ISRG vs TSM: Which Is the Better Buy?

Side-by-side comparison of Intuitive Surgical, Inc. and Taiwan Semiconductor Manufacturing Company Limited β€” fair value, conviction, valuation metrics, and QuantHub research signals. Updated 2026-04-22.
Intuitive Surgical, Inc. Β· Healthcare
$451.29
+130.4% upside to fair value
Grade B High Quality
VS
Taiwan Semiconductor Manufacturing Company Limited Β· Technology
$366.24
+5153.7% upside to fair value
Grade C High Quality
QuantHub Verdict
TSM has more upside to fair value (+5153.7%). TSM trades at a lower forward P/E (27.2x). These are model outputs β€” not personalized investment advice. See all research β†’
Valuation & Fundamentals
Metric ISRG TSM
Current Price $451.29 $366.24
Fair Value Estimate $1,039.74 $19,241.17
Upside to Fair Value +130.4% +5153.7%
Market Cap $160.3B $1,899.5B
Forward P/E 53.8x 27.2x
EV / EBITDA 40.5x 17.3x
Price / Sales 15.2x 12.8x
Price / FCF 64.3x 51.6x
Revenue Growth YoY +23.0% +36.5%
Gross Margin 66.3% 61.9%
Operating Margin 30.5% 53.2%
Return on Equity 17.0% 36.9%
Dividend Yield 0% 0%
FCF Yield 1.55% 1.94%
Analyst Consensus Strong Buy Strong Buy
Investment Thesis
ISRG β€” Intuitive Surgical, Inc.
Intuitive Surgical, Inc. is a leading healthcare company specializing in robotic-assisted surgery through its flagship da Vinci system, which has established a durable competitive moat with approximately 10,000 systems installed globally and nearly 17 million procedures performed by the end of 2024. The company benefits from a high-quality business model characterized by 85% recurring revenue, st…
TSM β€” Taiwan Semiconductor Manufacturing Company Limited
Taiwan Semiconductor Manufacturing Company Limited (TSMC) is the world's leading pure-play semiconductor foundry, commanding approximately 60% of the global advanced node foundry market. The company benefits from a durable competitive moat driven by its pioneering foundry model, massive scale, advanced manufacturing capabilities, and strong customer relationships with major technology firms. TSMC…
Accumulation Zones
Metric ISRG TSM
Zone Low $779.81 $14,430.88
Zone High $883.78 $16,354.99
In Buy Zone? Yes Yes
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