Consolidated Statements of Comprehensive Income (Loss) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ 1,592	$ 698	$ 1,041
Other comprehensive income (loss), net of tax:
Foreign currency translation adjustment	(105)	(94)	(125)
Net change in derivative financial instruments	(115)	63	170
Net change in defined benefit pensions and other items	(9)	37	11
Other comprehensive income (loss)	(230)	6	56
Comprehensive income (loss)	1,362	704	1,096
Comprehensive income (loss) attributable to noncontrolling interests	(11)	0	0
Comprehensive income attributable to Boston Scientific common stockholders	$ 1,373	$ 704	$ 1,096