-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
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<SEC-DOCUMENT>0001313996-06-000012.txt : 20061121
<SEC-HEADER>0001313996-06-000012.hdr.sgml : 20061121
<ACCEPTANCE-DATETIME>20061121193545
ACCESSION NUMBER:		0001313996-06-000012
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20061121
FILED AS OF DATE:		20061121
DATE AS OF CHANGE:		20061121

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			VARIAN MEDICAL SYSTEMS INC
		CENTRAL INDEX KEY:			0000203527
		STANDARD INDUSTRIAL CLASSIFICATION:	ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
		IRS NUMBER:				942359345
		STATE OF INCORPORATION:			DE
		FISCAL YEAR END:			0905

	BUSINESS ADDRESS:	
		STREET 1:		3100 HANSEN WAY
		CITY:			PALO ALTO
		STATE:			CA
		ZIP:			94304-1000
		BUSINESS PHONE:		6504934000

	MAIL ADDRESS:	
		STREET 1:		3050 HANSEN WAY
		STREET 2:		MAIL STOP E 224
		CITY:			PALO ALTO
		STATE:			CA
		ZIP:			94304-1000

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	VARIAN ASSOCIATES INC /DE/
		DATE OF NAME CHANGE:	19920703

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	VARIAN DELAWARE INC
		DATE OF NAME CHANGE:	19761123

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			WILSON DOW R
		CENTRAL INDEX KEY:			0001313996

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-07598
		FILM NUMBER:		061234111

	BUSINESS ADDRESS:	
		BUSINESS PHONE:		6504246416

	MAIL ADDRESS:	
		STREET 1:		VARIAN MEDICAL SYSTEMS INC
		STREET 2:		3100 HANSEN WAY MAIL STOP E327
		CITY:			PALO ALTO
		STATE:			CA
		ZIP:			94304
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>edgardoc.xml
<DESCRIPTION>PRIMARY DOCUMENT
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0202</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2006-11-21</periodOfReport>

    <notSubjectToSection16>0</notSubjectToSection16>

    <issuer>
        <issuerCik>0000203527</issuerCik>
        <issuerName>VARIAN MEDICAL SYSTEMS INC</issuerName>
        <issuerTradingSymbol>VAR</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001313996</rptOwnerCik>
            <rptOwnerName>WILSON DOW R</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O VARIAN MEDICAL SYSTEMS, INC.</rptOwnerStreet1>
            <rptOwnerStreet2>3100 HANSEN WAY, M/S E-327</rptOwnerStreet2>
            <rptOwnerCity>PALO ALTO</rptOwnerCity>
            <rptOwnerState>CA</rptOwnerState>
            <rptOwnerZipCode>94304</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>1</isOfficer>
            <isTenPercentOwner>0</isTenPercentOwner>
            <isOther>0</isOther>
            <officerTitle>EVP and Pres. Oncology Sys.</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <derivativeTable>
        <derivativeTransaction>
            <securityTitle>
                <value>Non-Qualified Stock Option (right to buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>50.66</value>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2006-11-21</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>125000</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <footnoteId id="F1"/>
            </exerciseDate>
            <expirationDate>
                <value>2016-11-21</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>125000</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>125000</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">Stock option granted under the Varian Medical Systems, Inc. Omnibus Stock Plan, which complies with Rule 16b-3.  The option vests as follows: one third on 11/21/07, and the remaining shares in 24 equal installments over the 24 months following the first vesting date.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>By: Franco N. Palomba  For: Dow R. Wilson by attached POA</signatureName>
        <signatureDate>2006-11-21</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
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