107 85  
MedSurg [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 1,153 1,058  
Net sales 1,153 1,058  
MedSurg [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 758 689  
Net sales 758 689  
MedSurg [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 395 369  
Net sales 395 369  
Cardiovascular [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 1,873 1,681  
Net sales 1,873 1,681  
Cardiovascular [Member] | United States      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 1,019 888  
Net sales 1,019 888  
Cardiovascular [Member] | International [Member]      
Disaggregation of Revenue [Line Items]      
Revenue from Contract with Customer, Excluding Assessed Tax 853 793  
Net sales $ 853 $ 793