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Pay vs Performance Disclosure - USD ($)
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure [Table]      
Pay vs Performance [Table Text Block]
Year(1)
Summary Compensation Table Total for CEO/PEO ($)
Compensation Actually Paid to CEO/PEO ($)(2)
Average Summary Compensation Table for Non-PEO Named Executive Officers ($)
Average Compensation Actually Paid to Non-PEO Named Executive Officers ($)(3)
Value of Initial Fixed $100
Investment Based On:		Net
Income
($ millions)
Adjusted
Net
Sales
($ millions)(5)
Total Shareholder Return ($)
Peer Group Total Shareholder Return ($)(4)
202216,941,961 21,632,710 4,438,118 5,538,868 102.32 113.92 698 13,206 
202116,064,039 20,440,299 3,905,481 4,972,710 93.94 140.40 1,041 11,646 
202013,773,795 (5,088,265)3,705,762 (443,641)79.50 117.63 (82)9,955 
    
Company Selected Measure Name Adjusted Net Sales    
Named Executive Officers, Footnote [Text Block] The CEO/PEO and NEO/Non-PEO Named Executive Officers included in the above compensation columns reflect the following:
YearCEO/PEONon-PEO NEOs
2022Michael F. MahoneyDaniel J. Brennan, Joseph M. Fitzgerald, Jefferey J. Mirviss and Arthur C. Butcher
2021Michael F. MahoneyDaniel J. Brennan, Joseph M. Fitzgerald, Jefferey J. Mirviss and David A. Pierce
2020Michael F. MahoneyDaniel J. Brennan, Joseph M. Fitzgerald, Jefferey J. Mirviss and Edward F. Mackey
    
Peer Group Issuers, Footnote [Text Block] We selected the Standard & Poor (S&P) 500 Health Care Index (referred to herein as the “Health Care Index”) as our peer group for purposes of this disclosure, which was comprised of 62-64 companies for the years 2020-2022 included in the S&P 500 that are classified as members of the GICS® Health Care sector primarily engaged in Health Care Equipment and Services, Pharmaceuticals, Biotechnology and Life Sciences, including the Company and other mid-cap and large-cap healthcare companies. The Health Care Index is the same performance peer group selected by the Compensation Committee for determining the achievement of targets of TSR performance-based deferred stock units (DSUs) and RSUs granted to our NEOs, including our CEO, between 2020 and 2022. See the Compensation Discussion & Analysis section titled “Long Term Incentives” in this Proxy Statement for additional information.    
PEO Total Compensation Amount $ 16,941,961 $ 16,064,039 $ 13,773,795
PEO Actually Paid Compensation Amount $ 21,632,710 20,440,299 (5,088,265)
Adjustment To PEO Compensation, Footnote [Text Block] "Compensation Actually Paid" to the CEO/PEO reflect the following adjustments from Total Compensation reported in the Summary Compensation Table:
Adjustments to Determine Compensation “Actually Paid” for CEO/PEO
2022
($)
2021
($)
2020
($)
Total Reported in Summary Compensation Table16,941,961 16,064,039 13,773,795 
Less Change in Actuarial Present Value reported under the “Change in Pension Value and Non-qualified Deferred Compensation Earnings” Column of the SCT
376,667 360,000 399,686 
Plus “Service Cost” for Pension Plans
00375,972 
Less for Amounts Reported under the “Stock Awards” Column in the SCT
9,924,100 9,126,292 8,395,367 
Less for Amounts Reported under the “Option Awards” Column in the SCT
2,874,985 2,749,999 2,749,991 
Plus the Fair Value of Awards Granted during covered year that Remain Unvested as of Year-end
13,748,034 14,273,008 7,458,564 
Plus the Change in Fair Value from prior Year-end to current Year-end of Awards Granted prior to covered year that were Outstanding and Unvested as of Year-end
4,283,677 2,596,137 (13,208,804)
Plus the Change in Fair Value from prior Year-end to Vesting Date of Awards Granted prior to covered year that Vested during covered year315,254 903,733 (1,942,748)
Less the Fair Value as of prior Year-End of Awards Granted prior to covered year that were Forfeited during covered year
480,464 1,160,327 0
Total Adjustments
4,690,749 4,376,260 (18,862,060)
Compensation Actually Paid21,632,710 20,440,299 (5,088,265)
“Compensation Actually Paid” does not correlate to the total amount of cash or equity compensation realized during each fiscal year and is different from “realizable” or “realized” compensation as reported in the Compensation Discussion & Analysis. Instead, it is a nuanced calculation that includes the increase or decrease in value of certain elements of compensation over each fiscal year, including compensation granted in a prior year, in accordance with Item 402(v) of Regulation S-K. The amount of compensation ultimately received may, in fact, be different from the amounts disclosed in these columns of the PVP Table.
    
Non-PEO NEO Average Total Compensation Amount $ 4,438,118 3,905,481 3,705,762
Non-PEO NEO Average Compensation Actually Paid Amount $ 5,538,868 4,972,710 (443,641)
Adjustment to Non-PEO NEO Compensation Footnote [Text Block] The average "Compensation Actually Paid" to the Non-PEO NEOs reflect the following adjustments from Total Compensation reported in the Summary Compensation Table:
Adjustments to Determine Average Compensation “Actually Paid” for Non-PEO NEOs
2022 Average
($)
2021 Average
($)
2020 Average
($)
Total Reported in Summary Compensation Table4,438,118 3,905,481 3,705,762 
Less Change in Actuarial Present Value reported under the “Change in Pension Value and Non-qualified Deferred Compensation Earnings” Column of the SCT
122,326 59,942 121,136 
Plus “Service Cost” for Pension Plans
16,435 067,192 
Less Amounts Reported under the “Stock Awards” Column in the SCT2,180,154 1,918,553 1,852,695 
Less Amounts Reported under the “Option Awards” Column in the SCT693,740 578,120 774,993 
Plus the Fair Value of Awards Granted during covered year that Remain Unvested as of Year-end
3,103,987 3,000,519 1,937,832 
Plus the Change in Fair Value from prior Year-end to current Year-end of Awards Granted prior to covered year that were Outstanding and Unvested as of Year-end
1,004,348 636,900 (2,652,595)
Plus the Change in Fair Value from prior Year-end to Vesting Date of Awards Granted prior to covered year that Vested during covered year
65,014 208,010 (753,008)
Less the Fair Value as of prior Year-End of Awards Granted prior to covered year that were Forfeited during covered year
92,814 221,585 — 
Total Adjustments
1,100,750 1,067,229 (4,149,403)
Compensation Actually Paid5,538,868 4,972,710 (443,641)
“Compensation Actually Paid” does not correlate to the total amount of cash or equity compensation realized during each fiscal year and is different from “realizable” or “realized” compensation as reported in the Compensation Discussion & Analysis. Instead, it is a nuanced calculation that includes the increase or decrease in value of certain elements of compensation over each fiscal year, including compensation granted in a prior year, in accordance with Item 402(v) of Regulation S-K. The amount of compensation ultimately received may, in fact, be different from the amounts disclosed in these columns of the PVP Table.
    
Compensation Actually Paid vs. Total Shareholder Return [Text Block]
The graph below shows the relationship between (i) the three-year total return to stockholders on our common stock and the return on the Health Care Index, in each case assuming $100 was invested in our common stock and in the Health Care Index on December 31, 2019 and that any dividends were reinvested, and (ii) the CAP for our CEO/PEO and the average CAP for our non-PEO NEOs for each of 2022, 2021 and 2020.
Relationship Between Compensation Actually Paid and Company/Peer Group Total Shareholder Return
bsx-20230323_g94.jpg
    
Compensation Actually Paid vs. Net Income [Text Block]
The graph below shows the relationship between our net income and the CAP for our CEO/PEO and the average CAP for our non-PEO NEOs for each of 2022, 2021 and 2020.
Relationship Between Compensation Actually Paid and Net Income
bsx-20230323_g95.jpg
    
Compensation Actually Paid vs. Company Selected Measure [Text Block]
The graph below shows the relationship between our Adjusted Net Sales and the CAP for our CEO/PEO and the average CAP for our non-PEO NEOs for each of 2022, 2021 and 2020.
Relationship Between Compensation Actually Paid and Adjusted Net Sales
bsx-20230323_g96.jpg
    
Tabular List [Table Text Block]
Adjusted EPS*
Adjusted FCF*
Adjusted Net Sales*
DE&I Targets
Employee Engagement Targets
Environmental Targets
Relative Total Shareholder Return
    
Total Shareholder Return Amount $ 102.32 93.94 79.50
Peer Group Total Shareholder Return Amount 113.92 140.40 117.63
Net Income (Loss) $ 698 $ 1,041 $ (82)
Company Selected Measure Amount 13,206 11,646 9,955
PEO Name Michael F. Mahoney Michael F. Mahoney Michael F. Mahoney
Additional 402(v) Disclosure [Text Block] *Adjusted EPS, Adjusted FCF and Adjusted Net Sales are not prepared in accordance with GAAP. For a reconciliation of these non-GAAP financial measures to the most directly comparable GAAP financial measures and insight into how these non-GAAP measures are considered by management, please see Annex A to this Proxy Statement.    
Measure [Axis]: 1      
Pay vs Performance Disclosure [Table]      
Measure Name Adjusted EPS*    
Measure [Axis]: 2      
Pay vs Performance Disclosure [Table]      
Measure Name Adjusted FCF*    
Measure [Axis]: 3      
Pay vs Performance Disclosure [Table]      
Measure Name Adjusted Net Sales*    
Non-GAAP Measure Description [Text Block] Adjusted Net Sales represents the most important financial performance measure (that is not otherwise required to be disclosed in the table) used by the Company to link compensation actually paid to our NEOs, including our CEO, for the most recently completed fiscal year to the Company’s performance. Adjusted Net Sales is a non-GAAP measure and is calculated as net sales on a GAAP basis excluding the impact of revenue from acquisitions completed after the establishment of the internal financial plan, as applicable, and foreign currency fluctuations. For a reconciliation of Adjusted Net Sales to the most directly comparable GAAP financial measure and insight into how Adjusted Net Sales is considered by management, please see Annex A to this Proxy Statement.    
Measure [Axis]: 4      
Pay vs Performance Disclosure [Table]      
Measure Name DE&I Targets    
Measure [Axis]: 5      
Pay vs Performance Disclosure [Table]      
Measure Name Employee Engagement Targets    
Measure [Axis]: 6      
Pay vs Performance Disclosure [Table]      
Measure Name Environmental Targets    
Measure [Axis]: 7      
Pay vs Performance Disclosure [Table]      
Measure Name Relative Total Shareholder Return    
Measure [Axis]: 8      
Pay vs Performance Disclosure [Table]      
Other Performance Measure Amount 100    
PEO [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ (18,862,060) $ 4,376,260 $ 4,690,749
PEO [Member] | Adjustment, Change in Pension Value and Non-qualified Deferred Compensation Earnings [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 376,667 360,000 399,686
PEO [Member] | Adjustment, Service Cost [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 375,972
PEO [Member] | Adjustment, Stock Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 9,924,100 9,126,292 8,395,367
PEO [Member] | Adjustment, Option Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 2,874,985 2,749,999 2,749,991
PEO [Member] | Adjustment, Equity Awards Granted During the Year, Unvested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 13,748,034 14,273,008 7,458,564
PEO [Member] | Adjustment, Equity Awards Granted in Prior Years, Unvested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 4,283,677 2,596,137 (13,208,804)
PEO [Member] | Adjustment, Equity Awards Granted in Prior Years, Vested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 315,254 903,733 (1,942,748)
PEO [Member] | Adjustment, Equity Awards Granted in Prior Years, Forfeited [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 480,464 1,160,327 0
Non-PEO NEO [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (4,149,403) 1,067,229 1,100,750
Non-PEO NEO [Member] | Adjustment, Change in Pension Value and Non-qualified Deferred Compensation Earnings [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 122,326 59,942 121,136
Non-PEO NEO [Member] | Adjustment, Service Cost [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 16,435 0 67,192
Non-PEO NEO [Member] | Adjustment, Stock Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 2,180,154 1,918,553 1,852,695
Non-PEO NEO [Member] | Adjustment, Option Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 693,740 578,120 774,993
Non-PEO NEO [Member] | Adjustment, Equity Awards Granted During the Year, Unvested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 3,103,987 3,000,519 1,937,832
Non-PEO NEO [Member] | Adjustment, Equity Awards Granted in Prior Years, Unvested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 1,004,348 636,900 (2,652,595)
Non-PEO NEO [Member] | Adjustment, Equity Awards Granted in Prior Years, Vested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 65,014 208,010 (753,008)
Non-PEO NEO [Member] | Adjustment, Equity Awards Granted in Prior Years, Forfeited [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ 92,814 $ 221,585 $ 0