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Trade Ideas

Global Trade Idea - Intuitive Surgical (ISRG US) - BUY

 

By Peet Serfontein, Mmamosa Khanye

We enter a long position with a target price of $506.00 and a stop-loss of $392.00.

Intuitive Surgical is a global leader in minimally-invasive care. The company develops, manufactures, and markets robotic-assisted systems. Their flagship products include the da Vinci surgical systems, which helps surgeons perform procedures in areas including urology, gynaecology and general surgery.

With strong growth prospects over the medium term, the company strives to make surgery more effective, less invasive and easier on surgeons, patients and their families.

Technically, the price at the lower range of an upward sloping linear regression channel pattern makes the stock an interesting candidate for a long position (chart not included). The recent pullback appears to be a correction toward the channel's lower support range rather than a break in trend. A sustained recovery from current levels could support further upside potential.

The recurring pattern of positive returns following each completed negative year also supports a bullish case for the stock (see the insert). ISRG's historical performance shows that each of its six negative calendar years was followed by a positive year, often with a strong rebound, suggesting that periods of weakness have typically been temporary within the broader growth story. While this pattern provides a constructive backdrop for 2026, confirmation through improving momentum, a break above key resistance levels, or a sustained trend recovery would be needed to strengthen the bullish case.

Upside price momentum, according to the Moving Average Convergence Divergence (MACD) histogram, and the recent sideways trajectory in the On-balance volume (OBV) indicator, supports the bullish stance.

Share performance

Share information

Share CodeISRG US
IndustryHealth Care Equipment & Service
Market Capital (USD)149.1 billion
One-Year Total Return-3.28%
Return Year-to-Date-25.48%
Current Price (USD)422.06
52-Week High (USD)603.88
52-Week Low (USD)328.57
Financial Year EndDecember
The price remains below its 200-day simple moving average (SMA) indicating that the longer-term trend has not yet regained strength.

Consensus expectations (Bloomberg)

FY25FY26EFY27EFY28E
Headline Earnings per Share (USD)8.9310.7812.1013.58
Growth (%)20.6712.2712.21
Dividend Per Share (USD)0.000.000.000.00
Growth (%)---
Forward PE (times)35.7231.8331.09
Forward Dividend Yieldd (%)0.000.000.00
The company is set to deliver positive double-digit earnings growth over the medium term, supported by an aggressive product upgrade cycle and a resilient recurring revenue flywheel.

Buy/sell rationale

Technical analysis:

    • The lower panel is the Relative Strength Index (RSI) bullish divergence indicator for the stock. The insert shows ISRG making a lower price low while the RSI forms a higher low, suggesting that selling pressure may be easing, and downside momentum is weakening. While this supports a bullish bias and the potential for price stabilisation or recovery, confirmation would require stronger price action, such as higher lows, a break above resistance, or improving momentum.
    • Our recommended entry range is $414.00 to $429.00, or as close as possible to $422.06 - a drop below this range would indicate a substantial change in price dynamics, giving reason to negate the trade idea.
    • Our target price is $506.00, representing ~19.9% upside from current levels.
    • Our proposed time to exit is end-December 2026, but investors can adjust for a longer or shorter time horizon, depending on price behaviour.
    • A drop below $392.00, or -7.1% below current levels, would suggest weakening technicals, and a stop-loss is recommended at this level.
    • We expect moderate price fluctuations and suggest a medium at-risk allocation for this trade. increase exposure to high at-risk for a break above $429.00

Fundamental view:

    • Intuitive Surgical operates as a single business segment focused on robotic-assisted, minimally-invasive care with a product portfolio categorised into systems (da Vinci and Ion), instruments and accessories, learning services, and digital solutions.
    • Geographically, the company has a significant global presence with most of its business in the United States (US) accounting for 67.7% of total revenue in FY25. The remaining 32.3% of revenue comes from outside the US (OUS) markets. The company uses a direct sales model in the US, Canada, Japan, South Korea, India, Taiwan and most of Europe, with distributors covering remaining international markets.
    • In March 2026, Intuitive Surgical completed the acquisition of the da Vinci and Ion distribution businesses in Southern Europe for ~€290 million upfront plus potential milestone payments. The transaction brings sales and support operations in Italy, Spain, Portugal, Malta and surrounding territories in-house, strengthening customer relationships, commercial execution and adoption of its robotic surgery and lung biopsy platforms.
    • In 2Q26, adjusted earnings per share (EPS) increased 28% to $2.80 and revenue jumped 19% to $2.89 billion. This performance was driven by strong growth in Da Vinci Procedure (+15%) as well as strong momentum in Da Vinci Installed base (+12%).
    • The company also shipped 468 da Vinci systems (including 246 da Vinci 5 units) and 55 Ion systems, expanding total installed bases to 11 710 and 1 096 systems, respectively.
    • The company remains on track to meet FY26 guidance, though it now expects the worldwide da Vinci procedure growth of about 13.5% to 15.5%, with management expecting to land closer to the midpoint. The gross margin will range between 68% and 69%.
    • Intuitive' s main risks are tariffs and supply-chain exposure (most instruments are made in Mexico and most endoscopes in Germany, with sole source suppliers), along with hospital capital spending, healthcare reform and payer pressure, and competition. The company also faces regulatory and legal risk from integrating the Southern Europe distributor acquisition.

Update on previous trade ideas

Share name and position EntryCurrent priceMovementCommentTime to exit
VST - Buy (Continue to hold)139.03162.36+16.8%Price action near the lower boundary of the rising channel remains constructive. The stock has moved just above its 200-day SMA. Weak upside momentum supports the trade idea. We maintain our $176.00 profit target, and our $124.00 and $154.00 trailing stop-loss. 18 November 2026
TXN - Buy (Continue to hold)263.42287.85+9.3%The price has bounced back from the 38.2% Fibonacci retracement and remains above its 200-day SMA. Fading downside momentum supports the trade idea. We maintain our $322.00 profit target and $275.00 trailing stop-loss. 17 November 2026
GILD - Buy (Continue to hold)135.7714.92+8.9%AI model forecast levels remain relevant, while the price holds above its 200-day SMA. Fading upside momentum, however, remains a concern for the trade idea. We maintain our $155.00 profit target and $144.00 trailing stop-loss. 18 November 2026
COST - Buy (Continue to hold)924.59954.63+3.2%The weekly De-trended Price Oscillator (DPO) remains deeply negative, while the price sits just below and appears to be approaching its 200-day SMA. Early signs of upward momentum support trade idea. We maintain our $1 040.00 profit target and $935.00 trailing stop-loss. 17 December 2026.
UI - Buy (Continue to hold)626.48620.24-1.0%The developing falling-wedge pattern remains of interest. Price is just below, but approaching, its 200-day SMA. Upside momentum supports the trade idea. We maintain our $780.00 profit target and a trailing stop-loss at $595.00. 24 February 2027

This trade idea can be actioned through FNB Global Trader by visiting shares.fnb.co.za.

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