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Goodwill and Other Intangible Assets (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Dec. 31, 2014
Goodwill [Line Items]      
Research and Development in Process   $ 6bsx_Inprocessresearchanddevelopment  
Asset Impairment Charges   55us-gaap_AssetImpairmentCharges  
Finite-Lived Intangible Assets, Gross 9,879us-gaap_FiniteLivedIntangibleAssetsGross   9,800us-gaap_FiniteLivedIntangibleAssetsGross
Finite-Lived Intangible Assets, Accumulated Amortization (4,682)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization   (4,572)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
Indefinite-lived intangible assets, including goodwill 15,993bsx_IndefiniteLivedIntangibleAssetsIncludingGoodwill   15,995bsx_IndefiniteLivedIntangibleAssetsIncludingGoodwill
Indefinite-lived intangible assets, accumulated write-offs (9,900)bsx_IndefiniteLivedIntangibleAssetsAccumulatedWriteOffs   (9,900)bsx_IndefiniteLivedIntangibleAssetsAccumulatedWriteOffs
Goodwill 5,896us-gaap_Goodwill   5,898us-gaap_Goodwill
Goodwill, Purchase Accounting Adjustments (2)us-gaap_GoodwillPurchaseAccountingAdjustments    
Goodwill, Impaired, Accumulated Impairment Loss (9,900)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss   (9,900)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
Goodwill (Textuals) [Abstract]      
Goodwill impairment charge 0us-gaap_GoodwillImpairmentLoss    
Core technology   64bsx_Coretechnology  
Intangible assets reclassified from unamortizable to amortizable 76bsx_IntangibleAssetsReclassifiedFromUnamortizableToAmortizable    
Cardiovascular [Member]      
Goodwill [Line Items]      
Goodwill 3,424us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_CardiovascularMember
  3,426us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_CardiovascularMember
Goodwill, Purchase Accounting Adjustments (2)us-gaap_GoodwillPurchaseAccountingAdjustments
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_CardiovascularMember
   
Goodwill, Impaired, Accumulated Impairment Loss (1,479)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_CardiovascularMember
  (1,479)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_CardiovascularMember
Goodwill (Textuals) [Abstract]      
Goodwill impairment charge 0us-gaap_GoodwillImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_CardiovascularMember
   
Rhythm Management [Member]      
Goodwill [Line Items]      
Goodwill 290us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_RhythmManagementMember
  290us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_RhythmManagementMember
Goodwill, Purchase Accounting Adjustments 0us-gaap_GoodwillPurchaseAccountingAdjustments
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_RhythmManagementMember
   
Goodwill, Impaired, Accumulated Impairment Loss (6,960)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_RhythmManagementMember
  (6,960)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_RhythmManagementMember
Goodwill (Textuals) [Abstract]      
Goodwill impairment charge 0us-gaap_GoodwillImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_RhythmManagementMember
   
MedSurg [Member]      
Goodwill [Line Items]      
Goodwill 2,182us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_MedsurgMember
  2,182us-gaap_Goodwill
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_MedsurgMember
Goodwill, Purchase Accounting Adjustments 0us-gaap_GoodwillPurchaseAccountingAdjustments
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_MedsurgMember
   
Goodwill, Impaired, Accumulated Impairment Loss (1,461)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_MedsurgMember
  (1,461)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_MedsurgMember
Goodwill (Textuals) [Abstract]      
Goodwill impairment charge 0us-gaap_GoodwillImpairmentLoss
/ us-gaap_StatementBusinessSegmentsAxis
= bsx_MedsurgMember
   
Unclassified Indefinite-lived Intangible Assets [Member]      
Goodwill [Line Items]      
Goodwill, Gross 15,796us-gaap_GoodwillGross
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_UnclassifiedIndefinitelivedIntangibleAssetsMember
  15,798us-gaap_GoodwillGross
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_UnclassifiedIndefinitelivedIntangibleAssetsMember
Goodwill, Impaired, Accumulated Impairment Loss (9,900)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_UnclassifiedIndefinitelivedIntangibleAssetsMember
  (9,900)us-gaap_GoodwillImpairedAccumulatedImpairmentLoss
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_UnclassifiedIndefinitelivedIntangibleAssetsMember
Technology-related [Member]      
Goodwill [Line Items]      
Indefinite-Lived Intangible Assets (Excluding Goodwill) 197us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= bsx_TechnologyRelatedMember
  197us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= bsx_TechnologyRelatedMember
In-process research and development [Member]      
Goodwill [Line Items]      
Indefinite-Lived Intangible Assets (Excluding Goodwill) 105us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= bsx_PurchasedResearchAndDevelopmentMember
  181us-gaap_IndefiniteLivedIntangibleAssetsExcludingGoodwill
/ us-gaap_IndefiniteLivedIntangibleAssetsByMajorClassAxis
= bsx_PurchasedResearchAndDevelopmentMember
Technology-related [Member]      
Goodwill [Line Items]      
Finite-Lived Intangible Assets, Gross 8,482us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= bsx_TechnologyRelatedMember
  8,406us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= bsx_TechnologyRelatedMember
Finite-Lived Intangible Assets, Accumulated Amortization (3,789)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= bsx_TechnologyRelatedMember
  (3,697)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= bsx_TechnologyRelatedMember
Patents [Member]      
Goodwill [Line Items]      
Finite-Lived Intangible Assets, Gross 522us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_PatentsMember
  519us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_PatentsMember
Finite-Lived Intangible Assets, Accumulated Amortization (347)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_PatentsMember
  (342)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_PatentsMember
Other Intangible Assets [Member]      
Goodwill [Line Items]      
Finite-Lived Intangible Assets, Gross 875us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_OtherIntangibleAssetsMember
  875us-gaap_FiniteLivedIntangibleAssetsGross
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_OtherIntangibleAssetsMember
Finite-Lived Intangible Assets, Accumulated Amortization $ (546)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_OtherIntangibleAssetsMember
  $ (533)us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization
/ us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis
= us-gaap_OtherIntangibleAssetsMember
In Process Research and Development [Member]      
Goodwill (Textuals) [Abstract]      
Fair Value Inputs, Discount Rate   20.00%us-gaap_FairValueInputsDiscountRate
/ bsx_IntangibleAssetsAxis
= us-gaap_InProcessResearchAndDevelopmentMember
 
Core technology [Member]      
Goodwill (Textuals) [Abstract]      
Fair Value Inputs, Discount Rate   15.00%us-gaap_FairValueInputsDiscountRate
/ bsx_IntangibleAssetsAxis
= bsx_CoretechnologyMember