diff --git a/src/csharp/Grpc.Core.Tests/Internal/CompletionQueueSafeHandleTest.cs b/src/csharp/Grpc.Core.Tests/Internal/CompletionQueueSafeHandleTest.cs
index e9ec59eb3db3052a00ee4c84c18736d73623355e..8649906becd5143355bdbb8e8df6b138ce17fbef 100644
--- a/src/csharp/Grpc.Core.Tests/Internal/CompletionQueueSafeHandleTest.cs
+++ b/src/csharp/Grpc.Core.Tests/Internal/CompletionQueueSafeHandleTest.cs
@@ -43,19 +43,19 @@ namespace Grpc.Core.Internal.Tests
     public class CompletionQueueSafeHandleTest
     {
         [Test]
-        public void CreateAndDestroy()
+        public void CreateSyncAndDestroy()
         {
             GrpcEnvironment.AddRef();
-            var cq = CompletionQueueSafeHandle.Create();
+            var cq = CompletionQueueSafeHandle.CreateSync();
             cq.Dispose();
             GrpcEnvironment.ReleaseAsync().Wait();
         }
 
         [Test]
-        public void CreateAndShutdown()
+        public void CreateAsyncAndShutdown()
         {
-            GrpcEnvironment.AddRef();
-            var cq = CompletionQueueSafeHandle.Create();
+            var env = GrpcEnvironment.AddRef();
+            var cq = CompletionQueueSafeHandle.CreateAsync(new CompletionRegistry(env));
             cq.Shutdown();
             var ev = cq.Next();
             cq.Dispose();
diff --git a/src/csharp/Grpc.Core.Tests/PInvokeTest.cs b/src/csharp/Grpc.Core.Tests/PInvokeTest.cs
index d3735c78807bee4e8ed508c7966cc03c67594b97..d760717ba6f28df8da1fd09c5735a29799d54e14 100644
--- a/src/csharp/Grpc.Core.Tests/PInvokeTest.cs
+++ b/src/csharp/Grpc.Core.Tests/PInvokeTest.cs
@@ -53,7 +53,7 @@ namespace Grpc.Core.Tests
         /// (~1.26us .NET Windows)
         /// </summary>
         [Test]
-        public void CompletionQueueCreateDestroyBenchmark()
+        public void CompletionQueueCreateSyncDestroyBenchmark()
         {
             GrpcEnvironment.AddRef();  // completion queue requires gRPC environment being initialized.
 
@@ -61,7 +61,7 @@ namespace Grpc.Core.Tests
                 10, 10,
                 () =>
                 {
-                    CompletionQueueSafeHandle cq = CompletionQueueSafeHandle.Create();
+                    CompletionQueueSafeHandle cq = CompletionQueueSafeHandle.CreateSync();
                     cq.Dispose();
                 });
 
diff --git a/src/csharp/Grpc.Core/Internal/AsyncCall.cs b/src/csharp/Grpc.Core/Internal/AsyncCall.cs
index 1f738a3b6f9995e5f236674718df7a2905f9c067..f037b2351af1ff989383024b171a9d3165ca7dc0 100644
--- a/src/csharp/Grpc.Core/Internal/AsyncCall.cs
+++ b/src/csharp/Grpc.Core/Internal/AsyncCall.cs
@@ -87,7 +87,7 @@ namespace Grpc.Core.Internal
             var profiler = Profilers.ForCurrentThread();
 
             using (profiler.NewScope("AsyncCall.UnaryCall"))
-            using (CompletionQueueSafeHandle cq = CompletionQueueSafeHandle.Create())
+            using (CompletionQueueSafeHandle cq = CompletionQueueSafeHandle.CreateSync())
             {
                 byte[] payload = UnsafeSerialize(msg);
 
diff --git a/src/csharp/Grpc.Core/Internal/CompletionQueueSafeHandle.cs b/src/csharp/Grpc.Core/Internal/CompletionQueueSafeHandle.cs
index 6c9a31921ebf8245114fe4aca1f7e7251233c1f5..577d7044a578fdc45ce3c69148940ada39af6f8e 100644
--- a/src/csharp/Grpc.Core/Internal/CompletionQueueSafeHandle.cs
+++ b/src/csharp/Grpc.Core/Internal/CompletionQueueSafeHandle.cs
@@ -51,14 +51,20 @@ namespace Grpc.Core.Internal
         {
         }
 
-        public static CompletionQueueSafeHandle Create()
+        /// <summary>
+        /// Create a completion queue that can only be used for Pluck operations.
+        /// </summary>
+        public static CompletionQueueSafeHandle CreateSync()
         {
-            return Native.grpcsharp_completion_queue_create();
+            return Native.grpcsharp_completion_queue_create_sync();
         }
 
-        public static CompletionQueueSafeHandle Create(CompletionRegistry completionRegistry)
+        /// <summary>
+        /// Create a completion queue that can only be used for Next operations.
+        /// </summary>
+        public static CompletionQueueSafeHandle CreateAsync(CompletionRegistry completionRegistry)
         {
-            var cq = Native.grpcsharp_completion_queue_create();
+            var cq = Native.grpcsharp_completion_queue_create_async();
             cq.completionRegistry = completionRegistry;
             return cq;
         }
diff --git a/src/csharp/Grpc.Core/Internal/GrpcThreadPool.cs b/src/csharp/Grpc.Core/Internal/GrpcThreadPool.cs
index 25a6589f115e9bf2315901a7dda7b7d708010a19..07fea812b2ad083d8b5a24370c0e27422c9fdb57 100644
--- a/src/csharp/Grpc.Core/Internal/GrpcThreadPool.cs
+++ b/src/csharp/Grpc.Core/Internal/GrpcThreadPool.cs
@@ -197,7 +197,7 @@ namespace Grpc.Core.Internal
             for (int i = 0; i < completionQueueCount; i++)
             {
                 var completionRegistry = new CompletionRegistry(environment);
-                list.Add(CompletionQueueSafeHandle.Create(completionRegistry));
+                list.Add(CompletionQueueSafeHandle.CreateAsync(completionRegistry));
             }
             return list.AsReadOnly();
         }
diff --git a/src/csharp/Grpc.Core/Internal/NativeMethods.cs b/src/csharp/Grpc.Core/Internal/NativeMethods.cs
index dd65f0521725a11105c61833e1797dd9ddd764ff..a98861af616390c3595fec12d98bfbf4c3a21782 100644
--- a/src/csharp/Grpc.Core/Internal/NativeMethods.cs
+++ b/src/csharp/Grpc.Core/Internal/NativeMethods.cs
@@ -115,7 +115,8 @@ namespace Grpc.Core.Internal
 
         public readonly Delegates.grpcsharp_sizeof_grpc_event_delegate grpcsharp_sizeof_grpc_event;
 
-        public readonly Delegates.grpcsharp_completion_queue_create_delegate grpcsharp_completion_queue_create;
+        public readonly Delegates.grpcsharp_completion_queue_create_async_delegate grpcsharp_completion_queue_create_async;
+        public readonly Delegates.grpcsharp_completion_queue_create_sync_delegate grpcsharp_completion_queue_create_sync;
         public readonly Delegates.grpcsharp_completion_queue_shutdown_delegate grpcsharp_completion_queue_shutdown;
         public readonly Delegates.grpcsharp_completion_queue_next_delegate grpcsharp_completion_queue_next;
         public readonly Delegates.grpcsharp_completion_queue_pluck_delegate grpcsharp_completion_queue_pluck;
@@ -229,7 +230,8 @@ namespace Grpc.Core.Internal
 
             this.grpcsharp_sizeof_grpc_event = GetMethodDelegate<Delegates.grpcsharp_sizeof_grpc_event_delegate>(library);
 
-            this.grpcsharp_completion_queue_create = GetMethodDelegate<Delegates.grpcsharp_completion_queue_create_delegate>(library);
+            this.grpcsharp_completion_queue_create_async = GetMethodDelegate<Delegates.grpcsharp_completion_queue_create_async_delegate>(library);
+            this.grpcsharp_completion_queue_create_sync = GetMethodDelegate<Delegates.grpcsharp_completion_queue_create_sync_delegate>(library);
             this.grpcsharp_completion_queue_shutdown = GetMethodDelegate<Delegates.grpcsharp_completion_queue_shutdown_delegate>(library);
             this.grpcsharp_completion_queue_next = GetMethodDelegate<Delegates.grpcsharp_completion_queue_next_delegate>(library);
             this.grpcsharp_completion_queue_pluck = GetMethodDelegate<Delegates.grpcsharp_completion_queue_pluck_delegate>(library);
@@ -383,7 +385,8 @@ namespace Grpc.Core.Internal
 
             public delegate int grpcsharp_sizeof_grpc_event_delegate();
 
-            public delegate CompletionQueueSafeHandle grpcsharp_completion_queue_create_delegate();
+            public delegate CompletionQueueSafeHandle grpcsharp_completion_queue_create_async_delegate();
+            public delegate CompletionQueueSafeHandle grpcsharp_completion_queue_create_sync_delegate();
             public delegate void grpcsharp_completion_queue_shutdown_delegate(CompletionQueueSafeHandle cq);
             public delegate CompletionQueueEvent grpcsharp_completion_queue_next_delegate(CompletionQueueSafeHandle cq);
             public delegate CompletionQueueEvent grpcsharp_completion_queue_pluck_delegate(CompletionQueueSafeHandle cq, IntPtr tag);
diff --git a/src/csharp/ext/grpc_csharp_ext.c b/src/csharp/ext/grpc_csharp_ext.c
index 491df4de6adf6facec2112b6d9fdcca28100d485..ceb2671faf81c143fa4bfa5c6f9614497766bae5 100644
--- a/src/csharp/ext/grpc_csharp_ext.c
+++ b/src/csharp/ext/grpc_csharp_ext.c
@@ -354,8 +354,13 @@ GPR_EXPORT void GPR_CALLTYPE grpcsharp_shutdown(void) { grpc_shutdown(); }
 /* Completion queue */
 
 GPR_EXPORT grpc_completion_queue *GPR_CALLTYPE
-grpcsharp_completion_queue_create(void) {
-  return grpc_completion_queue_create(NULL);
+grpcsharp_completion_queue_create_async(void) {
+  return grpc_completion_queue_create(GRPC_CQ_NEXT, GRPC_CQ_DEFAULT_POLLING, NULL);
+}
+
+GPR_EXPORT grpc_completion_queue *GPR_CALLTYPE
+grpcsharp_completion_queue_create_sync(void) {
+  return grpc_completion_queue_create(GRPC_CQ_PLUCK, GRPC_CQ_DEFAULT_POLLING, NULL);
 }
 
 GPR_EXPORT void GPR_CALLTYPE