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

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019ed6ca-ee90-739b-9659-43edb3402830,g:f0adc66b-13a6-48f2-ad5f-b55e5ebcbd5a-->
<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.bostonscientific.com/role/CoverDocument" xlink:type="simple" xlink:href="bsx-20260729.xsd#CoverDocument"/>
  <link:presentationLink xlink:role="http://www.bostonscientific.com/role/CoverDocument" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019ed6ca-ee90-7589-b15d-db070c117442" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntitiesTable_019ed6ca-ee90-7f32-9b9f-46e537be073a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntitiesTable"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019ed6ca-ee90-7589-b15d-db070c117442" xlink:to="loc_dei_EntitiesTable_019ed6ca-ee90-7f32-9b9f-46e537be073a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_StatementClassOfStockAxis_019ed6ca-ee90-7779-80df-d3d30eb78b9a" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_StatementClassOfStockAxis"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntitiesTable_019ed6ca-ee90-7f32-9b9f-46e537be073a" xlink:to="loc_us-gaap_StatementClassOfStockAxis_019ed6ca-ee90-7779-80df-d3d30eb78b9a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_ClassOfStockDomain_019ed6ca-ee90-7a67-bfbf-d7cc2024c26e" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_ClassOfStockDomain"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_us-gaap_StatementClassOfStockAxis_019ed6ca-ee90-7779-80df-d3d30eb78b9a" xlink:to="loc_us-gaap_ClassOfStockDomain_019ed6ca-ee90-7a67-bfbf-d7cc2024c26e" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_us-gaap_CommonStockMember_019ed6ca-ee90-792e-8476-18e48263d0de" xlink:href="https://xbrl.fasb.org/us-gaap/2026/elts/us-gaap-2026.xsd#us-gaap_CommonStockMember"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_us-gaap_ClassOfStockDomain_019ed6ca-ee90-7a67-bfbf-d7cc2024c26e" xlink:to="loc_us-gaap_CommonStockMember_019ed6ca-ee90-792e-8476-18e48263d0de" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_bsx_SeniorNotedue2027Member_019ed6ca-ee90-7e10-bc10-93691be59397" xlink:href="bsx-20260729.xsd#bsx_SeniorNotedue2027Member"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_us-gaap_ClassOfStockDomain_019ed6ca-ee90-7a67-bfbf-d7cc2024c26e" xlink:to="loc_bsx_SeniorNotedue2027Member_019ed6ca-ee90-7e10-bc10-93691be59397" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityInformationLineItems"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntitiesTable_019ed6ca-ee90-7f32-9b9f-46e537be073a" xlink:to="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019ed6ca-ee90-7909-8fc5-cde2b3cdb29b" 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_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_DocumentType_019ed6ca-ee90-7909-8fc5-cde2b3cdb29b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019ed6ca-ee90-7cc9-b4fc-b606ccbc4848" 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_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_DocumentPeriodEndDate_019ed6ca-ee90-7cc9-b4fc-b606ccbc4848" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019ed6ca-ee90-7241-96e8-1a4e86f56216" 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_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityRegistrantName_019ed6ca-ee90-7241-96e8-1a4e86f56216" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019ed6ca-ee90-7e50-b63d-bad9dac1af1b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_AmendmentFlag_019ed6ca-ee90-7e50-b63d-bad9dac1af1b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019ed6ca-ee90-7972-9598-7037cbe45212" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019ed6ca-ee90-7972-9598-7037cbe45212" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019ed6ca-ee90-756d-89c1-e72376e5dbd5" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityFileNumber_019ed6ca-ee90-756d-89c1-e72376e5dbd5" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019ed6ca-ee90-7b22-83f4-52c6606ebfda" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityTaxIdentificationNumber_019ed6ca-ee90-7b22-83f4-52c6606ebfda" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019ed6ca-ee90-7c06-a5e7-228d2311d342" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityAddressAddressLine1_019ed6ca-ee90-7c06-a5e7-228d2311d342" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019ed6ca-ee90-7baf-856f-a9fbd2820b14" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityAddressCityOrTown_019ed6ca-ee90-7baf-856f-a9fbd2820b14" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019ed6ca-ee90-7d80-b0aa-3a049f83ab6f" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityAddressStateOrProvince_019ed6ca-ee90-7d80-b0aa-3a049f83ab6f" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019ed6ca-ee90-7db4-9b0f-c43e345254ed" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityAddressPostalZipCode_019ed6ca-ee90-7db4-9b0f-c43e345254ed" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019ed6ca-ee90-75f1-baab-efa2db184d9a" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_CityAreaCode_019ed6ca-ee90-75f1-baab-efa2db184d9a" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019ed6ca-ee90-7c87-9bdd-98101d74376b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_LocalPhoneNumber_019ed6ca-ee90-7c87-9bdd-98101d74376b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019ed6ca-ee90-7c06-9a1b-fe75cd2636a1" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_WrittenCommunications_019ed6ca-ee90-7c06-9a1b-fe75cd2636a1" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019ed6ca-ee90-7086-94d2-c83eaba91a3d" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_SolicitingMaterial_019ed6ca-ee90-7086-94d2-c83eaba91a3d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019ed6ca-ee90-7719-b30d-a5038b315bf5" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_PreCommencementTenderOffer_019ed6ca-ee90-7719-b30d-a5038b315bf5" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019ed6ca-ee90-7992-859c-720d2f7d6811" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019ed6ca-ee90-7992-859c-720d2f7d6811" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019ed6ca-ee90-7816-a7d2-1a811809cf24" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_Security12bTitle_019ed6ca-ee90-7816-a7d2-1a811809cf24" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019ed6ca-ee90-7272-a8e7-2512cab7ee63" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_TradingSymbol_019ed6ca-ee90-7272-a8e7-2512cab7ee63" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019ed6ca-ee90-700a-97df-80fb81608c70" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_SecurityExchangeName_019ed6ca-ee90-700a-97df-80fb81608c70" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019ed6ca-ee90-7110-a5a7-da4a5f9d6fa6" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityEmergingGrowthCompany_019ed6ca-ee90-7110-a5a7-da4a5f9d6fa6" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019ed6ca-ee90-7e13-829b-2cf3fa15a0b2" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_EntityInformationLineItems_019ed6ca-ee90-726a-89a6-9bcdcb5b4222" xlink:to="loc_dei_EntityCentralIndexKey_019ed6ca-ee90-7e13-829b-2cf3fa15a0b2" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
