<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019e6ca1-4b14-7165-b1cc-6273f2578860,g:36cfcfff-580b-4645-87b5-0d10e9abcc1a-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument" xlink:type="simple" xlink:href="isrg-20260528.xsd#DocumentandEntityInformationDocument"/>
  <link:presentationLink xlink:role="http://www.intuitivesurgical.com/role/DocumentandEntityInformationDocument" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019e6ca1-4b15-742a-91b4-620fd6a09550" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentType"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_DocumentType_019e6ca1-4b15-742a-91b4-620fd6a09550" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019e6ca1-4b15-7837-b788-1b5836c428fd" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_DocumentPeriodEndDate_019e6ca1-4b15-7837-b788-1b5836c428fd" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019e6ca1-4b15-729f-9e3a-4380bbff8832" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityRegistrantName_019e6ca1-4b15-729f-9e3a-4380bbff8832" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019e6ca1-4b15-7532-82c0-22156b087d6a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019e6ca1-4b15-7532-82c0-22156b087d6a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019e6ca1-4b15-7287-bbdc-1800c842e8f0" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityFileNumber_019e6ca1-4b15-7287-bbdc-1800c842e8f0" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019e6ca1-4b15-71fb-9745-58c08097adea" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityTaxIdentificationNumber_019e6ca1-4b15-71fb-9745-58c08097adea" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019e6ca1-4b15-76db-9807-ffb4aaf033f9" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityAddressAddressLine1_019e6ca1-4b15-76db-9807-ffb4aaf033f9" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019e6ca1-4b15-74f7-b34e-b5dd072cb038" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityAddressCityOrTown_019e6ca1-4b15-74f7-b34e-b5dd072cb038" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019e6ca1-4b15-738c-9054-d7f32a192f75" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityAddressStateOrProvince_019e6ca1-4b15-738c-9054-d7f32a192f75" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019e6ca1-4b15-7c9e-bd6b-44da572758a7" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityAddressPostalZipCode_019e6ca1-4b15-7c9e-bd6b-44da572758a7" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019e6ca1-4b15-7657-a6cd-2856e2c25ec5" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_CityAreaCode_019e6ca1-4b15-7657-a6cd-2856e2c25ec5" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019e6ca1-4b15-7c56-adce-69015ad5ff2a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_LocalPhoneNumber_019e6ca1-4b15-7c56-adce-69015ad5ff2a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019e6ca1-4b15-794e-ad8c-5ce9e6dbf452" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_WrittenCommunications_019e6ca1-4b15-794e-ad8c-5ce9e6dbf452" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019e6ca1-4b15-7c80-a82f-c24b9e535ba4" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_SolicitingMaterial_019e6ca1-4b15-7c80-a82f-c24b9e535ba4" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019e6ca1-4b15-7222-82bd-18ab99f08bae" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_PreCommencementTenderOffer_019e6ca1-4b15-7222-82bd-18ab99f08bae" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019e6ca1-4b15-7c1f-812a-dd885c178f70" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019e6ca1-4b15-7c1f-812a-dd885c178f70" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019e6ca1-4b15-7637-8c12-7e500654da37" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_Security12bTitle_019e6ca1-4b15-7637-8c12-7e500654da37" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019e6ca1-4b15-7a7e-a1cb-5a0e49380e8d" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_TradingSymbol_019e6ca1-4b15-7a7e-a1cb-5a0e49380e8d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019e6ca1-4b15-76e3-91f0-9d5014636c89" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_SecurityExchangeName_019e6ca1-4b15-76e3-91f0-9d5014636c89" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019e6ca1-4b15-7950-ad3a-d8dad87e4442" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityEmergingGrowthCompany_019e6ca1-4b15-7950-ad3a-d8dad87e4442" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019e6ca1-4b15-7f04-9399-d959998d784b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_EntityCentralIndexKey_019e6ca1-4b15-7f04-9399-d959998d784b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019e6ca1-4b15-7245-bbcf-8963ac42bbde" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_AmendmentFlag_019e6ca1-4b15-7245-bbcf-8963ac42bbde" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CurrentFiscalYearEndDate_019e6ca1-4b15-7c47-904b-318050045d0e" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CurrentFiscalYearEndDate"/>
    <link:presentationArc order="23" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019e6ca1-4b15-738f-bfd5-5df40d39c282" xlink:to="loc_dei_CurrentFiscalYearEndDate_019e6ca1-4b15-7c47-904b-318050045d0e" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
