Statement of Changes in Beneficial Ownership - Form 4

Ownership Submission

FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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(Print or Type Responses)

1. Name and Address of Reporting Person * Samath Jamie 2. Issuer Name and Ticker or Trading Symbol INTUITIVE SURGICAL INC [ISRG] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) _____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) See Remarks (Last) (First) (Middle) 1020 KIFER ROAD 3. Date of Earliest Transaction (Month/Day/Year) 11/08/2024 (Street) SUNNYVALE, CA 94086 4. If Amendment, Date Original Filed (Month/Day/Year) 6. Individual or Joint/Group Filing (Check Applicable Line) _X_ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Code V Amount (A) or (D) Price Common Stock 11/08/2024 M(1) 3,007 A $290.33 11,764 D Common Stock 11/08/2024 M(1) 2,352 A $347.4167 14,116 D Common Stock 11/08/2024 M(1) 2,352 A $245.60 16,468 D Common Stock 11/08/2024 M(1) 1,515 A $242.3367 17,983 D Common Stock 11/08/2024 M(1) 1,521 A $177.9867 19,504 D Common Stock 11/08/2024 M(1) 1,449 A $166.6233 20,953 D Common Stock 11/08/2024 M(1) 1,449 A $182.8333 22,402 D Common Stock 11/08/2024 M(1) 432 A $174.2567 22,834 D Common Stock 11/08/2024 M(1) 432 A $139.52 23,266 D Common Stock 11/08/2024 M(1) 2,694 A $304.67 25,960 D Common Stock 11/08/2024 M(1) 2,693 A $229.39 28,653 D Common Stock 11/08/2024 M(1) 3,007 A $208.90 31,660 D Common Stock 11/08/2024 S(1) 22,903 D $525 8,757 D Common Stock 11/11/2024 M(1) 134 A $304.67 8,891 D Common Stock 11/11/2024 M(1) 135 A $229.39 9,026 D Common Stock 11/11/2024 S(1) 269 D $539.89 8,757 D

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)	5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)	6. Date Exercisable and Expiration Date (Month/Day/Year)	7. Title and Amount of Underlying Securities (Instr. 3 and 4)	8. Price of Derivative Security (Instr. 5)	9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Non-Qualified Stock Option (right to buy)	$290.33	11/08/2024		M(1)			3,007	(2)	02/28/2029	Common Stock	3,007	$ 0	1,504	D
Non-Qualified Stock Option (right to buy)	$347.4167	11/08/2024		M(1)			2,352	(3)	08/26/2031	Common Stock	2,352	$ 0	213	D
Non-Qualified Stock Option (right to buy)	$245.60	11/08/2024		M(1)			2,352	(2)	02/26/2031	Common Stock	2,352	$ 0	213	D
Non-Qualified Stock Option (right to buy)	$242.3367	11/08/2024		M(1)			1,515	(4)	08/28/2030	Common Stock	1,515	$ 0	0	D
Non-Qualified Stock Option (right to buy)	$177.9867	11/08/2024		M(1)			1,521	(4)	02/28/2030	Common Stock	1,521	$ 0	0	D
Non-Qualified Stock Option (right to buy)	$166.6233	11/08/2024		M(1)			1,449	(4)	08/15/2029	Common Stock	1,449	$ 0	0	D
Non-Qualified Stock Option (right to buy)	$182.8333	11/08/2024		M(1)			1,449	(4)	02/15/2029	Common Stock	1,449	$ 0	0	D
Non-Qualified Stock Option (right to buy)	$174.2567	11/08/2024		M(1)			432	(4)	08/15/2028	Common Stock	432	$ 0	0	D
Non-Qualified Stock Option (right to buy)	$139.52	11/08/2024		M(1)			432	(4)	02/15/2028	Common Stock	432	$ 0	0	D
Non-Qualified Stock Option (right to buy)	$304.67	11/08/2024		M(1)			2,694	(6)	08/09/2030	Common Stock	2,694	$ 0	3,770	D
Non-Qualified Stock Option (right to buy)	$229.39	11/08/2024		M(1)			2,693	(5)	02/27/2030	Common Stock	2,693	$ 0	3,771	D
Non-Qualified Stock Option (right to buy)	$208.90	11/08/2024		M(1)			3,007	(3)	08/28/2029	Common Stock	3,007	$ 0	1,504	D
Non-Qualified Stock Option (right to buy)	$229.39	11/11/2024		M(1)			135	(5)	02/27/2030	Common Stock	135	$ 0	3,636	D
Non-Qualified Stock Option (right to buy)	$304.67	11/11/2024		M(1)			134	(6)	08/09/2030	Common Stock	134	$ 0	3,636	D

Reporting Owners

Reporting Owner Name / Address	Relationships
Director	10% Owner	Officer	Other
Samath Jamie 1020 KIFER ROAD SUNNYVALE, CA 94086			See Remarks

Signatures

By: Donna Spinola For: Samath, Jamie	11/12/2024
**Signature of Reporting Person	Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	The transaction took place in accordance with a Trading Plan that complies with SEC Rule 10b5-1 and expires on May 6, 2025.
(2)	The option vests 1/8th six months after the date of grant and 1/48th monthly thereafter.
(3)	The option vests 7/48th one month after the date of grant and 1/48th monthly thereafter.
(4)	The option is fully vested and exercisable.
(5)	12.5% of the shares subject to the option vest on the six-month anniversary measured from February 10, 2023, and 1/48th of the total number of shares vest in forty-two (42) successive and equal monthly installments thereafter, subject to Reporting Person's continuous service to the Issuer through each such vesting date.
(6)	7/48th of the shares subject to the option vest on the one-month anniversary measured from August 10, 2023, and 1/48th of the total number of shares vest in forty-one (41) successive and equal monthly installments thereafter, subject to Reporting Person's continuous service to the Issuer through each such vesting date.
Remarks: Title: CFO and Head of Business Technology; Exhibit 24.1 - Power of Attorney

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