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Changes in Other Comprehensive Income
12 Months Ended
Dec. 31, 2023
Other Comprehensive Income (Loss), Net of Tax, Period Change [Abstract]  
CHANGES IN OTHER COMPREHENSIVE INCOME
NOTE O – CHANGES IN OTHER COMPREHENSIVE INCOME

The following table provides the reclassifications out of Other comprehensive income, net of tax attributable to Boston Scientific common stockholders:
(in millions)Foreign Currency Translation AdjustmentsNet Change in Derivative Financial InstrumentsNet Change in Defined Benefit Pensions and Other ItemsTotal
Balance as of December 31, 2022$(1)$269 $1 $269 
Other comprehensive income (loss) before reclassifications(87)63 (10)(34)
(Income) loss amounts reclassified from accumulated other comprehensive income(8)(178)(185)
Total other comprehensive income (loss)(95)(115)(9)(219)
Balance as of December 31, 2023$(96)$154 $(8)$49 
(in millions)Foreign Currency Translation AdjustmentsNet Change in Derivative Financial InstrumentsNet Change in Defined Benefit Pensions and Other ItemsTotal
Balance as of December 31, 2021$93 $206 $(36)$263 
Other comprehensive income (loss) before reclassifications(86)214 36 163 
(Income) loss amounts reclassified from accumulated other comprehensive income(8)(150)(157)
Total other comprehensive income (loss)(94)63 37 
Balance as of December 31, 2022$(1)$269 $1 $269 

Refer to Note D – Hedging Activities and Fair Value Measurements for further detail on our net investment hedges recorded in Foreign currency translation adjustment and our cash flow hedges recorded in Net change in derivative financial instruments.
The gains and losses on defined benefit and pension items before reclassifications and gains and losses on defined benefit and pension items reclassified from Accumulated other comprehensive income (loss), net of tax were reduced by income tax impacts of approximately $5 million in 2023 and approximately $6 million in 2022.