Acquisitions and Joint Venture - Narrative (Details) - USD ($)		1 Months Ended	3 Months Ended		9 Months Ended
	Dec. 17, 2021	Mar. 31, 2022	Oct. 31, 2022	Jul. 31, 2022	Jul. 31, 2022	Jul. 31, 2021	Oct. 31, 2021	Feb. 01, 2021	Jan. 19, 2021
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life					13 years
Goodwill				$ 3,665,800,000	$ 3,665,800,000		$ 2,574,000,000
Proceeds from sale of interest in a subsidiary		$ 52,100,000			$ 52,100,000	$ 0
Payments to form joint venture		10,000,000
Equity method investments		90,000,000
Equity method investment realized gain		$ 56,900,000
SightGlass Vision, Inc.
Business Acquisition [Line Items]
Equity method investment, ownership percentage		50.00%		50.00%	50.00%
Essilor International SAS
Business Acquisition [Line Items]
Payments to form joint venture		$ 10,000,000
Privately-Held Medical Device Company, Developed Mara Water Vapor Ablation System
Business Acquisition [Line Items]
Goodwill								$ 0
Composite intangible asset
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life					15 years
Trademarks
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life					14 years
Line of Credit | Term Loan Facility 2021
Business Acquisition [Line Items]
Proceeds from line of credit	$ 1,500,000,000
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event
Business Acquisition [Line Items]
Aggregate consideration			$ 875,000,000
Payments to acquire business			675,000,000
Payables incurred in acquisition			200,000,000
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event | Payables First Installment
Business Acquisition [Line Items]
Payables incurred in acquisition			50,000,000
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event | Payables Second Installment
Business Acquisition [Line Items]
Payables incurred in acquisition			50,000,000
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event | Payables Third Installment
Business Acquisition [Line Items]
Payables incurred in acquisition			50,000,000
Cook Medicals Reproductive Health Business | Forecast | Subsequent Event | Payables Fourth Installment
Business Acquisition [Line Items]
Payables incurred in acquisition			$ 50,000,000
Generate Life Sciences
Business Acquisition [Line Items]
Payments to acquire business	$ 1,663,000,000
Ownership percentage	100.00%
Measurement period adjustment to goodwill				$ 33,800,000	$ 96,100,000
Actual revenue generated					177,300,000
Actual net income generated					$ 20,900,000
Goodwill	$ 1,196,500,000
Generate Life Sciences | Composite intangible asset
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life					13 years
Generate Life Sciences | Trademarks
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life					14 years
Generate Life Sciences | Line of Credit | Term Loan Facility 2021
Business Acquisition [Line Items]
Proceeds from line of credit	$ 1,500,000,000
Privately-Held Medical Device Company, Spectacle Lenses, Portion Attributable To Former Equity Interest Owners
Business Acquisition [Line Items]
Undiscounted range of the contingent consideration, minimum									$ 0
Undiscounted range of the contingent consideration, maximum									$ 139,100,000
Payment to settle former equity interest owners		$ 42,900,000
Net gains recognized				0	$ 12,200,000
Contingent consideration				$ 31,800,000	$ 31,800,000