Consolidated Statements of Comprehensive Income (Loss) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ 1,846	$ 1,592	$ 698
Other comprehensive income (loss), net of tax:
Foreign currency translation adjustment	225	(105)	(94)
Net change in derivative financial instruments	1	(115)	63
Net change in defined benefit pensions and other items	(8)	(9)	37
Other comprehensive income (loss)	218	(230)	6
Comprehensive income (loss)	2,064	1,362	704
Net income (loss) attributable to noncontrolling interests	(8)	(1)	0
Other comprehensive income (loss) attributable to noncontrolling interests	(7)	(10)	0
Comprehensive income (loss) attributable to noncontrolling interests	(15)	(11)	0
Comprehensive income attributable to Boston Scientific common stockholders	$ 2,079	$ 1,373	$ 704