Consolidated Statements of Cash Flows (USD $) In Millions, unless otherwise specified	12 Months Ended
Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Net income (loss)	$ (119)us-gaap_ProfitLoss	$ (121)us-gaap_ProfitLoss	$ (4,068)us-gaap_ProfitLoss
Gain on sale of businesses	(12)	(38)	(15)
Depreciation and amortization	725	689	683
Deferred and prepaid income taxes	(397)	(223)	(166)
Stock-based compensation expense	103us-gaap_ShareBasedCompensation	105us-gaap_ShareBasedCompensation	108us-gaap_ShareBasedCompensation
Goodwill impairment charges	0us-gaap_GoodwillImpairmentLoss	423us-gaap_GoodwillImpairmentLoss	4,350us-gaap_GoodwillImpairmentLoss
Intangible asset impairment charges	195	53	142
Net losses (gains) on investments and notes receivable	(27)us-gaap_GainLossOnInvestments	9us-gaap_GainLossOnInvestments	(37)us-gaap_GainLossOnInvestments
Contingent consideration expense (benefit)	(85)bsx_ContingentConsiderationExpense	4bsx_ContingentConsiderationExpense	(6)bsx_ContingentConsiderationExpense
Payment of contingent consideration in excess of amounts established in purchase accounting	(103)	(5)	(8)
Other, net	27	31	(7)
Trade accounts receivable	53	(101)	37
Inventories	(81)us-gaap_IncreaseDecreaseInInventories	(7)us-gaap_IncreaseDecreaseInInventories	66us-gaap_IncreaseDecreaseInInventories
Other assets	(33)	91	(68)
Accounts payable and accrued expenses	620	(9)	(111)
Other liabilities	403	209	380
Cash provided by operating activities	1,269	1,110	1,280
Investing Activities
Purchases of property, plant and equipment	(259)	(245)	(226)
Proceeds on disposals	0	53	16
Payments for acquisitions of businesses, net of cash acquired	(486)	(274)	(366)
Proceeds from business divestitures, net of costs	12	30	10
Payments for investments and acquisitions of certain technologies	(26)us-gaap_PaymentsToAcquireInvestments	(44)us-gaap_PaymentsToAcquireInvestments	(22)us-gaap_PaymentsToAcquireInvestments
Proceeds from investments and collections of notes receivable	14	5	9
Cash used for investing activities	(745)	(475)	(579)
Financing Activities
Payments of contingent consideration amounts previously established in purchase accounting	(34)	(160)	(146)
Proceeds from long-term borrowings, net of debt issuance costs	0	1,440	0
Payments on long-term borrowings	0us-gaap_RepaymentsOfLongTermDebt	(1,450)us-gaap_RepaymentsOfLongTermDebt	(10)us-gaap_RepaymentsOfLongTermDebt
Proceeds from borrowings on credit facilities	810	340	371
Payments on borrowings from credit facilities	(810)	(340)	(380)
Payments for acquisitions of treasury stock	(125)	(500)	(600)
Cash used to net share settle employee equity awards	(51)	(28)	(20)
Proceeds from issuances of shares of common stock	60	74	21
Cash used for financing activities	(150)	(624)	(764)
Effect of foreign exchange rates on cash	(4)	(1)	3
Net increase (decrease) in cash and cash equivalents	370	10	(60)
Cash and cash equivalents at beginning of period	217	207	267
Cash and cash equivalents at end of period	587	217	207
Supplemental Information
Cash paid for income taxes, net	74us-gaap_IncomeTaxesPaid	67us-gaap_IncomeTaxesPaid	97us-gaap_IncomeTaxesPaid
Cash paid for interest	221us-gaap_InterestPaid	329us-gaap_InterestPaid	255us-gaap_InterestPaid
Fair value of contingent consideration recorded in purchase accounting	$ 3	$ 0	$ 467

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Contingent consideration expense - expense representing the change in fair value of our contingent consideration liabilities

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Amount of currency on hand as well as demand deposits with banks or financial institutions. Includes other kinds of accounts that have the general characteristics of demand deposits. Also includes short-term, highly liquid investments that are both readily convertible to known amounts of cash and so near their maturity that they present insignificant risk of changes in value because of changes in interest rates. Excludes cash and cash equivalents within disposal group and discontinued operation.

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The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase.

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The cash outflow associated with the purchase of all investments (debt, security, other) during the period.

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The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets.

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The cash inflow from the additional capital contribution to the entity.

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The cash inflow associated with security instrument that either represents a creditor or an ownership relationship with the holder of the investment security with a maturity of beyond one year or normal operating cycle, if longer. Includes proceeds from (a) debt, (b) capital lease obligations, (c) mandatory redeemable capital securities, and (d) any combination of (a), (b), or (c).

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The cash inflow from a contractual arrangement with the lender, including letter of credit, standby letter of credit and revolving credit arrangements, under which borrowings can be made up to a specific amount at any point in time with maturities due beyond one year or the operating cycle, if longer.

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The cash inflow from the sale of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale.

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The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest.

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The cash outflow for debt initially having maturity due after one year or beyond the normal operating cycle, if longer.

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The cash outflow for the settlement of obligation drawn from a contractual arrangement with the lender, including letter of credit, standby letter of credit and revolving credit arrangements, under which borrowings can be made up to a specific amount at any point in time with maturities due beyond one year or the operating cycle, if longer.

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The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method.

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