diff --git a/BUILD b/BUILD
index 551fa947de375a3ae7a0d517732f6c3a721d657e..9fee908572364872841ee08fca964bf52ee0414c 100644
--- a/BUILD
+++ b/BUILD
@@ -1133,6 +1133,10 @@ grpc_cc_library(
         "src/cpp/server/async_generic_service.cc",
         "src/cpp/server/create_default_thread_pool.cc",
         "src/cpp/server/dynamic_thread_pool.cc",
+        "src/cpp/server/health/default_health_check_service.cc",
+        "src/cpp/server/health/health.pb.c",
+        "src/cpp/server/health/health_check_service.cc",
+        "src/cpp/server/health/health_check_service_server_builder_option.cc",
         "src/cpp/server/server_builder.cc",
         "src/cpp/server/server_cc.cc",
         "src/cpp/server/server_context.cc",
@@ -1149,6 +1153,8 @@ grpc_cc_library(
         "src/cpp/client/create_channel_internal.h",
         "src/cpp/common/channel_filter.h",
         "src/cpp/server/dynamic_thread_pool.h",
+        "src/cpp/server/health/default_health_check_service.h",
+        "src/cpp/server/health/health.pb.h",
         "src/cpp/server/thread_pool_interface.h",
         "src/cpp/thread_manager/thread_manager.h",
     ],
@@ -1160,9 +1166,11 @@ grpc_cc_library(
         "include/grpc++/completion_queue.h",
         "include/grpc++/create_channel.h",
         "include/grpc++/create_channel_posix.h",
+        "include/grpc++/ext/health_check_service_server_builder_option.h",
         "include/grpc++/generic/async_generic_service.h",
         "include/grpc++/generic/generic_stub.h",
         "include/grpc++/grpc++.h",
+        "include/grpc++/health_check_service_interface.h",
         "include/grpc++/impl/call.h",
         "include/grpc++/impl/client_unary_call.h",
         "include/grpc++/impl/codegen/core_codegen.h",
diff --git a/CMakeLists.txt b/CMakeLists.txt
index a1434c850b5c208d852a673b8170c15f34011f93..3a02ae94e784dc4a82d1ed2f30af0d548b73908f 100644
--- a/CMakeLists.txt
+++ b/CMakeLists.txt
@@ -420,9 +420,6 @@ if(_gRPC_PLATFORM_LINUX)
 add_dependencies(buildtests_c httpscli_test)
 endif()
 add_dependencies(buildtests_c init_test)
-add_dependencies(buildtests_c internal_api_canary_iomgr_test)
-add_dependencies(buildtests_c internal_api_canary_support_test)
-add_dependencies(buildtests_c internal_api_canary_transport_test)
 add_dependencies(buildtests_c invalid_call_argument_test)
 add_dependencies(buildtests_c json_rewrite)
 add_dependencies(buildtests_c json_rewrite_test)
@@ -597,6 +594,7 @@ add_dependencies(buildtests_cxx grpc_cli)
 add_dependencies(buildtests_cxx grpc_tool_test)
 add_dependencies(buildtests_cxx grpclb_api_test)
 add_dependencies(buildtests_cxx grpclb_test)
+add_dependencies(buildtests_cxx health_service_end2end_test)
 if(_gRPC_PLATFORM_LINUX OR _gRPC_PLATFORM_MAC OR _gRPC_PLATFORM_POSIX)
 add_dependencies(buildtests_cxx http2_client)
 endif()
@@ -2061,6 +2059,10 @@ add_library(grpc++
   src/cpp/server/async_generic_service.cc
   src/cpp/server/create_default_thread_pool.cc
   src/cpp/server/dynamic_thread_pool.cc
+  src/cpp/server/health/default_health_check_service.cc
+  src/cpp/server/health/health.pb.c
+  src/cpp/server/health/health_check_service.cc
+  src/cpp/server/health/health_check_service_server_builder_option.cc
   src/cpp/server/server_builder.cc
   src/cpp/server/server_cc.cc
   src/cpp/server/server_context.cc
@@ -2114,9 +2116,11 @@ foreach(_hdr
   include/grpc++/completion_queue.h
   include/grpc++/create_channel.h
   include/grpc++/create_channel_posix.h
+  include/grpc++/ext/health_check_service_server_builder_option.h
   include/grpc++/generic/async_generic_service.h
   include/grpc++/generic/generic_stub.h
   include/grpc++/grpc++.h
+  include/grpc++/health_check_service_interface.h
   include/grpc++/impl/call.h
   include/grpc++/impl/client_unary_call.h
   include/grpc++/impl/codegen/core_codegen.h
@@ -2241,6 +2245,10 @@ add_library(grpc++_cronet
   src/cpp/server/async_generic_service.cc
   src/cpp/server/create_default_thread_pool.cc
   src/cpp/server/dynamic_thread_pool.cc
+  src/cpp/server/health/default_health_check_service.cc
+  src/cpp/server/health/health.pb.c
+  src/cpp/server/health/health_check_service.cc
+  src/cpp/server/health/health_check_service_server_builder_option.cc
   src/cpp/server/server_builder.cc
   src/cpp/server/server_cc.cc
   src/cpp/server/server_context.cc
@@ -2478,9 +2486,11 @@ foreach(_hdr
   include/grpc++/completion_queue.h
   include/grpc++/create_channel.h
   include/grpc++/create_channel_posix.h
+  include/grpc++/ext/health_check_service_server_builder_option.h
   include/grpc++/generic/async_generic_service.h
   include/grpc++/generic/generic_stub.h
   include/grpc++/grpc++.h
+  include/grpc++/health_check_service_interface.h
   include/grpc++/impl/call.h
   include/grpc++/impl/client_unary_call.h
   include/grpc++/impl/codegen/core_codegen.h
@@ -2751,6 +2761,10 @@ endif (gRPC_BUILD_TESTS)
 if (gRPC_BUILD_TESTS)
 
 add_library(grpc++_test_util
+  ${_gRPC_PROTO_GENS_DIR}/src/proto/grpc/health/v1/health.pb.cc
+  ${_gRPC_PROTO_GENS_DIR}/src/proto/grpc/health/v1/health.grpc.pb.cc
+  ${_gRPC_PROTO_GENS_DIR}/src/proto/grpc/health/v1/health.pb.h
+  ${_gRPC_PROTO_GENS_DIR}/src/proto/grpc/health/v1/health.grpc.pb.h
   ${_gRPC_PROTO_GENS_DIR}/src/proto/grpc/testing/echo_messages.pb.cc
   ${_gRPC_PROTO_GENS_DIR}/src/proto/grpc/testing/echo_messages.grpc.pb.cc
   ${_gRPC_PROTO_GENS_DIR}/src/proto/grpc/testing/echo_messages.pb.h
@@ -2783,6 +2797,9 @@ if(WIN32 AND MSVC)
   endif()
 endif()
 
+protobuf_generate_grpc_cpp(
+  src/proto/grpc/health/v1/health.proto
+)
 protobuf_generate_grpc_cpp(
   src/proto/grpc/testing/echo_messages.proto
 )
@@ -2899,6 +2916,10 @@ add_library(grpc++_unsecure
   src/cpp/server/async_generic_service.cc
   src/cpp/server/create_default_thread_pool.cc
   src/cpp/server/dynamic_thread_pool.cc
+  src/cpp/server/health/default_health_check_service.cc
+  src/cpp/server/health/health.pb.c
+  src/cpp/server/health/health_check_service.cc
+  src/cpp/server/health/health_check_service_server_builder_option.cc
   src/cpp/server/server_builder.cc
   src/cpp/server/server_cc.cc
   src/cpp/server/server_context.cc
@@ -2952,9 +2973,11 @@ foreach(_hdr
   include/grpc++/completion_queue.h
   include/grpc++/create_channel.h
   include/grpc++/create_channel_posix.h
+  include/grpc++/ext/health_check_service_server_builder_option.h
   include/grpc++/generic/async_generic_service.h
   include/grpc++/generic/generic_stub.h
   include/grpc++/grpc++.h
+  include/grpc++/health_check_service_interface.h
   include/grpc++/impl/call.h
   include/grpc++/impl/client_unary_call.h
   include/grpc++/impl/codegen/core_codegen.h
@@ -5915,87 +5938,6 @@ target_link_libraries(init_test
 endif (gRPC_BUILD_TESTS)
 if (gRPC_BUILD_TESTS)
 
-add_executable(internal_api_canary_iomgr_test
-  test/core/internal_api_canaries/iomgr.c
-)
-
-
-target_include_directories(internal_api_canary_iomgr_test
-  PRIVATE ${CMAKE_CURRENT_SOURCE_DIR}
-  PRIVATE ${CMAKE_CURRENT_SOURCE_DIR}/include
-  PRIVATE ${BORINGSSL_ROOT_DIR}/include
-  PRIVATE ${PROTOBUF_ROOT_DIR}/src
-  PRIVATE ${BENCHMARK_ROOT_DIR}/include
-  PRIVATE ${ZLIB_ROOT_DIR}
-  PRIVATE ${CMAKE_CURRENT_BINARY_DIR}/third_party/zlib
-  PRIVATE ${CMAKE_CURRENT_BINARY_DIR}/third_party/gflags/include
-)
-
-target_link_libraries(internal_api_canary_iomgr_test
-  ${_gRPC_ALLTARGETS_LIBRARIES}
-  grpc_test_util
-  grpc
-  gpr_test_util
-  gpr
-)
-
-endif (gRPC_BUILD_TESTS)
-if (gRPC_BUILD_TESTS)
-
-add_executable(internal_api_canary_support_test
-  test/core/internal_api_canaries/iomgr.c
-)
-
-
-target_include_directories(internal_api_canary_support_test
-  PRIVATE ${CMAKE_CURRENT_SOURCE_DIR}
-  PRIVATE ${CMAKE_CURRENT_SOURCE_DIR}/include
-  PRIVATE ${BORINGSSL_ROOT_DIR}/include
-  PRIVATE ${PROTOBUF_ROOT_DIR}/src
-  PRIVATE ${BENCHMARK_ROOT_DIR}/include
-  PRIVATE ${ZLIB_ROOT_DIR}
-  PRIVATE ${CMAKE_CURRENT_BINARY_DIR}/third_party/zlib
-  PRIVATE ${CMAKE_CURRENT_BINARY_DIR}/third_party/gflags/include
-)
-
-target_link_libraries(internal_api_canary_support_test
-  ${_gRPC_ALLTARGETS_LIBRARIES}
-  grpc_test_util
-  grpc
-  gpr_test_util
-  gpr
-)
-
-endif (gRPC_BUILD_TESTS)
-if (gRPC_BUILD_TESTS)
-
-add_executable(internal_api_canary_transport_test
-  test/core/internal_api_canaries/iomgr.c
-)
-
-
-target_include_directories(internal_api_canary_transport_test
-  PRIVATE ${CMAKE_CURRENT_SOURCE_DIR}
-  PRIVATE ${CMAKE_CURRENT_SOURCE_DIR}/include
-  PRIVATE ${BORINGSSL_ROOT_DIR}/include
-  PRIVATE ${PROTOBUF_ROOT_DIR}/src
-  PRIVATE ${BENCHMARK_ROOT_DIR}/include
-  PRIVATE ${ZLIB_ROOT_DIR}
-  PRIVATE ${CMAKE_CURRENT_BINARY_DIR}/third_party/zlib
-  PRIVATE ${CMAKE_CURRENT_BINARY_DIR}/third_party/gflags/include
-)
-
-target_link_libraries(internal_api_canary_transport_test
-  ${_gRPC_ALLTARGETS_LIBRARIES}
-  grpc_test_util
-  grpc
-  gpr_test_util
-  gpr
-)
-
-endif (gRPC_BUILD_TESTS)
-if (gRPC_BUILD_TESTS)
-
 add_executable(invalid_call_argument_test
   test/core/end2end/invalid_call_argument_test.c
 )
@@ -8504,6 +8446,41 @@ target_link_libraries(grpclb_test
   ${_gRPC_GFLAGS_LIBRARIES}
 )
 
+endif (gRPC_BUILD_TESTS)
+if (gRPC_BUILD_TESTS)
+
+add_executable(health_service_end2end_test
+  test/cpp/end2end/health_service_end2end_test.cc
+  third_party/googletest/src/gtest-all.cc
+)
+
+
+target_include_directories(health_service_end2end_test
+  PRIVATE ${CMAKE_CURRENT_SOURCE_DIR}
+  PRIVATE ${CMAKE_CURRENT_SOURCE_DIR}/include
+  PRIVATE ${BORINGSSL_ROOT_DIR}/include
+  PRIVATE ${PROTOBUF_ROOT_DIR}/src
+  PRIVATE ${BENCHMARK_ROOT_DIR}/include
+  PRIVATE ${ZLIB_ROOT_DIR}
+  PRIVATE ${CMAKE_CURRENT_BINARY_DIR}/third_party/zlib
+  PRIVATE ${CMAKE_CURRENT_BINARY_DIR}/third_party/gflags/include
+  PRIVATE third_party/googletest/include
+  PRIVATE third_party/googletest
+  PRIVATE ${_gRPC_PROTO_GENS_DIR}
+)
+
+target_link_libraries(health_service_end2end_test
+  ${_gRPC_PROTOBUF_LIBRARIES}
+  ${_gRPC_ALLTARGETS_LIBRARIES}
+  grpc++_test_util
+  grpc_test_util
+  grpc++
+  grpc
+  gpr_test_util
+  gpr
+  ${_gRPC_GFLAGS_LIBRARIES}
+)
+
 endif (gRPC_BUILD_TESTS)
 if (gRPC_BUILD_TESTS)
 if(_gRPC_PLATFORM_LINUX OR _gRPC_PLATFORM_MAC OR _gRPC_PLATFORM_POSIX)
diff --git a/Makefile b/Makefile
index 0acf06e946de2f4fb3076b6e0e4b68572b5af807..6fd788b3c41b35538158e7441fbd6ccc00a5e1cd 100644
--- a/Makefile
+++ b/Makefile
@@ -217,7 +217,7 @@ CC_counters = $(DEFAULT_CC)
 CXX_counters = $(DEFAULT_CXX)
 LD_counters = $(DEFAULT_CC)
 LDXX_counters = $(DEFAULT_CXX)
-CPPFLAGS_counters = -O2 -DGPR_MU_COUNTERS
+CPPFLAGS_counters = -O2 -DGPR_LOW_LEVEL_COUNTERS
 DEFINES_counters = NDEBUG
 
 
@@ -980,9 +980,6 @@ httpcli_format_request_test: $(BINDIR)/$(CONFIG)/httpcli_format_request_test
 httpcli_test: $(BINDIR)/$(CONFIG)/httpcli_test
 httpscli_test: $(BINDIR)/$(CONFIG)/httpscli_test
 init_test: $(BINDIR)/$(CONFIG)/init_test
-internal_api_canary_iomgr_test: $(BINDIR)/$(CONFIG)/internal_api_canary_iomgr_test
-internal_api_canary_support_test: $(BINDIR)/$(CONFIG)/internal_api_canary_support_test
-internal_api_canary_transport_test: $(BINDIR)/$(CONFIG)/internal_api_canary_transport_test
 invalid_call_argument_test: $(BINDIR)/$(CONFIG)/invalid_call_argument_test
 json_fuzzer_test: $(BINDIR)/$(CONFIG)/json_fuzzer_test
 json_rewrite: $(BINDIR)/$(CONFIG)/json_rewrite
@@ -1072,6 +1069,7 @@ grpc_ruby_plugin: $(BINDIR)/$(CONFIG)/grpc_ruby_plugin
 grpc_tool_test: $(BINDIR)/$(CONFIG)/grpc_tool_test
 grpclb_api_test: $(BINDIR)/$(CONFIG)/grpclb_api_test
 grpclb_test: $(BINDIR)/$(CONFIG)/grpclb_test
+health_service_end2end_test: $(BINDIR)/$(CONFIG)/health_service_end2end_test
 http2_client: $(BINDIR)/$(CONFIG)/http2_client
 hybrid_end2end_test: $(BINDIR)/$(CONFIG)/hybrid_end2end_test
 interop_client: $(BINDIR)/$(CONFIG)/interop_client
@@ -1335,9 +1333,6 @@ buildtests_c: privatelibs_c \
   $(BINDIR)/$(CONFIG)/httpcli_test \
   $(BINDIR)/$(CONFIG)/httpscli_test \
   $(BINDIR)/$(CONFIG)/init_test \
-  $(BINDIR)/$(CONFIG)/internal_api_canary_iomgr_test \
-  $(BINDIR)/$(CONFIG)/internal_api_canary_support_test \
-  $(BINDIR)/$(CONFIG)/internal_api_canary_transport_test \
   $(BINDIR)/$(CONFIG)/invalid_call_argument_test \
   $(BINDIR)/$(CONFIG)/json_rewrite \
   $(BINDIR)/$(CONFIG)/json_rewrite_test \
@@ -1472,6 +1467,7 @@ buildtests_cxx: privatelibs_cxx \
   $(BINDIR)/$(CONFIG)/grpc_tool_test \
   $(BINDIR)/$(CONFIG)/grpclb_api_test \
   $(BINDIR)/$(CONFIG)/grpclb_test \
+  $(BINDIR)/$(CONFIG)/health_service_end2end_test \
   $(BINDIR)/$(CONFIG)/http2_client \
   $(BINDIR)/$(CONFIG)/hybrid_end2end_test \
   $(BINDIR)/$(CONFIG)/interop_client \
@@ -1577,6 +1573,7 @@ buildtests_cxx: privatelibs_cxx \
   $(BINDIR)/$(CONFIG)/grpc_tool_test \
   $(BINDIR)/$(CONFIG)/grpclb_api_test \
   $(BINDIR)/$(CONFIG)/grpclb_test \
+  $(BINDIR)/$(CONFIG)/health_service_end2end_test \
   $(BINDIR)/$(CONFIG)/http2_client \
   $(BINDIR)/$(CONFIG)/hybrid_end2end_test \
   $(BINDIR)/$(CONFIG)/interop_client \
@@ -1860,8 +1857,6 @@ test_c: buildtests_c
 
 
 flaky_test_c: buildtests_c
-	$(E) "[RUN]     Testing lb_policies_test"
-	$(Q) $(BINDIR)/$(CONFIG)/lb_policies_test || ( echo test lb_policies_test failed ; exit 1 )
 	$(E) "[RUN]     Testing mlog_test"
 	$(Q) $(BINDIR)/$(CONFIG)/mlog_test || ( echo test mlog_test failed ; exit 1 )
 
@@ -1913,6 +1908,8 @@ test_cxx: buildtests_cxx
 	$(Q) $(BINDIR)/$(CONFIG)/grpclb_api_test || ( echo test grpclb_api_test failed ; exit 1 )
 	$(E) "[RUN]     Testing grpclb_test"
 	$(Q) $(BINDIR)/$(CONFIG)/grpclb_test || ( echo test grpclb_test failed ; exit 1 )
+	$(E) "[RUN]     Testing health_service_end2end_test"
+	$(Q) $(BINDIR)/$(CONFIG)/health_service_end2end_test || ( echo test health_service_end2end_test failed ; exit 1 )
 	$(E) "[RUN]     Testing interop_test"
 	$(Q) $(BINDIR)/$(CONFIG)/interop_test || ( echo test interop_test failed ; exit 1 )
 	$(E) "[RUN]     Testing mock_test"
@@ -2061,6 +2058,21 @@ $(LIBDIR)/$(CONFIG)/pkgconfig/grpc++_unsecure.pc:
 	$(Q) mkdir -p $(@D)
 	$(Q) echo "$(GRPCXX_UNSECURE_PC_FILE)" | tr , '\n' >$@
 
+ifeq ($(NO_PROTOC),true)
+$(GENDIR)/src/proto/grpc/health/v1/health.pb.cc: protoc_dep_error
+$(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc: protoc_dep_error
+else
+$(GENDIR)/src/proto/grpc/health/v1/health.pb.cc: src/proto/grpc/health/v1/health.proto $(PROTOBUF_DEP) $(PROTOC_PLUGINS) 
+	$(E) "[PROTOC]  Generating protobuf CC file from $<"
+	$(Q) mkdir -p `dirname $@`
+	$(Q) $(PROTOC) -Ithird_party/protobuf/src -I. --cpp_out=$(GENDIR) $<
+
+$(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc: src/proto/grpc/health/v1/health.proto $(PROTOBUF_DEP) $(PROTOC_PLUGINS) 
+	$(E) "[GRPC]    Generating gRPC's protobuf service CC file from $<"
+	$(Q) mkdir -p `dirname $@`
+	$(Q) $(PROTOC) -Ithird_party/protobuf/src -I. --grpc_out=$(GENDIR) --plugin=protoc-gen-grpc=$(PROTOC_PLUGINS_DIR)/grpc_cpp_plugin$(EXECUTABLE_SUFFIX) $<
+endif
+
 ifeq ($(NO_PROTOC),true)
 $(GENDIR)/src/proto/grpc/lb/v1/load_balancer.pb.cc: protoc_dep_error
 $(GENDIR)/src/proto/grpc/lb/v1/load_balancer.grpc.pb.cc: protoc_dep_error
@@ -3866,6 +3878,10 @@ LIBGRPC++_SRC = \
     src/cpp/server/async_generic_service.cc \
     src/cpp/server/create_default_thread_pool.cc \
     src/cpp/server/dynamic_thread_pool.cc \
+    src/cpp/server/health/default_health_check_service.cc \
+    src/cpp/server/health/health.pb.c \
+    src/cpp/server/health/health_check_service.cc \
+    src/cpp/server/health/health_check_service_server_builder_option.cc \
     src/cpp/server/server_builder.cc \
     src/cpp/server/server_cc.cc \
     src/cpp/server/server_context.cc \
@@ -3886,9 +3902,11 @@ PUBLIC_HEADERS_CXX += \
     include/grpc++/completion_queue.h \
     include/grpc++/create_channel.h \
     include/grpc++/create_channel_posix.h \
+    include/grpc++/ext/health_check_service_server_builder_option.h \
     include/grpc++/generic/async_generic_service.h \
     include/grpc++/generic/generic_stub.h \
     include/grpc++/grpc++.h \
+    include/grpc++/health_check_service_interface.h \
     include/grpc++/impl/call.h \
     include/grpc++/impl/client_unary_call.h \
     include/grpc++/impl/codegen/core_codegen.h \
@@ -4059,6 +4077,10 @@ LIBGRPC++_CRONET_SRC = \
     src/cpp/server/async_generic_service.cc \
     src/cpp/server/create_default_thread_pool.cc \
     src/cpp/server/dynamic_thread_pool.cc \
+    src/cpp/server/health/default_health_check_service.cc \
+    src/cpp/server/health/health.pb.c \
+    src/cpp/server/health/health_check_service.cc \
+    src/cpp/server/health/health_check_service_server_builder_option.cc \
     src/cpp/server/server_builder.cc \
     src/cpp/server/server_cc.cc \
     src/cpp/server/server_context.cc \
@@ -4262,9 +4284,11 @@ PUBLIC_HEADERS_CXX += \
     include/grpc++/completion_queue.h \
     include/grpc++/create_channel.h \
     include/grpc++/create_channel_posix.h \
+    include/grpc++/ext/health_check_service_server_builder_option.h \
     include/grpc++/generic/async_generic_service.h \
     include/grpc++/generic/generic_stub.h \
     include/grpc++/grpc++.h \
+    include/grpc++/health_check_service_interface.h \
     include/grpc++/impl/call.h \
     include/grpc++/impl/client_unary_call.h \
     include/grpc++/impl/codegen/core_codegen.h \
@@ -4597,6 +4621,7 @@ endif
 
 
 LIBGRPC++_TEST_UTIL_SRC = \
+    $(GENDIR)/src/proto/grpc/health/v1/health.pb.cc $(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc \
     $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc \
     $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc \
     $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc \
@@ -4705,13 +4730,13 @@ ifneq ($(NO_DEPS),true)
 -include $(LIBGRPC++_TEST_UTIL_OBJS:.o=.dep)
 endif
 endif
-$(OBJDIR)/$(CONFIG)/test/cpp/end2end/test_service_impl.o: $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
-$(OBJDIR)/$(CONFIG)/test/cpp/util/byte_buffer_proto_helper.o: $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
-$(OBJDIR)/$(CONFIG)/test/cpp/util/create_test_channel.o: $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
-$(OBJDIR)/$(CONFIG)/test/cpp/util/string_ref_helper.o: $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
-$(OBJDIR)/$(CONFIG)/test/cpp/util/subprocess.o: $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
-$(OBJDIR)/$(CONFIG)/test/cpp/util/test_credentials_provider.o: $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
-$(OBJDIR)/$(CONFIG)/src/cpp/codegen/codegen_init.o: $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
+$(OBJDIR)/$(CONFIG)/test/cpp/end2end/test_service_impl.o: $(GENDIR)/src/proto/grpc/health/v1/health.pb.cc $(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
+$(OBJDIR)/$(CONFIG)/test/cpp/util/byte_buffer_proto_helper.o: $(GENDIR)/src/proto/grpc/health/v1/health.pb.cc $(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
+$(OBJDIR)/$(CONFIG)/test/cpp/util/create_test_channel.o: $(GENDIR)/src/proto/grpc/health/v1/health.pb.cc $(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
+$(OBJDIR)/$(CONFIG)/test/cpp/util/string_ref_helper.o: $(GENDIR)/src/proto/grpc/health/v1/health.pb.cc $(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
+$(OBJDIR)/$(CONFIG)/test/cpp/util/subprocess.o: $(GENDIR)/src/proto/grpc/health/v1/health.pb.cc $(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
+$(OBJDIR)/$(CONFIG)/test/cpp/util/test_credentials_provider.o: $(GENDIR)/src/proto/grpc/health/v1/health.pb.cc $(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
+$(OBJDIR)/$(CONFIG)/src/cpp/codegen/codegen_init.o: $(GENDIR)/src/proto/grpc/health/v1/health.pb.cc $(GENDIR)/src/proto/grpc/health/v1/health.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.pb.cc $(GENDIR)/src/proto/grpc/testing/echo_messages.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.pb.cc $(GENDIR)/src/proto/grpc/testing/echo.grpc.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.pb.cc $(GENDIR)/src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.cc
 
 
 LIBGRPC++_UNSECURE_SRC = \
@@ -4735,6 +4760,10 @@ LIBGRPC++_UNSECURE_SRC = \
     src/cpp/server/async_generic_service.cc \
     src/cpp/server/create_default_thread_pool.cc \
     src/cpp/server/dynamic_thread_pool.cc \
+    src/cpp/server/health/default_health_check_service.cc \
+    src/cpp/server/health/health.pb.c \
+    src/cpp/server/health/health_check_service.cc \
+    src/cpp/server/health/health_check_service_server_builder_option.cc \
     src/cpp/server/server_builder.cc \
     src/cpp/server/server_cc.cc \
     src/cpp/server/server_context.cc \
@@ -4755,9 +4784,11 @@ PUBLIC_HEADERS_CXX += \
     include/grpc++/completion_queue.h \
     include/grpc++/create_channel.h \
     include/grpc++/create_channel_posix.h \
+    include/grpc++/ext/health_check_service_server_builder_option.h \
     include/grpc++/generic/async_generic_service.h \
     include/grpc++/generic/generic_stub.h \
     include/grpc++/grpc++.h \
+    include/grpc++/health_check_service_interface.h \
     include/grpc++/impl/call.h \
     include/grpc++/impl/client_unary_call.h \
     include/grpc++/impl/codegen/core_codegen.h \
@@ -10303,102 +10334,6 @@ endif
 endif
 
 
-INTERNAL_API_CANARY_IOMGR_TEST_SRC = \
-    test/core/internal_api_canaries/iomgr.c \
-
-INTERNAL_API_CANARY_IOMGR_TEST_OBJS = $(addprefix $(OBJDIR)/$(CONFIG)/, $(addsuffix .o, $(basename $(INTERNAL_API_CANARY_IOMGR_TEST_SRC))))
-ifeq ($(NO_SECURE),true)
-
-# You can't build secure targets if you don't have OpenSSL.
-
-$(BINDIR)/$(CONFIG)/internal_api_canary_iomgr_test: openssl_dep_error
-
-else
-
-
-
-$(BINDIR)/$(CONFIG)/internal_api_canary_iomgr_test: $(INTERNAL_API_CANARY_IOMGR_TEST_OBJS) $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a
-	$(E) "[LD]      Linking $@"
-	$(Q) mkdir -p `dirname $@`
-	$(Q) $(LD) $(LDFLAGS) $(INTERNAL_API_CANARY_IOMGR_TEST_OBJS) $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a $(LDLIBS) $(LDLIBS_SECURE) -o $(BINDIR)/$(CONFIG)/internal_api_canary_iomgr_test
-
-endif
-
-$(OBJDIR)/$(CONFIG)/test/core/internal_api_canaries/iomgr.o:  $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a
-
-deps_internal_api_canary_iomgr_test: $(INTERNAL_API_CANARY_IOMGR_TEST_OBJS:.o=.dep)
-
-ifneq ($(NO_SECURE),true)
-ifneq ($(NO_DEPS),true)
--include $(INTERNAL_API_CANARY_IOMGR_TEST_OBJS:.o=.dep)
-endif
-endif
-
-
-INTERNAL_API_CANARY_SUPPORT_TEST_SRC = \
-    test/core/internal_api_canaries/iomgr.c \
-
-INTERNAL_API_CANARY_SUPPORT_TEST_OBJS = $(addprefix $(OBJDIR)/$(CONFIG)/, $(addsuffix .o, $(basename $(INTERNAL_API_CANARY_SUPPORT_TEST_SRC))))
-ifeq ($(NO_SECURE),true)
-
-# You can't build secure targets if you don't have OpenSSL.
-
-$(BINDIR)/$(CONFIG)/internal_api_canary_support_test: openssl_dep_error
-
-else
-
-
-
-$(BINDIR)/$(CONFIG)/internal_api_canary_support_test: $(INTERNAL_API_CANARY_SUPPORT_TEST_OBJS) $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a
-	$(E) "[LD]      Linking $@"
-	$(Q) mkdir -p `dirname $@`
-	$(Q) $(LD) $(LDFLAGS) $(INTERNAL_API_CANARY_SUPPORT_TEST_OBJS) $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a $(LDLIBS) $(LDLIBS_SECURE) -o $(BINDIR)/$(CONFIG)/internal_api_canary_support_test
-
-endif
-
-$(OBJDIR)/$(CONFIG)/test/core/internal_api_canaries/iomgr.o:  $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a
-
-deps_internal_api_canary_support_test: $(INTERNAL_API_CANARY_SUPPORT_TEST_OBJS:.o=.dep)
-
-ifneq ($(NO_SECURE),true)
-ifneq ($(NO_DEPS),true)
--include $(INTERNAL_API_CANARY_SUPPORT_TEST_OBJS:.o=.dep)
-endif
-endif
-
-
-INTERNAL_API_CANARY_TRANSPORT_TEST_SRC = \
-    test/core/internal_api_canaries/iomgr.c \
-
-INTERNAL_API_CANARY_TRANSPORT_TEST_OBJS = $(addprefix $(OBJDIR)/$(CONFIG)/, $(addsuffix .o, $(basename $(INTERNAL_API_CANARY_TRANSPORT_TEST_SRC))))
-ifeq ($(NO_SECURE),true)
-
-# You can't build secure targets if you don't have OpenSSL.
-
-$(BINDIR)/$(CONFIG)/internal_api_canary_transport_test: openssl_dep_error
-
-else
-
-
-
-$(BINDIR)/$(CONFIG)/internal_api_canary_transport_test: $(INTERNAL_API_CANARY_TRANSPORT_TEST_OBJS) $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a
-	$(E) "[LD]      Linking $@"
-	$(Q) mkdir -p `dirname $@`
-	$(Q) $(LD) $(LDFLAGS) $(INTERNAL_API_CANARY_TRANSPORT_TEST_OBJS) $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a $(LDLIBS) $(LDLIBS_SECURE) -o $(BINDIR)/$(CONFIG)/internal_api_canary_transport_test
-
-endif
-
-$(OBJDIR)/$(CONFIG)/test/core/internal_api_canaries/iomgr.o:  $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a
-
-deps_internal_api_canary_transport_test: $(INTERNAL_API_CANARY_TRANSPORT_TEST_OBJS:.o=.dep)
-
-ifneq ($(NO_SECURE),true)
-ifneq ($(NO_DEPS),true)
--include $(INTERNAL_API_CANARY_TRANSPORT_TEST_OBJS:.o=.dep)
-endif
-endif
-
-
 INVALID_CALL_ARGUMENT_TEST_SRC = \
     test/core/end2end/invalid_call_argument_test.c \
 
@@ -13570,6 +13505,49 @@ endif
 $(OBJDIR)/$(CONFIG)/test/cpp/grpclb/grpclb_test.o: $(GENDIR)/src/proto/grpc/lb/v1/load_balancer.pb.cc $(GENDIR)/src/proto/grpc/lb/v1/load_balancer.grpc.pb.cc
 
 
+HEALTH_SERVICE_END2END_TEST_SRC = \
+    test/cpp/end2end/health_service_end2end_test.cc \
+
+HEALTH_SERVICE_END2END_TEST_OBJS = $(addprefix $(OBJDIR)/$(CONFIG)/, $(addsuffix .o, $(basename $(HEALTH_SERVICE_END2END_TEST_SRC))))
+ifeq ($(NO_SECURE),true)
+
+# You can't build secure targets if you don't have OpenSSL.
+
+$(BINDIR)/$(CONFIG)/health_service_end2end_test: openssl_dep_error
+
+else
+
+
+
+
+ifeq ($(NO_PROTOBUF),true)
+
+# You can't build the protoc plugins or protobuf-enabled targets if you don't have protobuf 3.0.0+.
+
+$(BINDIR)/$(CONFIG)/health_service_end2end_test: protobuf_dep_error
+
+else
+
+$(BINDIR)/$(CONFIG)/health_service_end2end_test: $(PROTOBUF_DEP) $(HEALTH_SERVICE_END2END_TEST_OBJS) $(LIBDIR)/$(CONFIG)/libgrpc++_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc++.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a
+	$(E) "[LD]      Linking $@"
+	$(Q) mkdir -p `dirname $@`
+	$(Q) $(LDXX) $(LDFLAGS) $(HEALTH_SERVICE_END2END_TEST_OBJS) $(LIBDIR)/$(CONFIG)/libgrpc++_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc++.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a $(LDLIBSXX) $(LDLIBS_PROTOBUF) $(LDLIBS) $(LDLIBS_SECURE) $(GTEST_LIB) -o $(BINDIR)/$(CONFIG)/health_service_end2end_test
+
+endif
+
+endif
+
+$(OBJDIR)/$(CONFIG)/test/cpp/end2end/health_service_end2end_test.o:  $(LIBDIR)/$(CONFIG)/libgrpc++_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc_test_util.a $(LIBDIR)/$(CONFIG)/libgrpc++.a $(LIBDIR)/$(CONFIG)/libgrpc.a $(LIBDIR)/$(CONFIG)/libgpr_test_util.a $(LIBDIR)/$(CONFIG)/libgpr.a
+
+deps_health_service_end2end_test: $(HEALTH_SERVICE_END2END_TEST_OBJS:.o=.dep)
+
+ifneq ($(NO_SECURE),true)
+ifneq ($(NO_DEPS),true)
+-include $(HEALTH_SERVICE_END2END_TEST_OBJS:.o=.dep)
+endif
+endif
+
+
 ifeq ($(NO_SECURE),true)
 
 # You can't build secure targets if you don't have OpenSSL.
diff --git a/build.yaml b/build.yaml
index 5782afb62e3766e14da260d2bb21bcab9b71612e..9c9c8f4377385a00491d6b9a21c8ed6b4595e485 100644
--- a/build.yaml
+++ b/build.yaml
@@ -769,9 +769,11 @@ filegroups:
   - include/grpc++/completion_queue.h
   - include/grpc++/create_channel.h
   - include/grpc++/create_channel_posix.h
+  - include/grpc++/ext/health_check_service_server_builder_option.h
   - include/grpc++/generic/async_generic_service.h
   - include/grpc++/generic/generic_stub.h
   - include/grpc++/grpc++.h
+  - include/grpc++/health_check_service_interface.h
   - include/grpc++/impl/call.h
   - include/grpc++/impl/client_unary_call.h
   - include/grpc++/impl/codegen/core_codegen.h
@@ -809,6 +811,8 @@ filegroups:
   - src/cpp/client/create_channel_internal.h
   - src/cpp/common/channel_filter.h
   - src/cpp/server/dynamic_thread_pool.h
+  - src/cpp/server/health/default_health_check_service.h
+  - src/cpp/server/health/health.pb.h
   - src/cpp/server/thread_pool_interface.h
   - src/cpp/thread_manager/thread_manager.h
   src:
@@ -829,6 +833,10 @@ filegroups:
   - src/cpp/server/async_generic_service.cc
   - src/cpp/server/create_default_thread_pool.cc
   - src/cpp/server/dynamic_thread_pool.cc
+  - src/cpp/server/health/default_health_check_service.cc
+  - src/cpp/server/health/health.pb.c
+  - src/cpp/server/health/health_check_service.cc
+  - src/cpp/server/health/health_check_service_server_builder_option.cc
   - src/cpp/server/server_builder.cc
   - src/cpp/server/server_cc.cc
   - src/cpp/server/server_context.cc
@@ -1169,6 +1177,7 @@ libs:
   - test/cpp/util/subprocess.h
   - test/cpp/util/test_credentials_provider.h
   src:
+  - src/proto/grpc/health/v1/health.proto
   - src/proto/grpc/testing/echo_messages.proto
   - src/proto/grpc/testing/echo.proto
   - src/proto/grpc/testing/duplicate/echo_duplicate.proto
@@ -2240,39 +2249,6 @@ targets:
   - grpc
   - gpr_test_util
   - gpr
-- name: internal_api_canary_iomgr_test
-  build: test
-  run: false
-  language: c
-  src:
-  - test/core/internal_api_canaries/iomgr.c
-  deps:
-  - grpc_test_util
-  - grpc
-  - gpr_test_util
-  - gpr
-- name: internal_api_canary_support_test
-  build: test
-  run: false
-  language: c
-  src:
-  - test/core/internal_api_canaries/iomgr.c
-  deps:
-  - grpc_test_util
-  - grpc
-  - gpr_test_util
-  - gpr
-- name: internal_api_canary_transport_test
-  build: test
-  run: false
-  language: c
-  src:
-  - test/core/internal_api_canaries/iomgr.c
-  deps:
-  - grpc_test_util
-  - grpc
-  - gpr_test_util
-  - gpr
 - name: invalid_call_argument_test
   cpu_cost: 0.1
   build: test
@@ -2348,8 +2324,8 @@ targets:
   - gpr
 - name: lb_policies_test
   cpu_cost: 0.1
-  flaky: true
   build: test
+  run: false
   language: c
   src:
   - test/core/client_channel/lb_policies_test.c
@@ -3349,6 +3325,19 @@ targets:
   - grpc
   - gpr_test_util
   - gpr
+- name: health_service_end2end_test
+  gtest: true
+  build: test
+  language: c++
+  src:
+  - test/cpp/end2end/health_service_end2end_test.cc
+  deps:
+  - grpc++_test_util
+  - grpc_test_util
+  - grpc++
+  - grpc
+  - gpr_test_util
+  - gpr
 - name: http2_client
   build: test
   run: false
@@ -3897,7 +3886,7 @@ configs:
     CPPFLAGS: -O2 -DGRPC_BASIC_PROFILER -DGRPC_TIMERS_RDTSC
     DEFINES: NDEBUG
   counters:
-    CPPFLAGS: -O2 -DGPR_MU_COUNTERS
+    CPPFLAGS: -O2 -DGPR_LOW_LEVEL_COUNTERS
     DEFINES: NDEBUG
   dbg:
     CPPFLAGS: -O0
diff --git a/include/grpc++/ext/health_check_service_server_builder_option.h b/include/grpc++/ext/health_check_service_server_builder_option.h
new file mode 100644
index 0000000000000000000000000000000000000000..4861daacd40a2958ca986c2d27631c93301ae63d
--- /dev/null
+++ b/include/grpc++/ext/health_check_service_server_builder_option.h
@@ -0,0 +1,62 @@
+/*
+ *
+ * Copyright 2016, Google Inc.
+ * All rights reserved.
+ *
+ * Redistribution and use in source and binary forms, with or without
+ * modification, are permitted provided that the following conditions are
+ * met:
+ *
+ *     * Redistributions of source code must retain the above copyright
+ * notice, this list of conditions and the following disclaimer.
+ *     * Redistributions in binary form must reproduce the above
+ * copyright notice, this list of conditions and the following disclaimer
+ * in the documentation and/or other materials provided with the
+ * distribution.
+ *     * Neither the name of Google Inc. nor the names of its
+ * contributors may be used to endorse or promote products derived from
+ * this software without specific prior written permission.
+ *
+ * THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS
+ * "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT
+ * LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR
+ * A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT
+ * OWNER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL,
+ * SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT
+ * LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE,
+ * DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY
+ * THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
+ * (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
+ * OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
+ *
+ */
+
+#ifndef GRPCXX_EXT_HEALTH_CHECK_SERVICE_SERVER_BUILDER_OPTION_H
+#define GRPCXX_EXT_HEALTH_CHECK_SERVICE_SERVER_BUILDER_OPTION_H
+
+#include <memory>
+
+#include <grpc++/health_check_service_interface.h>
+#include <grpc++/impl/server_builder_option.h>
+#include <grpc++/support/config.h>
+
+namespace grpc {
+
+class HealthCheckServiceServerBuilderOption : public ServerBuilderOption {
+ public:
+  // The ownership of hc will be taken and transferred to the grpc server.
+  // To explicitly disable default service, pass in a nullptr.
+  explicit HealthCheckServiceServerBuilderOption(
+      std::unique_ptr<HealthCheckServiceInterface> hc);
+  ~HealthCheckServiceServerBuilderOption() override {}
+  void UpdateArguments(ChannelArguments* args) override;
+  void UpdatePlugins(
+      std::vector<std::unique_ptr<ServerBuilderPlugin>>* plugins) override;
+
+ private:
+  std::unique_ptr<HealthCheckServiceInterface> hc_;
+};
+
+}  // namespace grpc
+
+#endif  // GRPCXX_EXT_HEALTH_CHECK_SERVICE_SERVER_BUILDER_OPTION_H
diff --git a/test/cpp/qps/qps_test_with_poll.cc b/include/grpc++/health_check_service_interface.h
similarity index 56%
rename from test/cpp/qps/qps_test_with_poll.cc
rename to include/grpc++/health_check_service_interface.h
index c64e6c9d495b1a44f5e01ce8160722ea67bf14e3..0eed7026839376c4c095d33f21af663b4b93a5ef 100644
--- a/test/cpp/qps/qps_test_with_poll.cc
+++ b/include/grpc++/health_check_service_interface.h
@@ -1,6 +1,6 @@
 /*
  *
- * Copyright 2015, Google Inc.
+ * Copyright 2016, Google Inc.
  * All rights reserved.
  *
  * Redistribution and use in source and binary forms, with or without
@@ -31,55 +31,38 @@
  *
  */
 
-#include <set>
+#ifndef GRPCXX_HEALTH_CHECK_SERVICE_INTERFACE_H
+#define GRPCXX_HEALTH_CHECK_SERVICE_INTERFACE_H
 
-#include <grpc/support/log.h>
-
-#include "test/cpp/qps/driver.h"
-#include "test/cpp/qps/report.h"
-#include "test/cpp/util/benchmark_config.h"
-
-extern "C" {
-#include "src/core/lib/iomgr/pollset_posix.h"
-}
+#include <grpc++/support/config.h>
 
 namespace grpc {
-namespace testing {
-
-static const int WARMUP = 5;
-static const int BENCHMARK = 5;
 
-static void RunQPS() {
-  gpr_log(GPR_INFO, "Running QPS test");
+const char kHealthCheckServiceInterfaceArg[] =
+    "grpc.health_check_service_interface";
 
-  ClientConfig client_config;
-  client_config.set_client_type(ASYNC_CLIENT);
-  client_config.set_outstanding_rpcs_per_channel(1000);
-  client_config.set_client_channels(8);
-  client_config.set_async_client_threads(8);
-  client_config.set_rpc_type(UNARY);
-  client_config.mutable_load_params()->mutable_closed_loop();
+// The gRPC server uses this interface to expose the health checking service
+// without depending on protobuf.
+class HealthCheckServiceInterface {
+ public:
+  virtual ~HealthCheckServiceInterface() {}
 
-  ServerConfig server_config;
-  server_config.set_server_type(ASYNC_SERVER);
-  server_config.set_async_server_threads(4);
+  // Set or change the serving status of the given service_name.
+  virtual void SetServingStatus(const grpc::string& service_name,
+                                bool serving) = 0;
+  // Apply to all registered service names.
+  virtual void SetServingStatus(bool serving) = 0;
+};
 
-  const auto result =
-      RunScenario(client_config, 1, server_config, 1, WARMUP, BENCHMARK, -2);
+// Enable/disable the default health checking service. This applies to all C++
+// servers created afterwards. For each server, user can override the default
+// with a HealthCheckServiceServerBuilderOption.
+// NOT thread safe.
+void EnableDefaultHealthCheckService(bool enable);
 
-  GetReporter()->ReportQPSPerCore(*result);
-  GetReporter()->ReportLatency(*result);
-}
+// NOT thread safe.
+bool DefaultHealthCheckServiceEnabled();
 
-}  // namespace testing
 }  // namespace grpc
 
-int main(int argc, char** argv) {
-  grpc::testing::InitBenchmark(&argc, &argv, true);
-
-  grpc_platform_become_multipoller = grpc_poll_become_multipoller;
-
-  grpc::testing::RunQPS();
-
-  return 0;
-}
+#endif  // GRPCXX_HEALTH_CHECK_SERVICE_INTERFACE_H
diff --git a/include/grpc++/server.h b/include/grpc++/server.h
index 002f252a8f54ac7de666645264f85d62457e6114..3e544059747291fb3d352d1aaa9d8df5161242c5 100644
--- a/include/grpc++/server.h
+++ b/include/grpc++/server.h
@@ -55,12 +55,10 @@ struct grpc_server;
 
 namespace grpc {
 
-class GenericServerContext;
 class AsyncGenericService;
-class ServerAsyncStreamingInterface;
+class HealthCheckServiceInterface;
 class ServerContext;
 class ServerInitializer;
-class ThreadPoolInterface;
 
 /// Models a gRPC server.
 ///
@@ -99,6 +97,11 @@ class Server final : public ServerInterface, private GrpcLibraryCodegen {
   // Returns a \em raw pointer to the underlying grpc_server instance.
   grpc_server* c_server();
 
+  /// Returns the health check service.
+  HealthCheckServiceInterface* GetHealthCheckService() const {
+    return health_check_service_.get();
+  }
+
  private:
   friend class AsyncGenericService;
   friend class ServerBuilder;
@@ -216,6 +219,9 @@ class Server final : public ServerInterface, private GrpcLibraryCodegen {
   grpc_server* server_;
 
   std::unique_ptr<ServerInitializer> server_initializer_;
+
+  std::unique_ptr<HealthCheckServiceInterface> health_check_service_;
+  bool health_check_service_disabled_;
 };
 
 }  // namespace grpc
diff --git a/include/grpc/impl/codegen/atm_gcc_atomic.h b/include/grpc/impl/codegen/atm_gcc_atomic.h
index 7d4ae98cf785a35d3e544660bf1e96ac23950cea..4bd3b257413831be89dba126b2c2f976f8d40e99 100644
--- a/include/grpc/impl/codegen/atm_gcc_atomic.h
+++ b/include/grpc/impl/codegen/atm_gcc_atomic.h
@@ -40,6 +40,20 @@
 
 typedef intptr_t gpr_atm;
 
+#ifdef GPR_LOW_LEVEL_COUNTERS
+extern gpr_atm gpr_counter_atm_cas;
+extern gpr_atm gpr_counter_atm_add;
+#define GPR_ATM_INC_COUNTER(counter) \
+  __atomic_fetch_add(&counter, 1, __ATOMIC_RELAXED)
+#define GPR_ATM_INC_CAS_THEN(blah) \
+  (GPR_ATM_INC_COUNTER(gpr_counter_atm_cas), blah)
+#define GPR_ATM_INC_ADD_THEN(blah) \
+  (GPR_ATM_INC_COUNTER(gpr_counter_atm_add), blah)
+#else
+#define GPR_ATM_INC_CAS_THEN(blah) blah
+#define GPR_ATM_INC_ADD_THEN(blah) blah
+#endif
+
 #define gpr_atm_full_barrier() (__atomic_thread_fence(__ATOMIC_SEQ_CST))
 
 #define gpr_atm_acq_load(p) (__atomic_load_n((p), __ATOMIC_ACQUIRE))
@@ -50,25 +64,28 @@ typedef intptr_t gpr_atm;
   (__atomic_store_n((p), (intptr_t)(value), __ATOMIC_RELAXED))
 
 #define gpr_atm_no_barrier_fetch_add(p, delta) \
-  (__atomic_fetch_add((p), (intptr_t)(delta), __ATOMIC_RELAXED))
+  GPR_ATM_INC_ADD_THEN(                        \
+      __atomic_fetch_add((p), (intptr_t)(delta), __ATOMIC_RELAXED))
 #define gpr_atm_full_fetch_add(p, delta) \
-  (__atomic_fetch_add((p), (intptr_t)(delta), __ATOMIC_ACQ_REL))
+  GPR_ATM_INC_ADD_THEN(                  \
+      __atomic_fetch_add((p), (intptr_t)(delta), __ATOMIC_ACQ_REL))
 
 static __inline int gpr_atm_no_barrier_cas(gpr_atm *p, gpr_atm o, gpr_atm n) {
-  return __atomic_compare_exchange_n(p, &o, n, 0, __ATOMIC_RELAXED,
-                                     __ATOMIC_RELAXED);
+  return GPR_ATM_INC_CAS_THEN(__atomic_compare_exchange_n(
+      p, &o, n, 0, __ATOMIC_RELAXED, __ATOMIC_RELAXED));
 }
 
 static __inline int gpr_atm_acq_cas(gpr_atm *p, gpr_atm o, gpr_atm n) {
-  return __atomic_compare_exchange_n(p, &o, n, 0, __ATOMIC_ACQUIRE,
-                                     __ATOMIC_RELAXED);
+  return GPR_ATM_INC_CAS_THEN(__atomic_compare_exchange_n(
+      p, &o, n, 0, __ATOMIC_ACQUIRE, __ATOMIC_RELAXED));
 }
 
 static __inline int gpr_atm_rel_cas(gpr_atm *p, gpr_atm o, gpr_atm n) {
-  return __atomic_compare_exchange_n(p, &o, n, 0, __ATOMIC_RELEASE,
-                                     __ATOMIC_RELAXED);
+  return GPR_ATM_INC_CAS_THEN(__atomic_compare_exchange_n(
+      p, &o, n, 0, __ATOMIC_RELEASE, __ATOMIC_RELAXED));
 }
 
-#define gpr_atm_full_xchg(p, n) __atomic_exchange_n((p), (n), __ATOMIC_ACQ_REL)
+#define gpr_atm_full_xchg(p, n) \
+  GPR_ATM_INC_CAS_THEN(__atomic_exchange_n((p), (n), __ATOMIC_ACQ_REL))
 
 #endif /* GRPC_IMPL_CODEGEN_ATM_GCC_ATOMIC_H */
diff --git a/src/core/lib/support/sync_posix.c b/src/core/lib/support/sync_posix.c
index de0f0484b57f0f1cf091590b03cfc4bd9abf8de0..16e7d6e12a558b365c7f9c6de20ed8931b013343 100644
--- a/src/core/lib/support/sync_posix.c
+++ b/src/core/lib/support/sync_posix.c
@@ -42,8 +42,10 @@
 #include <time.h>
 #include "src/core/lib/profiling/timers.h"
 
-#ifdef GPR_MU_COUNTERS
-gpr_atm grpc_mu_locks = 0;
+#ifdef GPR_LOW_LEVEL_COUNTERS
+gpr_atm gpr_mu_locks = 0;
+gpr_atm gpr_counter_atm_cas = 0;
+gpr_atm gpr_counter_atm_add = 0;
 #endif
 
 void gpr_mu_init(gpr_mu* mu) { GPR_ASSERT(pthread_mutex_init(mu, NULL) == 0); }
@@ -51,8 +53,8 @@ void gpr_mu_init(gpr_mu* mu) { GPR_ASSERT(pthread_mutex_init(mu, NULL) == 0); }
 void gpr_mu_destroy(gpr_mu* mu) { GPR_ASSERT(pthread_mutex_destroy(mu) == 0); }
 
 void gpr_mu_lock(gpr_mu* mu) {
-#ifdef GPR_MU_COUNTERS
-  gpr_atm_no_barrier_fetch_add(&grpc_mu_locks, 1);
+#ifdef GPR_LOW_LEVEL_COUNTERS
+  GPR_ATM_INC_COUNTER(gpr_mu_locks);
 #endif
   GPR_TIMER_BEGIN("gpr_mu_lock", 0);
   GPR_ASSERT(pthread_mutex_lock(mu) == 0);
diff --git a/src/cpp/server/health/default_health_check_service.cc b/src/cpp/server/health/default_health_check_service.cc
new file mode 100644
index 0000000000000000000000000000000000000000..46def70e8a35f4dd025644e1abee8a3523c9af74
--- /dev/null
+++ b/src/cpp/server/health/default_health_check_service.cc
@@ -0,0 +1,166 @@
+/*
+ *
+ * Copyright 2016, Google Inc.
+ * All rights reserved.
+ *
+ * Redistribution and use in source and binary forms, with or without
+ * modification, are permitted provided that the following conditions are
+ * met:
+ *
+ *     * Redistributions of source code must retain the above copyright
+ * notice, this list of conditions and the following disclaimer.
+ *     * Redistributions in binary form must reproduce the above
+ * copyright notice, this list of conditions and the following disclaimer
+ * in the documentation and/or other materials provided with the
+ * distribution.
+ *     * Neither the name of Google Inc. nor the names of its
+ * contributors may be used to endorse or promote products derived from
+ * this software without specific prior written permission.
+ *
+ * THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS
+ * "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT
+ * LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR
+ * A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT
+ * OWNER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL,
+ * SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT
+ * LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE,
+ * DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY
+ * THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
+ * (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
+ * OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
+ *
+ */
+
+#include <memory>
+#include <mutex>
+
+#include <grpc++/impl/codegen/method_handler_impl.h>
+#include <grpc/support/alloc.h>
+#include <grpc/support/log.h>
+
+#include "src/cpp/server/health/default_health_check_service.h"
+#include "src/cpp/server/health/health.pb.h"
+#include "third_party/nanopb/pb_decode.h"
+#include "third_party/nanopb/pb_encode.h"
+
+namespace grpc {
+namespace {
+const char kHealthCheckMethodName[] = "/grpc.health.v1.Health/Check";
+}  // namespace
+
+DefaultHealthCheckService::HealthCheckServiceImpl::HealthCheckServiceImpl(
+    DefaultHealthCheckService* service)
+    : service_(service), method_(nullptr) {
+  MethodHandler* handler =
+      new RpcMethodHandler<HealthCheckServiceImpl, ByteBuffer, ByteBuffer>(
+          std::mem_fn(&HealthCheckServiceImpl::Check), this);
+  method_ = new RpcServiceMethod(kHealthCheckMethodName, RpcMethod::NORMAL_RPC,
+                                 handler);
+  AddMethod(method_);
+}
+
+Status DefaultHealthCheckService::HealthCheckServiceImpl::Check(
+    ServerContext* context, const ByteBuffer* request, ByteBuffer* response) {
+  // Decode request.
+  std::vector<Slice> slices;
+  request->Dump(&slices);
+  uint8_t* request_bytes = nullptr;
+  bool request_bytes_owned = false;
+  size_t request_size = 0;
+  grpc_health_v1_HealthCheckRequest request_struct;
+  if (slices.empty()) {
+    request_struct.has_service = false;
+  } else if (slices.size() == 1) {
+    request_bytes = const_cast<uint8_t*>(slices[0].begin());
+    request_size = slices[0].size();
+  } else {
+    request_bytes_owned = true;
+    request_bytes = static_cast<uint8_t*>(gpr_malloc(request->Length()));
+    uint8_t* copy_to = request_bytes;
+    for (size_t i = 0; i < slices.size(); i++) {
+      memcpy(copy_to, slices[i].begin(), slices[i].size());
+      copy_to += slices[i].size();
+    }
+  }
+
+  if (request_bytes != nullptr) {
+    pb_istream_t istream = pb_istream_from_buffer(request_bytes, request_size);
+    bool decode_status = pb_decode(
+        &istream, grpc_health_v1_HealthCheckRequest_fields, &request_struct);
+    if (request_bytes_owned) {
+      gpr_free(request_bytes);
+    }
+    if (!decode_status) {
+      return Status(StatusCode::INVALID_ARGUMENT, "");
+    }
+  }
+
+  // Check status from the associated default health checking service.
+  DefaultHealthCheckService::ServingStatus serving_status =
+      service_->GetServingStatus(
+          request_struct.has_service ? request_struct.service : "");
+  if (serving_status == DefaultHealthCheckService::NOT_FOUND) {
+    return Status(StatusCode::NOT_FOUND, "");
+  }
+
+  // Encode response
+  grpc_health_v1_HealthCheckResponse response_struct;
+  response_struct.has_status = true;
+  response_struct.status =
+      serving_status == DefaultHealthCheckService::SERVING
+          ? grpc_health_v1_HealthCheckResponse_ServingStatus_SERVING
+          : grpc_health_v1_HealthCheckResponse_ServingStatus_NOT_SERVING;
+  pb_ostream_t ostream;
+  memset(&ostream, 0, sizeof(ostream));
+  pb_encode(&ostream, grpc_health_v1_HealthCheckResponse_fields,
+            &response_struct);
+  grpc_slice response_slice = grpc_slice_malloc(ostream.bytes_written);
+  ostream = pb_ostream_from_buffer(GRPC_SLICE_START_PTR(response_slice),
+                                   GRPC_SLICE_LENGTH(response_slice));
+  bool encode_status = pb_encode(
+      &ostream, grpc_health_v1_HealthCheckResponse_fields, &response_struct);
+  if (!encode_status) {
+    return Status(StatusCode::INTERNAL, "Failed to encode response.");
+  }
+  Slice encoded_response(response_slice, Slice::STEAL_REF);
+  ByteBuffer response_buffer(&encoded_response, 1);
+  response->Swap(&response_buffer);
+  return Status::OK;
+}
+
+DefaultHealthCheckService::DefaultHealthCheckService() {
+  services_map_.emplace("", true);
+}
+
+void DefaultHealthCheckService::SetServingStatus(
+    const grpc::string& service_name, bool serving) {
+  std::lock_guard<std::mutex> lock(mu_);
+  services_map_[service_name] = serving;
+}
+
+void DefaultHealthCheckService::SetServingStatus(bool serving) {
+  std::lock_guard<std::mutex> lock(mu_);
+  for (auto iter = services_map_.begin(); iter != services_map_.end(); ++iter) {
+    iter->second = serving;
+  }
+}
+
+DefaultHealthCheckService::ServingStatus
+DefaultHealthCheckService::GetServingStatus(
+    const grpc::string& service_name) const {
+  std::lock_guard<std::mutex> lock(mu_);
+  const auto& iter = services_map_.find(service_name);
+  if (iter == services_map_.end()) {
+    return NOT_FOUND;
+  }
+  return iter->second ? SERVING : NOT_SERVING;
+}
+
+DefaultHealthCheckService::HealthCheckServiceImpl*
+DefaultHealthCheckService::GetHealthCheckService() {
+  GPR_ASSERT(impl_ == nullptr);
+  impl_.reset(new HealthCheckServiceImpl(this));
+  return impl_.get();
+}
+
+}  // namespace grpc
diff --git a/src/cpp/server/health/default_health_check_service.h b/src/cpp/server/health/default_health_check_service.h
new file mode 100644
index 0000000000000000000000000000000000000000..5c0e23034238422e22cc290b6dea2b6b1b248ac0
--- /dev/null
+++ b/src/cpp/server/health/default_health_check_service.h
@@ -0,0 +1,78 @@
+/*
+ *
+ * Copyright 2016, Google Inc.
+ * All rights reserved.
+ *
+ * Redistribution and use in source and binary forms, with or without
+ * modification, are permitted provided that the following conditions are
+ * met:
+ *
+ *     * Redistributions of source code must retain the above copyright
+ * notice, this list of conditions and the following disclaimer.
+ *     * Redistributions in binary form must reproduce the above
+ * copyright notice, this list of conditions and the following disclaimer
+ * in the documentation and/or other materials provided with the
+ * distribution.
+ *     * Neither the name of Google Inc. nor the names of its
+ * contributors may be used to endorse or promote products derived from
+ * this software without specific prior written permission.
+ *
+ * THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS
+ * "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT
+ * LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR
+ * A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT
+ * OWNER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL,
+ * SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT
+ * LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE,
+ * DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY
+ * THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
+ * (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
+ * OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
+ *
+ */
+
+#ifndef GRPC_INTERNAL_CPP_SERVER_DEFAULT_HEALTH_CHECK_SERVICE_H
+#define GRPC_INTERNAL_CPP_SERVER_DEFAULT_HEALTH_CHECK_SERVICE_H
+
+#include <mutex>
+
+#include <grpc++/health_check_service_interface.h>
+#include <grpc++/impl/codegen/service_type.h>
+#include <grpc++/support/byte_buffer.h>
+
+namespace grpc {
+
+// Default implementation of HealthCheckServiceInterface. Server will create and
+// own it.
+class DefaultHealthCheckService final : public HealthCheckServiceInterface {
+ public:
+  // The service impl to register with the server.
+  class HealthCheckServiceImpl : public Service {
+   public:
+    explicit HealthCheckServiceImpl(DefaultHealthCheckService* service);
+
+    Status Check(ServerContext* context, const ByteBuffer* request,
+                 ByteBuffer* response);
+
+   private:
+    const DefaultHealthCheckService* const service_;
+    RpcServiceMethod* method_;
+  };
+
+  DefaultHealthCheckService();
+  void SetServingStatus(const grpc::string& service_name,
+                        bool serving) override;
+  void SetServingStatus(bool serving) override;
+  enum ServingStatus { NOT_FOUND, SERVING, NOT_SERVING };
+  ServingStatus GetServingStatus(const grpc::string& service_name) const;
+  HealthCheckServiceImpl* GetHealthCheckService();
+
+ private:
+  mutable std::mutex mu_;
+  std::map<grpc::string, bool> services_map_;
+  std::unique_ptr<HealthCheckServiceImpl> impl_;
+};
+
+}  // namespace grpc
+
+#endif  // GRPC_INTERNAL_CPP_SERVER_DEFAULT_HEALTH_CHECK_SERVICE_H
diff --git a/src/cpp/server/health/health.pb.c b/src/cpp/server/health/health.pb.c
new file mode 100644
index 0000000000000000000000000000000000000000..09bd98a3d979659770878a38c9061c4c25eabc49
--- /dev/null
+++ b/src/cpp/server/health/health.pb.c
@@ -0,0 +1,24 @@
+/* Automatically generated nanopb constant definitions */
+/* Generated by nanopb-0.3.7-dev */
+
+#include "src/cpp/server/health/health.pb.h"
+
+/* @@protoc_insertion_point(includes) */
+#if PB_PROTO_HEADER_VERSION != 30
+#error Regenerate this file with the current version of nanopb generator.
+#endif
+
+
+
+const pb_field_t grpc_health_v1_HealthCheckRequest_fields[2] = {
+    PB_FIELD(  1, STRING  , OPTIONAL, STATIC  , FIRST, grpc_health_v1_HealthCheckRequest, service, service, 0),
+    PB_LAST_FIELD
+};
+
+const pb_field_t grpc_health_v1_HealthCheckResponse_fields[2] = {
+    PB_FIELD(  1, UENUM   , OPTIONAL, STATIC  , FIRST, grpc_health_v1_HealthCheckResponse, status, status, 0),
+    PB_LAST_FIELD
+};
+
+
+/* @@protoc_insertion_point(eof) */
diff --git a/src/cpp/server/health/health.pb.h b/src/cpp/server/health/health.pb.h
new file mode 100644
index 0000000000000000000000000000000000000000..7051b3260acc4c4193880955be5022ffcbc02510
--- /dev/null
+++ b/src/cpp/server/health/health.pb.h
@@ -0,0 +1,72 @@
+/* Automatically generated nanopb header */
+/* Generated by nanopb-0.3.7-dev */
+
+#ifndef PB_GRPC_HEALTH_V1_HEALTH_PB_H_INCLUDED
+#define PB_GRPC_HEALTH_V1_HEALTH_PB_H_INCLUDED
+#include "third_party/nanopb/pb.h"
+/* @@protoc_insertion_point(includes) */
+#if PB_PROTO_HEADER_VERSION != 30
+#error Regenerate this file with the current version of nanopb generator.
+#endif
+
+#ifdef __cplusplus
+extern "C" {
+#endif
+
+/* Enum definitions */
+typedef enum _grpc_health_v1_HealthCheckResponse_ServingStatus {
+    grpc_health_v1_HealthCheckResponse_ServingStatus_UNKNOWN = 0,
+    grpc_health_v1_HealthCheckResponse_ServingStatus_SERVING = 1,
+    grpc_health_v1_HealthCheckResponse_ServingStatus_NOT_SERVING = 2
+} grpc_health_v1_HealthCheckResponse_ServingStatus;
+#define _grpc_health_v1_HealthCheckResponse_ServingStatus_MIN grpc_health_v1_HealthCheckResponse_ServingStatus_UNKNOWN
+#define _grpc_health_v1_HealthCheckResponse_ServingStatus_MAX grpc_health_v1_HealthCheckResponse_ServingStatus_NOT_SERVING
+#define _grpc_health_v1_HealthCheckResponse_ServingStatus_ARRAYSIZE ((grpc_health_v1_HealthCheckResponse_ServingStatus)(grpc_health_v1_HealthCheckResponse_ServingStatus_NOT_SERVING+1))
+
+/* Struct definitions */
+typedef struct _grpc_health_v1_HealthCheckRequest {
+    bool has_service;
+    char service[200];
+/* @@protoc_insertion_point(struct:grpc_health_v1_HealthCheckRequest) */
+} grpc_health_v1_HealthCheckRequest;
+
+typedef struct _grpc_health_v1_HealthCheckResponse {
+    bool has_status;
+    grpc_health_v1_HealthCheckResponse_ServingStatus status;
+/* @@protoc_insertion_point(struct:grpc_health_v1_HealthCheckResponse) */
+} grpc_health_v1_HealthCheckResponse;
+
+/* Default values for struct fields */
+
+/* Initializer values for message structs */
+#define grpc_health_v1_HealthCheckRequest_init_default {false, ""}
+#define grpc_health_v1_HealthCheckResponse_init_default {false, (grpc_health_v1_HealthCheckResponse_ServingStatus)0}
+#define grpc_health_v1_HealthCheckRequest_init_zero {false, ""}
+#define grpc_health_v1_HealthCheckResponse_init_zero {false, (grpc_health_v1_HealthCheckResponse_ServingStatus)0}
+
+/* Field tags (for use in manual encoding/decoding) */
+#define grpc_health_v1_HealthCheckRequest_service_tag 1
+#define grpc_health_v1_HealthCheckResponse_status_tag 1
+
+/* Struct field encoding specification for nanopb */
+extern const pb_field_t grpc_health_v1_HealthCheckRequest_fields[2];
+extern const pb_field_t grpc_health_v1_HealthCheckResponse_fields[2];
+
+/* Maximum encoded size of messages (where known) */
+#define grpc_health_v1_HealthCheckRequest_size   203
+#define grpc_health_v1_HealthCheckResponse_size  2
+
+/* Message IDs (where set with "msgid" option) */
+#ifdef PB_MSGID
+
+#define HEALTH_MESSAGES \
+
+
+#endif
+
+#ifdef __cplusplus
+} /* extern "C" */
+#endif
+/* @@protoc_insertion_point(eof) */
+
+#endif
diff --git a/test/core/internal_api_canaries/support.c b/src/cpp/server/health/health_check_service.cc
similarity index 64%
rename from test/core/internal_api_canaries/support.c
rename to src/cpp/server/health/health_check_service.cc
index e992d2a66aabb5771602ea8eed57f64caa0ccadd..cca68c5549000c0c93a6913ad604182b8d15da34 100644
--- a/test/core/internal_api_canaries/support.c
+++ b/src/cpp/server/health/health_check_service.cc
@@ -1,6 +1,6 @@
 /*
  *
- * Copyright 2015, Google Inc.
+ * Copyright 2016, Google Inc.
  * All rights reserved.
  *
  * Redistribution and use in source and binary forms, with or without
@@ -31,28 +31,19 @@
  *
  */
 
-/*******************************************************************************
- * NOTE: If this test fails to compile, then the api changes are likely to cause
- *       merge failures downstream. Please pay special attention to reviewing
- *       these changes, and solicit help as appropriate when merging downstream.
- *
- * This test is NOT expected to be run directly.
- ******************************************************************************/
+#include <grpc++/health_check_service_interface.h>
 
-#include "src/core/lib/iomgr/load_file.h"
-#include "src/core/lib/support/env.h"
-#include "src/core/lib/support/tmpfile.h"
+namespace grpc {
+namespace {
+bool g_grpc_default_health_check_service_enabled = false;
+}  // namesapce
 
-static void test_code(void) {
-  /* env.h */
-  gpr_set_env("abc", gpr_getenv("xyz"));
-  /* load_file.h */
-  grpc_load_file("abc", 1, NULL);
-  /* tmpfile.h */
-  fclose(gpr_tmpfile("foo", NULL));
+bool DefaultHealthCheckServiceEnabled() {
+  return g_grpc_default_health_check_service_enabled;
 }
 
-int main(void) {
-  if (false) test_code();
-  return 0;
+void EnableDefaultHealthCheckService(bool enable) {
+  g_grpc_default_health_check_service_enabled = enable;
 }
+
+}  // namespace grpc
diff --git a/src/cpp/server/health/health_check_service_server_builder_option.cc b/src/cpp/server/health/health_check_service_server_builder_option.cc
new file mode 100644
index 0000000000000000000000000000000000000000..24264204b35a27539a62170423964f3a2f376ed9
--- /dev/null
+++ b/src/cpp/server/health/health_check_service_server_builder_option.cc
@@ -0,0 +1,50 @@
+/*
+ *
+ * Copyright 2016, Google Inc.
+ * All rights reserved.
+ *
+ * Redistribution and use in source and binary forms, with or without
+ * modification, are permitted provided that the following conditions are
+ * met:
+ *
+ *     * Redistributions of source code must retain the above copyright
+ * notice, this list of conditions and the following disclaimer.
+ *     * Redistributions in binary form must reproduce the above
+ * copyright notice, this list of conditions and the following disclaimer
+ * in the documentation and/or other materials provided with the
+ * distribution.
+ *     * Neither the name of Google Inc. nor the names of its
+ * contributors may be used to endorse or promote products derived from
+ * this software without specific prior written permission.
+ *
+ * THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS
+ * "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT
+ * LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR
+ * A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT
+ * OWNER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL,
+ * SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT
+ * LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE,
+ * DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY
+ * THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
+ * (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
+ * OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
+ *
+ */
+
+#include <grpc++/ext/health_check_service_server_builder_option.h>
+
+namespace grpc {
+
+HealthCheckServiceServerBuilderOption::HealthCheckServiceServerBuilderOption(
+    std::unique_ptr<HealthCheckServiceInterface> hc)
+    : hc_(std::move(hc)) {}
+// Hand over hc_ to the server.
+void HealthCheckServiceServerBuilderOption::UpdateArguments(
+    ChannelArguments* args) {
+  args->SetPointer(kHealthCheckServiceInterfaceArg, hc_.release());
+}
+
+void HealthCheckServiceServerBuilderOption::UpdatePlugins(
+    std::vector<std::unique_ptr<ServerBuilderPlugin>>* plugins) {}
+
+}  // namespace grpc
diff --git a/src/cpp/server/server_cc.cc b/src/cpp/server/server_cc.cc
index 5ed9f41d4f4a2855af4f59ba19c4d0158063b91d..150c5a5faf2ec59568e327cea1a51c40fcfb4575 100644
--- a/src/cpp/server/server_cc.cc
+++ b/src/cpp/server/server_cc.cc
@@ -37,6 +37,7 @@
 
 #include <grpc++/completion_queue.h>
 #include <grpc++/generic/async_generic_service.h>
+#include <grpc++/impl/codegen/async_unary_call.h>
 #include <grpc++/impl/codegen/completion_queue_tag.h>
 #include <grpc++/impl/grpc_library.h>
 #include <grpc++/impl/method_handler_impl.h>
@@ -51,6 +52,7 @@
 #include <grpc/support/log.h>
 
 #include "src/core/lib/profiling/timers.h"
+#include "src/cpp/server/health/default_health_check_service.h"
 #include "src/cpp/thread_manager/thread_manager.h"
 
 namespace grpc {
@@ -342,6 +344,7 @@ class Server::SyncRequestThreadManager : public ThreadManager {
   int cq_timeout_msec_;
   std::vector<std::unique_ptr<SyncRequest>> sync_requests_;
   std::unique_ptr<RpcServiceMethod> unknown_method_;
+  std::unique_ptr<RpcServiceMethod> health_check_;
   std::shared_ptr<Server::GlobalCallbacks> global_callbacks_;
 };
 
@@ -358,7 +361,8 @@ Server::Server(
       shutdown_notified_(false),
       has_generic_service_(false),
       server_(nullptr),
-      server_initializer_(new ServerInitializer(this)) {
+      server_initializer_(new ServerInitializer(this)),
+      health_check_service_disabled_(false) {
   g_gli_initializer.summon();
   gpr_once_init(&g_once_init_callbacks, InitGlobalCallbacks);
   global_callbacks_ = g_callbacks;
@@ -374,6 +378,19 @@ Server::Server(
   grpc_channel_args channel_args;
   args->SetChannelArgs(&channel_args);
 
+  for (size_t i = 0; i < channel_args.num_args; i++) {
+    if (0 ==
+        strcmp(channel_args.args[i].key, kHealthCheckServiceInterfaceArg)) {
+      if (channel_args.args[i].value.pointer.p == nullptr) {
+        health_check_service_disabled_ = true;
+      } else {
+        health_check_service_.reset(static_cast<HealthCheckServiceInterface*>(
+            channel_args.args[i].value.pointer.p));
+      }
+      break;
+    }
+  }
+
   server_ = grpc_server_create(&channel_args, nullptr);
 }
 
@@ -480,6 +497,21 @@ bool Server::Start(ServerCompletionQueue** cqs, size_t num_cqs) {
   GPR_ASSERT(!started_);
   global_callbacks_->PreServerStart(this);
   started_ = true;
+
+  // Only create default health check service when user did not provide an
+  // explicit one.
+  if (health_check_service_ == nullptr && !health_check_service_disabled_ &&
+      DefaultHealthCheckServiceEnabled()) {
+    if (sync_server_cqs_->empty()) {
+      gpr_log(GPR_ERROR,
+              "Default health check service disabled at async-only server.");
+    } else {
+      auto* default_hc_service = new DefaultHealthCheckService;
+      health_check_service_.reset(default_hc_service);
+      RegisterService(nullptr, default_hc_service->GetHealthCheckService());
+    }
+  }
+
   grpc_server_start(server_);
 
   if (!has_generic_service_) {
diff --git a/src/proto/grpc/health/v1/health.options b/src/proto/grpc/health/v1/health.options
new file mode 100644
index 0000000000000000000000000000000000000000..240b498b580ad4be36e6ac072af4635c09275586
--- /dev/null
+++ b/src/proto/grpc/health/v1/health.options
@@ -0,0 +1 @@
+grpc.health.v1.HealthCheckRequest.service max_size:200
diff --git a/src/ruby/lib/grpc/generic/client_stub.rb b/src/ruby/lib/grpc/generic/client_stub.rb
index 6934257cbc0bc4ded141151d20bf3a2dbdd6ea21..d8de0beefb11680bdde07dbc0775d61909859130 100644
--- a/src/ruby/lib/grpc/generic/client_stub.rb
+++ b/src/ruby/lib/grpc/generic/client_stub.rb
@@ -84,7 +84,7 @@ module GRPC
     # channel:
     #
     # - :channel_override
-    # when present, this must be a pre-created GRPC::Channel.  If it's
+    # when present, this must be a pre-created GRPC::Core::Channel.  If it's
     # present the host and arbitrary keyword arg areignored, and the RPC
     # connection uses this channel.
     #
diff --git a/test/core/internal_api_canaries/iomgr.c b/test/core/internal_api_canaries/iomgr.c
deleted file mode 100644
index 6fdaf1f98063b1d83ad399fdec889f8e837c1ec4..0000000000000000000000000000000000000000
--- a/test/core/internal_api_canaries/iomgr.c
+++ /dev/null
@@ -1,118 +0,0 @@
-/*
- *
- * Copyright 2015, Google Inc.
- * All rights reserved.
- *
- * Redistribution and use in source and binary forms, with or without
- * modification, are permitted provided that the following conditions are
- * met:
- *
- *     * Redistributions of source code must retain the above copyright
- * notice, this list of conditions and the following disclaimer.
- *     * Redistributions in binary form must reproduce the above
- * copyright notice, this list of conditions and the following disclaimer
- * in the documentation and/or other materials provided with the
- * distribution.
- *     * Neither the name of Google Inc. nor the names of its
- * contributors may be used to endorse or promote products derived from
- * this software without specific prior written permission.
- *
- * THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS
- * "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT
- * LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR
- * A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT
- * OWNER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL,
- * SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT
- * LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE,
- * DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY
- * THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
- * (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
- * OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
- *
- */
-
-#include "src/core/lib/iomgr/iomgr.h"
-#include "src/core/lib/iomgr/closure.h"
-#include "src/core/lib/iomgr/endpoint.h"
-#include "src/core/lib/iomgr/exec_ctx.h"
-#include "src/core/lib/iomgr/executor.h"
-
-/*******************************************************************************
- * NOTE: If this test fails to compile, then the api changes are likely to cause
- *       merge failures downstream. Please pay special attention to reviewing
- *       these changes, and solicit help as appropriate when merging downstream.
- *
- * This test is NOT expected to be run directly.
- ******************************************************************************/
-
-static void test_code(void) {
-  /* iomgr.h */
-  grpc_iomgr_init();
-  grpc_iomgr_shutdown(NULL);
-
-  /* closure.h */
-  grpc_closure closure;
-  closure.cb = NULL;
-  closure.cb_arg = NULL;
-  closure.next_data.scratch = 0;
-
-  grpc_closure_list closure_list = GRPC_CLOSURE_LIST_INIT;
-  closure_list.head = NULL;
-  closure_list.tail = NULL;
-
-  grpc_closure_init(&closure, NULL, NULL, grpc_schedule_on_exec_ctx);
-
-  grpc_closure_create(NULL, NULL, grpc_schedule_on_exec_ctx);
-
-  grpc_closure_list_move(NULL, NULL);
-  grpc_closure_list_append(NULL, NULL, GRPC_ERROR_CREATE("Foo"));
-  grpc_closure_list_empty(closure_list);
-
-  /* exec_ctx.h */
-  grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
-  grpc_exec_ctx_flush(&exec_ctx);
-  grpc_exec_ctx_finish(&exec_ctx);
-  grpc_closure_sched(&exec_ctx, &closure, GRPC_ERROR_CREATE("Foo"));
-  grpc_closure_list_sched(&exec_ctx, &closure_list);
-
-  /* endpoint.h */
-  grpc_endpoint endpoint;
-  grpc_endpoint_vtable vtable = {grpc_endpoint_read,
-                                 grpc_endpoint_write,
-                                 grpc_endpoint_get_workqueue,
-                                 grpc_endpoint_add_to_pollset,
-                                 grpc_endpoint_add_to_pollset_set,
-                                 grpc_endpoint_shutdown,
-                                 grpc_endpoint_destroy,
-                                 grpc_endpoint_get_resource_user,
-                                 grpc_endpoint_get_peer,
-                                 grpc_endpoint_get_fd};
-  endpoint.vtable = &vtable;
-
-  grpc_endpoint_read(&exec_ctx, &endpoint, NULL, NULL);
-  grpc_endpoint_get_peer(&endpoint);
-  grpc_endpoint_write(&exec_ctx, &endpoint, NULL, NULL);
-  grpc_endpoint_shutdown(&exec_ctx, &endpoint, GRPC_ERROR_CANCELLED);
-  grpc_endpoint_destroy(&exec_ctx, &endpoint);
-  grpc_endpoint_add_to_pollset(&exec_ctx, &endpoint, NULL);
-  grpc_endpoint_add_to_pollset_set(&exec_ctx, &endpoint, NULL);
-
-  /* executor.h */
-  grpc_executor_init();
-  grpc_executor_shutdown(NULL);
-
-  /* pollset.h */
-  grpc_pollset_size();
-  grpc_pollset_init(NULL, NULL);
-  grpc_pollset_shutdown(NULL, NULL, NULL);
-  grpc_pollset_destroy(NULL);
-  GRPC_ERROR_UNREF(grpc_pollset_work(NULL, NULL, NULL,
-                                     gpr_now(GPR_CLOCK_REALTIME),
-                                     gpr_now(GPR_CLOCK_MONOTONIC)));
-  GRPC_ERROR_UNREF(grpc_pollset_kick(NULL, NULL));
-}
-
-int main(void) {
-  if (false) test_code();
-  return 0;
-}
diff --git a/test/core/internal_api_canaries/transport.c b/test/core/internal_api_canaries/transport.c
deleted file mode 100644
index 2989f5953539b4e40e49b249c1702e6dfa5d034d..0000000000000000000000000000000000000000
--- a/test/core/internal_api_canaries/transport.c
+++ /dev/null
@@ -1,81 +0,0 @@
-/*
- *
- * Copyright 2015, Google Inc.
- * All rights reserved.
- *
- * Redistribution and use in source and binary forms, with or without
- * modification, are permitted provided that the following conditions are
- * met:
- *
- *     * Redistributions of source code must retain the above copyright
- * notice, this list of conditions and the following disclaimer.
- *     * Redistributions in binary form must reproduce the above
- * copyright notice, this list of conditions and the following disclaimer
- * in the documentation and/or other materials provided with the
- * distribution.
- *     * Neither the name of Google Inc. nor the names of its
- * contributors may be used to endorse or promote products derived from
- * this software without specific prior written permission.
- *
- * THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS
- * "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT
- * LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR
- * A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT
- * OWNER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL,
- * SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT
- * LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE,
- * DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY
- * THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
- * (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
- * OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
- *
- */
-
-/*******************************************************************************
- * NOTE: If this test fails to compile, then the api changes are likely to cause
- *       merge failures downstream. Please pay special attention to reviewing
- *       these changes, and solicit help as appropriate when merging downstream.
- *
- * This test is NOT expected to be run directly.
- ******************************************************************************/
-
-#include "src/core/lib/transport/transport.h"
-#include "src/core/lib/transport/transport_impl.h"
-
-static void test_code(void) {
-  /* transport_impl.h */
-  grpc_transport transport;
-  grpc_transport_vtable vtable = {12345,
-                                  grpc_transport_init_stream,
-                                  grpc_transport_set_pollset,
-                                  grpc_transport_perform_stream_op,
-                                  grpc_transport_perform_op,
-                                  grpc_transport_destroy_stream,
-                                  grpc_transport_destroy,
-                                  grpc_transport_get_peer};
-  transport.vtable = &vtable;
-
-  /* transport.h */
-  GRPC_STREAM_REF_INIT(NULL, 0, NULL, NULL, "xyz");
-  GPR_ASSERT(0 == grpc_transport_stream_size(NULL));
-  GPR_ASSERT(grpc_transport_init_stream(&transport, NULL, NULL, NULL, NULL));
-  grpc_transport_set_pollset(&transport, NULL, NULL, NULL);
-  grpc_transport_destroy_stream(&transport, NULL, NULL);
-  grpc_transport_stream_op_finish_with_failure(NULL, NULL);
-  grpc_transport_stream_op_add_cancellation(NULL, GRPC_STATUS_UNAVAILABLE);
-  grpc_transport_stream_op_add_close(NULL, GRPC_STATUS_UNAVAILABLE,
-                                     grpc_transport_op_string(NULL));
-  grpc_transport_perform_stream_op(&transport, NULL, NULL, NULL);
-  grpc_transport_perform_op(&transport, NULL, NULL);
-  grpc_transport_ping(&transport, NULL);
-  grpc_transport_goaway(&transport, GRPC_STATUS_UNAVAILABLE,
-                        grpc_slice_malloc(0));
-  grpc_transport_close(&transport);
-  grpc_transport_destroy(&transport, NULL);
-  GPR_ASSERT("xyz" == grpc_transport_get_peer(&transport, NULL));
-}
-
-int main(void) {
-  if (false) test_code();
-  return 0;
-}
diff --git a/test/cpp/end2end/health_service_end2end_test.cc b/test/cpp/end2end/health_service_end2end_test.cc
new file mode 100644
index 0000000000000000000000000000000000000000..3d510078570b18cce5b17ec66c939be895b98935
--- /dev/null
+++ b/test/cpp/end2end/health_service_end2end_test.cc
@@ -0,0 +1,323 @@
+/*
+ *
+ * Copyright 2016, Google Inc.
+ * All rights reserved.
+ *
+ * Redistribution and use in source and binary forms, with or without
+ * modification, are permitted provided that the following conditions are
+ * met:
+ *
+ *     * Redistributions of source code must retain the above copyright
+ * notice, this list of conditions and the following disclaimer.
+ *     * Redistributions in binary form must reproduce the above
+ * copyright notice, this list of conditions and the following disclaimer
+ * in the documentation and/or other materials provided with the
+ * distribution.
+ *     * Neither the name of Google Inc. nor the names of its
+ * contributors may be used to endorse or promote products derived from
+ * this software without specific prior written permission.
+ *
+ * THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS
+ * "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT
+ * LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR
+ * A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT
+ * OWNER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL,
+ * SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT
+ * LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE,
+ * DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY
+ * THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
+ * (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE
+ * OF THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
+ *
+ */
+
+#include <memory>
+#include <mutex>
+#include <thread>
+#include <vector>
+
+#include <grpc++/channel.h>
+#include <grpc++/client_context.h>
+#include <grpc++/create_channel.h>
+#include <grpc++/ext/health_check_service_server_builder_option.h>
+#include <grpc++/health_check_service_interface.h>
+#include <grpc++/server.h>
+#include <grpc++/server_builder.h>
+#include <grpc++/server_context.h>
+#include <grpc/grpc.h>
+#include <grpc/support/log.h>
+#include <gtest/gtest.h>
+
+#include "src/proto/grpc/health/v1/health.grpc.pb.h"
+#include "src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.h"
+#include "src/proto/grpc/testing/echo.grpc.pb.h"
+#include "test/core/util/port.h"
+#include "test/core/util/test_config.h"
+#include "test/cpp/end2end/test_service_impl.h"
+
+using grpc::health::v1::Health;
+using grpc::health::v1::HealthCheckRequest;
+using grpc::health::v1::HealthCheckResponse;
+
+namespace grpc {
+namespace testing {
+namespace {
+
+// A sample sync implementation of the health checking service. This does the
+// same thing as the default one.
+class HealthCheckServiceImpl : public ::grpc::health::v1::Health::Service {
+ public:
+  Status Check(ServerContext* context, const HealthCheckRequest* request,
+               HealthCheckResponse* response) override {
+    std::lock_guard<std::mutex> lock(mu_);
+    auto iter = status_map_.find(request->service());
+    if (iter == status_map_.end()) {
+      return Status(StatusCode::NOT_FOUND, "");
+    }
+    response->set_status(iter->second);
+    return Status::OK;
+  }
+
+  void SetStatus(const grpc::string& service_name,
+                 HealthCheckResponse::ServingStatus status) {
+    std::lock_guard<std::mutex> lock(mu_);
+    status_map_[service_name] = status;
+  }
+
+  void SetAll(HealthCheckResponse::ServingStatus status) {
+    std::lock_guard<std::mutex> lock(mu_);
+    for (auto iter = status_map_.begin(); iter != status_map_.end(); ++iter) {
+      iter->second = status;
+    }
+  }
+
+ private:
+  std::mutex mu_;
+  std::map<const grpc::string, HealthCheckResponse::ServingStatus> status_map_;
+};
+
+// A custom implementation of the health checking service interface. This is
+// used to test that it prevents the server from creating a default service and
+// also serves as an example of how to override the default service.
+class CustomHealthCheckService : public HealthCheckServiceInterface {
+ public:
+  explicit CustomHealthCheckService(HealthCheckServiceImpl* impl)
+      : impl_(impl) {
+    impl_->SetStatus("", HealthCheckResponse::SERVING);
+  }
+  void SetServingStatus(const grpc::string& service_name,
+                        bool serving) override {
+    impl_->SetStatus(service_name, serving ? HealthCheckResponse::SERVING
+                                           : HealthCheckResponse::NOT_SERVING);
+  }
+
+  void SetServingStatus(bool serving) override {
+    impl_->SetAll(serving ? HealthCheckResponse::SERVING
+                          : HealthCheckResponse::NOT_SERVING);
+  }
+
+ private:
+  HealthCheckServiceImpl* impl_;  // not owned
+};
+
+void LoopCompletionQueue(ServerCompletionQueue* cq) {
+  void* tag;
+  bool ok;
+  while (cq->Next(&tag, &ok)) {
+    abort();  // Nothing should come out of the cq.
+  }
+}
+
+class HealthServiceEnd2endTest : public ::testing::Test {
+ protected:
+  HealthServiceEnd2endTest() {}
+
+  void SetUpServer(bool register_sync_test_service, bool add_async_cq,
+                   bool explicit_health_service,
+                   std::unique_ptr<HealthCheckServiceInterface> service) {
+    int port = grpc_pick_unused_port_or_die();
+    server_address_ << "localhost:" << port;
+
+    bool register_sync_health_service_impl =
+        explicit_health_service && service != nullptr;
+
+    // Setup server
+    ServerBuilder builder;
+    if (explicit_health_service) {
+      std::unique_ptr<ServerBuilderOption> option(
+          new HealthCheckServiceServerBuilderOption(std::move(service)));
+      builder.SetOption(std::move(option));
+    }
+    builder.AddListeningPort(server_address_.str(),
+                             grpc::InsecureServerCredentials());
+    if (register_sync_test_service) {
+      // Register a sync service.
+      builder.RegisterService(&echo_test_service_);
+    }
+    if (register_sync_health_service_impl) {
+      builder.RegisterService(&health_check_service_impl_);
+    }
+    if (add_async_cq) {
+      cq_ = builder.AddCompletionQueue();
+    }
+    server_ = builder.BuildAndStart();
+  }
+
+  void TearDown() override {
+    if (server_) {
+      server_->Shutdown();
+      if (cq_ != nullptr) {
+        cq_->Shutdown();
+      }
+      if (cq_thread_.joinable()) {
+        cq_thread_.join();
+      }
+    }
+  }
+
+  void ResetStubs() {
+    std::shared_ptr<Channel> channel =
+        CreateChannel(server_address_.str(), InsecureChannelCredentials());
+    hc_stub_ = grpc::health::v1::Health::NewStub(channel);
+  }
+
+  // When the expected_status is NOT OK, we do not care about the response.
+  void SendHealthCheckRpc(const grpc::string& service_name,
+                          const Status& expected_status) {
+    EXPECT_FALSE(expected_status.ok());
+    SendHealthCheckRpc(service_name, expected_status,
+                       HealthCheckResponse::UNKNOWN);
+  }
+
+  void SendHealthCheckRpc(
+      const grpc::string& service_name, const Status& expected_status,
+      HealthCheckResponse::ServingStatus expected_serving_status) {
+    HealthCheckRequest request;
+    request.set_service(service_name);
+    HealthCheckResponse response;
+    ClientContext context;
+    Status s = hc_stub_->Check(&context, request, &response);
+    EXPECT_EQ(expected_status.error_code(), s.error_code());
+    if (s.ok()) {
+      EXPECT_EQ(expected_serving_status, response.status());
+    }
+  }
+
+  void VerifyHealthCheckService() {
+    HealthCheckServiceInterface* service = server_->GetHealthCheckService();
+    EXPECT_TRUE(service != nullptr);
+    const grpc::string kHealthyService("healthy_service");
+    const grpc::string kUnhealthyService("unhealthy_service");
+    const grpc::string kNotRegisteredService("not_registered");
+    service->SetServingStatus(kHealthyService, true);
+    service->SetServingStatus(kUnhealthyService, false);
+
+    ResetStubs();
+
+    SendHealthCheckRpc("", Status::OK, HealthCheckResponse::SERVING);
+    SendHealthCheckRpc(kHealthyService, Status::OK,
+                       HealthCheckResponse::SERVING);
+    SendHealthCheckRpc(kUnhealthyService, Status::OK,
+                       HealthCheckResponse::NOT_SERVING);
+    SendHealthCheckRpc(kNotRegisteredService,
+                       Status(StatusCode::NOT_FOUND, ""));
+
+    service->SetServingStatus(false);
+    SendHealthCheckRpc("", Status::OK, HealthCheckResponse::NOT_SERVING);
+    SendHealthCheckRpc(kHealthyService, Status::OK,
+                       HealthCheckResponse::NOT_SERVING);
+    SendHealthCheckRpc(kUnhealthyService, Status::OK,
+                       HealthCheckResponse::NOT_SERVING);
+    SendHealthCheckRpc(kNotRegisteredService,
+                       Status(StatusCode::NOT_FOUND, ""));
+  }
+
+  TestServiceImpl echo_test_service_;
+  HealthCheckServiceImpl health_check_service_impl_;
+  std::unique_ptr<Health::Stub> hc_stub_;
+  std::unique_ptr<ServerCompletionQueue> cq_;
+  std::unique_ptr<Server> server_;
+  std::ostringstream server_address_;
+  std::thread cq_thread_;
+};
+
+TEST_F(HealthServiceEnd2endTest, DefaultHealthServiceDisabled) {
+  EnableDefaultHealthCheckService(false);
+  EXPECT_FALSE(DefaultHealthCheckServiceEnabled());
+  SetUpServer(true, false, false, nullptr);
+  HealthCheckServiceInterface* default_service =
+      server_->GetHealthCheckService();
+  EXPECT_TRUE(default_service == nullptr);
+
+  ResetStubs();
+
+  SendHealthCheckRpc("", Status(StatusCode::UNIMPLEMENTED, ""));
+}
+
+TEST_F(HealthServiceEnd2endTest, DefaultHealthService) {
+  EnableDefaultHealthCheckService(true);
+  EXPECT_TRUE(DefaultHealthCheckServiceEnabled());
+  SetUpServer(true, false, false, nullptr);
+  VerifyHealthCheckService();
+
+  // The default service has a size limit of the service name.
+  const grpc::string kTooLongServiceName(201, 'x');
+  SendHealthCheckRpc(kTooLongServiceName,
+                     Status(StatusCode::INVALID_ARGUMENT, ""));
+}
+
+// The server has no sync service.
+TEST_F(HealthServiceEnd2endTest, DefaultHealthServiceAsyncOnly) {
+  EnableDefaultHealthCheckService(true);
+  EXPECT_TRUE(DefaultHealthCheckServiceEnabled());
+  SetUpServer(false, true, false, nullptr);
+  cq_thread_ = std::thread(LoopCompletionQueue, cq_.get());
+
+  HealthCheckServiceInterface* default_service =
+      server_->GetHealthCheckService();
+  EXPECT_TRUE(default_service == nullptr);
+
+  ResetStubs();
+
+  SendHealthCheckRpc("", Status(StatusCode::UNIMPLEMENTED, ""));
+}
+
+// Provide an empty service to disable the default service.
+TEST_F(HealthServiceEnd2endTest, ExplicitlyDisableViaOverride) {
+  EnableDefaultHealthCheckService(true);
+  EXPECT_TRUE(DefaultHealthCheckServiceEnabled());
+  std::unique_ptr<HealthCheckServiceInterface> empty_service;
+  SetUpServer(true, false, true, std::move(empty_service));
+  HealthCheckServiceInterface* service = server_->GetHealthCheckService();
+  EXPECT_TRUE(service == nullptr);
+
+  ResetStubs();
+
+  SendHealthCheckRpc("", Status(StatusCode::UNIMPLEMENTED, ""));
+}
+
+// Provide an explicit override of health checking service interface.
+TEST_F(HealthServiceEnd2endTest, ExplicitlyOverride) {
+  EnableDefaultHealthCheckService(true);
+  EXPECT_TRUE(DefaultHealthCheckServiceEnabled());
+  std::unique_ptr<HealthCheckServiceInterface> override_service(
+      new CustomHealthCheckService(&health_check_service_impl_));
+  HealthCheckServiceInterface* underlying_service = override_service.get();
+  SetUpServer(false, false, true, std::move(override_service));
+  HealthCheckServiceInterface* service = server_->GetHealthCheckService();
+  EXPECT_TRUE(service == underlying_service);
+
+  ResetStubs();
+
+  VerifyHealthCheckService();
+}
+
+}  // namespace
+}  // namespace testing
+}  // namespace grpc
+
+int main(int argc, char** argv) {
+  grpc_test_init(argc, argv);
+  ::testing::InitGoogleTest(&argc, argv);
+  return RUN_ALL_TESTS();
+}
diff --git a/test/cpp/microbenchmarks/bm_closure.cc b/test/cpp/microbenchmarks/bm_closure.cc
index 80d6610e13b37d0985b0287fb5b694733067ba42..03aede35b270bdd5bc1e9866a4e33e6ccbfa9e95 100644
--- a/test/cpp/microbenchmarks/bm_closure.cc
+++ b/test/cpp/microbenchmarks/bm_closure.cc
@@ -43,13 +43,53 @@ extern "C" {
 
 #include "third_party/benchmark/include/benchmark/benchmark.h"
 
+#include <sstream>
+
+#ifdef GPR_LOW_LEVEL_COUNTERS
+extern "C" gpr_atm gpr_mu_locks;
+#endif
+
 static class InitializeStuff {
  public:
   InitializeStuff() { grpc_init(); }
   ~InitializeStuff() { grpc_shutdown(); }
 } initialize_stuff;
 
+class TrackCounters {
+ public:
+  TrackCounters(benchmark::State& state) : state_(state) {}
+
+  ~TrackCounters() {
+    std::ostringstream out;
+#ifdef GPR_LOW_LEVEL_COUNTERS
+    out << " locks/iter:" << ((double)(gpr_atm_no_barrier_load(&gpr_mu_locks) -
+                                       mu_locks_at_start_) /
+                              (double)state_.iterations())
+        << " atm_cas/iter:"
+        << ((double)(gpr_atm_no_barrier_load(&gpr_counter_atm_cas) -
+                     atm_cas_at_start_) /
+            (double)state_.iterations())
+        << " atm_add/iter:"
+        << ((double)(gpr_atm_no_barrier_load(&gpr_counter_atm_add) -
+                     atm_add_at_start_) /
+            (double)state_.iterations());
+#endif
+    state_.SetLabel(out.str());
+  }
+
+ private:
+  benchmark::State& state_;
+#ifdef GPR_LOW_LEVEL_COUNTERS
+  const size_t mu_locks_at_start_ = gpr_atm_no_barrier_load(&gpr_mu_locks);
+  const size_t atm_cas_at_start_ =
+      gpr_atm_no_barrier_load(&gpr_counter_atm_cas);
+  const size_t atm_add_at_start_ =
+      gpr_atm_no_barrier_load(&gpr_counter_atm_add);
+#endif
+};
+
 static void BM_NoOpExecCtx(benchmark::State& state) {
+  TrackCounters track_counters(state);
   while (state.KeepRunning()) {
     grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
     grpc_exec_ctx_finish(&exec_ctx);
@@ -58,6 +98,7 @@ static void BM_NoOpExecCtx(benchmark::State& state) {
 BENCHMARK(BM_NoOpExecCtx);
 
 static void BM_WellFlushed(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
   while (state.KeepRunning()) {
     grpc_exec_ctx_flush(&exec_ctx);
@@ -69,6 +110,7 @@ BENCHMARK(BM_WellFlushed);
 static void DoNothing(grpc_exec_ctx* exec_ctx, void* arg, grpc_error* error) {}
 
 static void BM_ClosureInitAgainstExecCtx(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_closure c;
   while (state.KeepRunning()) {
     benchmark::DoNotOptimize(
@@ -78,6 +120,7 @@ static void BM_ClosureInitAgainstExecCtx(benchmark::State& state) {
 BENCHMARK(BM_ClosureInitAgainstExecCtx);
 
 static void BM_ClosureInitAgainstCombiner(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_combiner* combiner = grpc_combiner_create(NULL);
   grpc_closure c;
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
@@ -91,6 +134,7 @@ static void BM_ClosureInitAgainstCombiner(benchmark::State& state) {
 BENCHMARK(BM_ClosureInitAgainstCombiner);
 
 static void BM_ClosureRunOnExecCtx(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_closure c;
   grpc_closure_init(&c, DoNothing, NULL, grpc_schedule_on_exec_ctx);
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
@@ -103,6 +147,7 @@ static void BM_ClosureRunOnExecCtx(benchmark::State& state) {
 BENCHMARK(BM_ClosureRunOnExecCtx);
 
 static void BM_ClosureCreateAndRun(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
   while (state.KeepRunning()) {
     grpc_closure_run(&exec_ctx, grpc_closure_create(DoNothing, NULL,
@@ -114,6 +159,7 @@ static void BM_ClosureCreateAndRun(benchmark::State& state) {
 BENCHMARK(BM_ClosureCreateAndRun);
 
 static void BM_ClosureInitAndRun(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
   grpc_closure c;
   while (state.KeepRunning()) {
@@ -126,6 +172,7 @@ static void BM_ClosureInitAndRun(benchmark::State& state) {
 BENCHMARK(BM_ClosureInitAndRun);
 
 static void BM_ClosureSchedOnExecCtx(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_closure c;
   grpc_closure_init(&c, DoNothing, NULL, grpc_schedule_on_exec_ctx);
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
@@ -138,6 +185,7 @@ static void BM_ClosureSchedOnExecCtx(benchmark::State& state) {
 BENCHMARK(BM_ClosureSchedOnExecCtx);
 
 static void BM_ClosureSched2OnExecCtx(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_closure c1;
   grpc_closure c2;
   grpc_closure_init(&c1, DoNothing, NULL, grpc_schedule_on_exec_ctx);
@@ -153,6 +201,7 @@ static void BM_ClosureSched2OnExecCtx(benchmark::State& state) {
 BENCHMARK(BM_ClosureSched2OnExecCtx);
 
 static void BM_ClosureSched3OnExecCtx(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_closure c1;
   grpc_closure c2;
   grpc_closure c3;
@@ -171,6 +220,7 @@ static void BM_ClosureSched3OnExecCtx(benchmark::State& state) {
 BENCHMARK(BM_ClosureSched3OnExecCtx);
 
 static void BM_AcquireMutex(benchmark::State& state) {
+  TrackCounters track_counters(state);
   // for comparison with the combiner stuff below
   gpr_mu mu;
   gpr_mu_init(&mu);
@@ -185,6 +235,7 @@ static void BM_AcquireMutex(benchmark::State& state) {
 BENCHMARK(BM_AcquireMutex);
 
 static void BM_ClosureSchedOnCombiner(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_combiner* combiner = grpc_combiner_create(NULL);
   grpc_closure c;
   grpc_closure_init(&c, DoNothing, NULL,
@@ -200,6 +251,7 @@ static void BM_ClosureSchedOnCombiner(benchmark::State& state) {
 BENCHMARK(BM_ClosureSchedOnCombiner);
 
 static void BM_ClosureSched2OnCombiner(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_combiner* combiner = grpc_combiner_create(NULL);
   grpc_closure c1;
   grpc_closure c2;
@@ -219,6 +271,7 @@ static void BM_ClosureSched2OnCombiner(benchmark::State& state) {
 BENCHMARK(BM_ClosureSched2OnCombiner);
 
 static void BM_ClosureSched3OnCombiner(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_combiner* combiner = grpc_combiner_create(NULL);
   grpc_closure c1;
   grpc_closure c2;
@@ -242,6 +295,7 @@ static void BM_ClosureSched3OnCombiner(benchmark::State& state) {
 BENCHMARK(BM_ClosureSched3OnCombiner);
 
 static void BM_ClosureSched2OnTwoCombiners(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_combiner* combiner1 = grpc_combiner_create(NULL);
   grpc_combiner* combiner2 = grpc_combiner_create(NULL);
   grpc_closure c1;
@@ -263,6 +317,7 @@ static void BM_ClosureSched2OnTwoCombiners(benchmark::State& state) {
 BENCHMARK(BM_ClosureSched2OnTwoCombiners);
 
 static void BM_ClosureSched4OnTwoCombiners(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_combiner* combiner1 = grpc_combiner_create(NULL);
   grpc_combiner* combiner2 = grpc_combiner_create(NULL);
   grpc_closure c1;
@@ -323,6 +378,7 @@ class Rescheduler {
 };
 
 static void BM_ClosureReschedOnExecCtx(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
   Rescheduler r(state, grpc_schedule_on_exec_ctx);
   r.ScheduleFirst(&exec_ctx);
@@ -331,6 +387,7 @@ static void BM_ClosureReschedOnExecCtx(benchmark::State& state) {
 BENCHMARK(BM_ClosureReschedOnExecCtx);
 
 static void BM_ClosureReschedOnCombiner(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
   grpc_combiner* combiner = grpc_combiner_create(NULL);
   Rescheduler r(state, grpc_combiner_scheduler(combiner, false));
@@ -342,6 +399,7 @@ static void BM_ClosureReschedOnCombiner(benchmark::State& state) {
 BENCHMARK(BM_ClosureReschedOnCombiner);
 
 static void BM_ClosureReschedOnCombinerFinally(benchmark::State& state) {
+  TrackCounters track_counters(state);
   grpc_exec_ctx exec_ctx = GRPC_EXEC_CTX_INIT;
   grpc_combiner* combiner = grpc_combiner_create(NULL);
   Rescheduler r(state, grpc_combiner_finally_scheduler(combiner, false));
diff --git a/test/cpp/microbenchmarks/bm_fullstack.cc b/test/cpp/microbenchmarks/bm_fullstack.cc
index c63de0ce0ab35c484d14e66dbea4c8596c885167..48e131f1be086340091dddcfba2d757447ed4a5f 100644
--- a/test/cpp/microbenchmarks/bm_fullstack.cc
+++ b/test/cpp/microbenchmarks/bm_fullstack.cc
@@ -99,8 +99,10 @@ static void ApplyCommonChannelArguments(ChannelArguments* c) {
   c->SetInt(GRPC_ARG_MAX_SEND_MESSAGE_LENGTH, INT_MAX);
 }
 
-#ifdef GPR_MU_COUNTERS
-extern "C" gpr_atm grpc_mu_locks;
+#ifdef GPR_LOW_LEVEL_COUNTERS
+extern "C" gpr_atm gpr_mu_locks;
+extern "C" gpr_atm gpr_counter_atm_cas;
+extern "C" gpr_atm gpr_counter_atm_add;
 #endif
 
 class BaseFixture {
@@ -108,10 +110,18 @@ class BaseFixture {
   void Finish(benchmark::State& s) {
     std::ostringstream out;
     this->AddToLabel(out, s);
-#ifdef GPR_MU_COUNTERS
-    out << " locks/iter:" << ((double)(gpr_atm_no_barrier_load(&grpc_mu_locks) -
+#ifdef GPR_LOW_LEVEL_COUNTERS
+    out << " locks/iter:" << ((double)(gpr_atm_no_barrier_load(&gpr_mu_locks) -
                                        mu_locks_at_start_) /
-                              (double)s.iterations());
+                              (double)s.iterations())
+        << " atm_cas/iter:"
+        << ((double)(gpr_atm_no_barrier_load(&gpr_counter_atm_cas) -
+                     atm_cas_at_start_) /
+            (double)s.iterations())
+        << " atm_add/iter:"
+        << ((double)(gpr_atm_no_barrier_load(&gpr_counter_atm_add) -
+                     atm_add_at_start_) /
+            (double)s.iterations());
 #endif
     grpc_memory_counters counters_at_end = grpc_memory_counters_snapshot();
     out << " allocs/iter:"
@@ -128,8 +138,12 @@ class BaseFixture {
   virtual void AddToLabel(std::ostream& out, benchmark::State& s) = 0;
 
  private:
-#ifdef GPR_MU_COUNTERS
-  const size_t mu_locks_at_start_ = gpr_atm_no_barrier_load(&grpc_mu_locks);
+#ifdef GPR_LOW_LEVEL_COUNTERS
+  const size_t mu_locks_at_start_ = gpr_atm_no_barrier_load(&gpr_mu_locks);
+  const size_t atm_cas_at_start_ =
+      gpr_atm_no_barrier_load(&gpr_counter_atm_cas);
+  const size_t atm_add_at_start_ =
+      gpr_atm_no_barrier_load(&gpr_counter_atm_add);
 #endif
   grpc_memory_counters counters_at_start_ = grpc_memory_counters_snapshot();
 };
diff --git a/tools/distrib/check_copyright.py b/tools/distrib/check_copyright.py
index c993407eb24a41e6c7b94ca8d32c26a7cb262119..611a9f40ae97d203d4158bfe2362ddb01937f6b1 100755
--- a/tools/distrib/check_copyright.py
+++ b/tools/distrib/check_copyright.py
@@ -106,6 +106,8 @@ _EXEMPT = frozenset((
 
   'src/core/ext/lb_policy/grpclb/proto/grpc/lb/v1/load_balancer.pb.h',
   'src/core/ext/lb_policy/grpclb/proto/grpc/lb/v1/load_balancer.pb.c',
+  'src/cpp/server/health/health.pb.h',
+  'src/cpp/server/health/health.pb.c',
 
   # An older file originally from outside gRPC.
   'src/php/tests/bootstrap.php',
diff --git a/tools/doxygen/Doxyfile.c++ b/tools/doxygen/Doxyfile.c++
index 0706cdca0ff47bde0ccb68ac4679eb56c7eb7ec6..551ba46b3b85f626d2945109c394fc9629cfbeeb 100644
--- a/tools/doxygen/Doxyfile.c++
+++ b/tools/doxygen/Doxyfile.c++
@@ -795,9 +795,11 @@ include/grpc++/client_context.h \
 include/grpc++/completion_queue.h \
 include/grpc++/create_channel.h \
 include/grpc++/create_channel_posix.h \
+include/grpc++/ext/health_check_service_server_builder_option.h \
 include/grpc++/generic/async_generic_service.h \
 include/grpc++/generic/generic_stub.h \
 include/grpc++/grpc++.h \
+include/grpc++/health_check_service_interface.h \
 include/grpc++/impl/call.h \
 include/grpc++/impl/client_unary_call.h \
 include/grpc++/impl/codegen/async_stream.h \
diff --git a/tools/doxygen/Doxyfile.c++.internal b/tools/doxygen/Doxyfile.c++.internal
index cb0a3e55f8d0093f62d8a96a29c0ea33f88f3b02..0d7ddfc6d6767a70bc614d3245cff3bf12667f93 100644
--- a/tools/doxygen/Doxyfile.c++.internal
+++ b/tools/doxygen/Doxyfile.c++.internal
@@ -795,9 +795,11 @@ include/grpc++/client_context.h \
 include/grpc++/completion_queue.h \
 include/grpc++/create_channel.h \
 include/grpc++/create_channel_posix.h \
+include/grpc++/ext/health_check_service_server_builder_option.h \
 include/grpc++/generic/async_generic_service.h \
 include/grpc++/generic/generic_stub.h \
 include/grpc++/grpc++.h \
+include/grpc++/health_check_service_interface.h \
 include/grpc++/impl/call.h \
 include/grpc++/impl/client_unary_call.h \
 include/grpc++/impl/codegen/async_stream.h \
@@ -913,6 +915,12 @@ src/cpp/server/async_generic_service.cc \
 src/cpp/server/create_default_thread_pool.cc \
 src/cpp/server/dynamic_thread_pool.cc \
 src/cpp/server/dynamic_thread_pool.h \
+src/cpp/server/health/default_health_check_service.cc \
+src/cpp/server/health/default_health_check_service.h \
+src/cpp/server/health/health.pb.c \
+src/cpp/server/health/health.pb.h \
+src/cpp/server/health/health_check_service.cc \
+src/cpp/server/health/health_check_service_server_builder_option.cc \
 src/cpp/server/insecure_server_credentials.cc \
 src/cpp/server/secure_server_credentials.cc \
 src/cpp/server/secure_server_credentials.h \
diff --git a/tools/profiling/microbenchmarks/bm2bq.py b/tools/profiling/microbenchmarks/bm2bq.py
index a7d82269f55ba8696a52ed2f7c76af1154aa2f56..8770fb71cf5b5208315846de073746a6c9dad1b6 100755
--- a/tools/profiling/microbenchmarks/bm2bq.py
+++ b/tools/profiling/microbenchmarks/bm2bq.py
@@ -66,6 +66,8 @@ columns = [
   ('cli_stream_stalls_per_iteration', 'float'),
   ('svr_transport_stalls_per_iteration', 'float'),
   ('svr_stream_stalls_per_iteration', 'float'),
+  ('atm_cas_per_iteration', 'float'),
+  ('atm_add_per_iteration', 'float')
 ]
 
 if sys.argv[1] == '--schema':
@@ -158,7 +160,7 @@ def parse_name(name):
 for bm in js['benchmarks']:
   context = js['context']
   if 'label' in bm:
-    labels_list = [s.split(':') for s in bm['label'].split(' ')]
+    labels_list = [s.split(':') for s in bm['label'].strip().split(' ')]
     for el in labels_list:
       el[0] = el[0].replace('/iter', '_per_iteration')
     labels = dict(labels_list)
diff --git a/tools/run_tests/generated/sources_and_headers.json b/tools/run_tests/generated/sources_and_headers.json
index 0f937ed82e72665d856228f576c46b02cbb0ff47..9f31d1f9fd40539a00883d6c76f83c0476f92c82 100644
--- a/tools/run_tests/generated/sources_and_headers.json
+++ b/tools/run_tests/generated/sources_and_headers.json
@@ -1289,57 +1289,6 @@
     "third_party": false, 
     "type": "target"
   }, 
-  {
-    "deps": [
-      "gpr", 
-      "gpr_test_util", 
-      "grpc", 
-      "grpc_test_util"
-    ], 
-    "headers": [], 
-    "is_filegroup": false, 
-    "language": "c", 
-    "name": "internal_api_canary_iomgr_test", 
-    "src": [
-      "test/core/internal_api_canaries/iomgr.c"
-    ], 
-    "third_party": false, 
-    "type": "target"
-  }, 
-  {
-    "deps": [
-      "gpr", 
-      "gpr_test_util", 
-      "grpc", 
-      "grpc_test_util"
-    ], 
-    "headers": [], 
-    "is_filegroup": false, 
-    "language": "c", 
-    "name": "internal_api_canary_support_test", 
-    "src": [
-      "test/core/internal_api_canaries/iomgr.c"
-    ], 
-    "third_party": false, 
-    "type": "target"
-  }, 
-  {
-    "deps": [
-      "gpr", 
-      "gpr_test_util", 
-      "grpc", 
-      "grpc_test_util"
-    ], 
-    "headers": [], 
-    "is_filegroup": false, 
-    "language": "c", 
-    "name": "internal_api_canary_transport_test", 
-    "src": [
-      "test/core/internal_api_canaries/iomgr.c"
-    ], 
-    "third_party": false, 
-    "type": "target"
-  }, 
   {
     "deps": [
       "gpr", 
@@ -2892,6 +2841,25 @@
     "third_party": false, 
     "type": "target"
   }, 
+  {
+    "deps": [
+      "gpr", 
+      "gpr_test_util", 
+      "grpc", 
+      "grpc++", 
+      "grpc++_test_util", 
+      "grpc_test_util"
+    ], 
+    "headers": [], 
+    "is_filegroup": false, 
+    "language": "c++", 
+    "name": "health_service_end2end_test", 
+    "src": [
+      "test/cpp/end2end/health_service_end2end_test.cc"
+    ], 
+    "third_party": false, 
+    "type": "target"
+  }, 
   {
     "deps": [
       "grpc", 
@@ -5517,6 +5485,8 @@
       "thrift_util"
     ], 
     "headers": [
+      "src/proto/grpc/health/v1/health.grpc.pb.h", 
+      "src/proto/grpc/health/v1/health.pb.h", 
       "src/proto/grpc/testing/duplicate/echo_duplicate.grpc.pb.h", 
       "src/proto/grpc/testing/duplicate/echo_duplicate.pb.h", 
       "src/proto/grpc/testing/echo.grpc.pb.h", 
@@ -8106,9 +8076,11 @@
       "include/grpc++/completion_queue.h", 
       "include/grpc++/create_channel.h", 
       "include/grpc++/create_channel_posix.h", 
+      "include/grpc++/ext/health_check_service_server_builder_option.h", 
       "include/grpc++/generic/async_generic_service.h", 
       "include/grpc++/generic/generic_stub.h", 
       "include/grpc++/grpc++.h", 
+      "include/grpc++/health_check_service_interface.h", 
       "include/grpc++/impl/call.h", 
       "include/grpc++/impl/client_unary_call.h", 
       "include/grpc++/impl/codegen/core_codegen.h", 
@@ -8145,6 +8117,8 @@
       "src/cpp/client/create_channel_internal.h", 
       "src/cpp/common/channel_filter.h", 
       "src/cpp/server/dynamic_thread_pool.h", 
+      "src/cpp/server/health/default_health_check_service.h", 
+      "src/cpp/server/health/health.pb.h", 
       "src/cpp/server/thread_pool_interface.h", 
       "src/cpp/thread_manager/thread_manager.h"
     ], 
@@ -8158,9 +8132,11 @@
       "include/grpc++/completion_queue.h", 
       "include/grpc++/create_channel.h", 
       "include/grpc++/create_channel_posix.h", 
+      "include/grpc++/ext/health_check_service_server_builder_option.h", 
       "include/grpc++/generic/async_generic_service.h", 
       "include/grpc++/generic/generic_stub.h", 
       "include/grpc++/grpc++.h", 
+      "include/grpc++/health_check_service_interface.h", 
       "include/grpc++/impl/call.h", 
       "include/grpc++/impl/client_unary_call.h", 
       "include/grpc++/impl/codegen/core_codegen.h", 
@@ -8214,6 +8190,12 @@
       "src/cpp/server/create_default_thread_pool.cc", 
       "src/cpp/server/dynamic_thread_pool.cc", 
       "src/cpp/server/dynamic_thread_pool.h", 
+      "src/cpp/server/health/default_health_check_service.cc", 
+      "src/cpp/server/health/default_health_check_service.h", 
+      "src/cpp/server/health/health.pb.c", 
+      "src/cpp/server/health/health.pb.h", 
+      "src/cpp/server/health/health_check_service.cc", 
+      "src/cpp/server/health/health_check_service_server_builder_option.cc", 
       "src/cpp/server/server_builder.cc", 
       "src/cpp/server/server_cc.cc", 
       "src/cpp/server/server_context.cc", 
diff --git a/tools/run_tests/generated/tests.json b/tools/run_tests/generated/tests.json
index a161e8a670e41c3970dd7158846f83fd61e6cd3a..0cfdab4c5eb40d3ba370babb8dcb6793e23ce2bc 100644
--- a/tools/run_tests/generated/tests.json
+++ b/tools/run_tests/generated/tests.json
@@ -1521,28 +1521,6 @@
       "windows"
     ]
   }, 
-  {
-    "args": [], 
-    "ci_platforms": [
-      "linux", 
-      "mac", 
-      "posix", 
-      "windows"
-    ], 
-    "cpu_cost": 0.1, 
-    "exclude_configs": [], 
-    "exclude_iomgrs": [], 
-    "flaky": true, 
-    "gtest": false, 
-    "language": "c", 
-    "name": "lb_policies_test", 
-    "platforms": [
-      "linux", 
-      "mac", 
-      "posix", 
-      "windows"
-    ]
-  }, 
   {
     "args": [], 
     "ci_platforms": [
@@ -2907,6 +2885,28 @@
       "windows"
     ]
   }, 
+  {
+    "args": [], 
+    "ci_platforms": [
+      "linux", 
+      "mac", 
+      "posix", 
+      "windows"
+    ], 
+    "cpu_cost": 1.0, 
+    "exclude_configs": [], 
+    "exclude_iomgrs": [], 
+    "flaky": false, 
+    "gtest": true, 
+    "language": "c++", 
+    "name": "health_service_end2end_test", 
+    "platforms": [
+      "linux", 
+      "mac", 
+      "posix", 
+      "windows"
+    ]
+  }, 
   {
     "args": [], 
     "ci_platforms": [
diff --git a/vsprojects/buildtests_c.sln b/vsprojects/buildtests_c.sln
index ca7f969aa1ba1d37807b39d137d63f320fabbd9b..12a45ee1f851a3fe5d46a81b5515a09749ddaf07 100644
--- a/vsprojects/buildtests_c.sln
+++ b/vsprojects/buildtests_c.sln
@@ -1071,39 +1071,6 @@ Project("{8BC9CEB8-8B4A-11D0-8D11-00A0C91BC942}") = "initial_settings_frame_bad_
 		{B23D3D1A-9438-4EDA-BEB6-9A0A03D17792} = {B23D3D1A-9438-4EDA-BEB6-9A0A03D17792}
 	EndProjectSection
 EndProject
-Project("{8BC9CEB8-8B4A-11D0-8D11-00A0C91BC942}") = "internal_api_canary_iomgr_test", "vcxproj\test\internal_api_canary_iomgr_test\internal_api_canary_iomgr_test.vcxproj", "{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}"
-	ProjectSection(myProperties) = preProject
-        	lib = "False"
-	EndProjectSection
-	ProjectSection(ProjectDependencies) = postProject
-		{17BCAFC0-5FDC-4C94-AEB9-95F3E220614B} = {17BCAFC0-5FDC-4C94-AEB9-95F3E220614B}
-		{29D16885-7228-4C31-81ED-5F9187C7F2A9} = {29D16885-7228-4C31-81ED-5F9187C7F2A9}
-		{EAB0A629-17A9-44DB-B5FF-E91A721FE037} = {EAB0A629-17A9-44DB-B5FF-E91A721FE037}
-		{B23D3D1A-9438-4EDA-BEB6-9A0A03D17792} = {B23D3D1A-9438-4EDA-BEB6-9A0A03D17792}
-	EndProjectSection
-EndProject
-Project("{8BC9CEB8-8B4A-11D0-8D11-00A0C91BC942}") = "internal_api_canary_support_test", "vcxproj\test\internal_api_canary_support_test\internal_api_canary_support_test.vcxproj", "{D53575C6-713C-E6E3-FD74-E65F20916498}"
-	ProjectSection(myProperties) = preProject
-        	lib = "False"
-	EndProjectSection
-	ProjectSection(ProjectDependencies) = postProject
-		{17BCAFC0-5FDC-4C94-AEB9-95F3E220614B} = {17BCAFC0-5FDC-4C94-AEB9-95F3E220614B}
-		{29D16885-7228-4C31-81ED-5F9187C7F2A9} = {29D16885-7228-4C31-81ED-5F9187C7F2A9}
-		{EAB0A629-17A9-44DB-B5FF-E91A721FE037} = {EAB0A629-17A9-44DB-B5FF-E91A721FE037}
-		{B23D3D1A-9438-4EDA-BEB6-9A0A03D17792} = {B23D3D1A-9438-4EDA-BEB6-9A0A03D17792}
-	EndProjectSection
-EndProject
-Project("{8BC9CEB8-8B4A-11D0-8D11-00A0C91BC942}") = "internal_api_canary_transport_test", "vcxproj\test\internal_api_canary_transport_test\internal_api_canary_transport_test.vcxproj", "{ED24E700-964E-B426-6A6A-1944E2EF7BCB}"
-	ProjectSection(myProperties) = preProject
-        	lib = "False"
-	EndProjectSection
-	ProjectSection(ProjectDependencies) = postProject
-		{17BCAFC0-5FDC-4C94-AEB9-95F3E220614B} = {17BCAFC0-5FDC-4C94-AEB9-95F3E220614B}
-		{29D16885-7228-4C31-81ED-5F9187C7F2A9} = {29D16885-7228-4C31-81ED-5F9187C7F2A9}
-		{EAB0A629-17A9-44DB-B5FF-E91A721FE037} = {EAB0A629-17A9-44DB-B5FF-E91A721FE037}
-		{B23D3D1A-9438-4EDA-BEB6-9A0A03D17792} = {B23D3D1A-9438-4EDA-BEB6-9A0A03D17792}
-	EndProjectSection
-EndProject
 Project("{8BC9CEB8-8B4A-11D0-8D11-00A0C91BC942}") = "invalid_call_argument_test", "vcxproj\test\invalid_call_argument_test\invalid_call_argument_test.vcxproj", "{C32CA8A3-58E6-8EB9-B72F-C295547D36A6}"
 	ProjectSection(myProperties) = preProject
         	lib = "False"
@@ -3218,54 +3185,6 @@ Global
 		{6756895E-05BF-8CC7-58F2-868DF0C0300C}.Release-DLL|Win32.Build.0 = Release|Win32
 		{6756895E-05BF-8CC7-58F2-868DF0C0300C}.Release-DLL|x64.ActiveCfg = Release|x64
 		{6756895E-05BF-8CC7-58F2-868DF0C0300C}.Release-DLL|x64.Build.0 = Release|x64
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Debug|Win32.ActiveCfg = Debug|Win32
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Debug|x64.ActiveCfg = Debug|x64
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Release|Win32.ActiveCfg = Release|Win32
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Release|x64.ActiveCfg = Release|x64
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Debug|Win32.Build.0 = Debug|Win32
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Debug|x64.Build.0 = Debug|x64
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Release|Win32.Build.0 = Release|Win32
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Release|x64.Build.0 = Release|x64
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Debug-DLL|Win32.ActiveCfg = Debug|Win32
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Debug-DLL|Win32.Build.0 = Debug|Win32
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Debug-DLL|x64.ActiveCfg = Debug|x64
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Debug-DLL|x64.Build.0 = Debug|x64
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Release-DLL|Win32.ActiveCfg = Release|Win32
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Release-DLL|Win32.Build.0 = Release|Win32
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Release-DLL|x64.ActiveCfg = Release|x64
-		{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}.Release-DLL|x64.Build.0 = Release|x64
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Debug|Win32.ActiveCfg = Debug|Win32
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Debug|x64.ActiveCfg = Debug|x64
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Release|Win32.ActiveCfg = Release|Win32
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Release|x64.ActiveCfg = Release|x64
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Debug|Win32.Build.0 = Debug|Win32
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Debug|x64.Build.0 = Debug|x64
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Release|Win32.Build.0 = Release|Win32
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Release|x64.Build.0 = Release|x64
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Debug-DLL|Win32.ActiveCfg = Debug|Win32
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Debug-DLL|Win32.Build.0 = Debug|Win32
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Debug-DLL|x64.ActiveCfg = Debug|x64
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Debug-DLL|x64.Build.0 = Debug|x64
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Release-DLL|Win32.ActiveCfg = Release|Win32
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Release-DLL|Win32.Build.0 = Release|Win32
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Release-DLL|x64.ActiveCfg = Release|x64
-		{D53575C6-713C-E6E3-FD74-E65F20916498}.Release-DLL|x64.Build.0 = Release|x64
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Debug|Win32.ActiveCfg = Debug|Win32
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Debug|x64.ActiveCfg = Debug|x64
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Release|Win32.ActiveCfg = Release|Win32
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Release|x64.ActiveCfg = Release|x64
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Debug|Win32.Build.0 = Debug|Win32
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Debug|x64.Build.0 = Debug|x64
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Release|Win32.Build.0 = Release|Win32
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Release|x64.Build.0 = Release|x64
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Debug-DLL|Win32.ActiveCfg = Debug|Win32
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Debug-DLL|Win32.Build.0 = Debug|Win32
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Debug-DLL|x64.ActiveCfg = Debug|x64
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Debug-DLL|x64.Build.0 = Debug|x64
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Release-DLL|Win32.ActiveCfg = Release|Win32
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Release-DLL|Win32.Build.0 = Release|Win32
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Release-DLL|x64.ActiveCfg = Release|x64
-		{ED24E700-964E-B426-6A6A-1944E2EF7BCB}.Release-DLL|x64.Build.0 = Release|x64
 		{C32CA8A3-58E6-8EB9-B72F-C295547D36A6}.Debug|Win32.ActiveCfg = Debug|Win32
 		{C32CA8A3-58E6-8EB9-B72F-C295547D36A6}.Debug|x64.ActiveCfg = Debug|x64
 		{C32CA8A3-58E6-8EB9-B72F-C295547D36A6}.Release|Win32.ActiveCfg = Release|Win32
diff --git a/vsprojects/vcxproj/grpc++/grpc++.vcxproj b/vsprojects/vcxproj/grpc++/grpc++.vcxproj
index 58597744d8b2db87898ff953cd5cb849aabf7c23..45f3037e8ab88ddebc63c70049eb7812549fce96 100644
--- a/vsprojects/vcxproj/grpc++/grpc++.vcxproj
+++ b/vsprojects/vcxproj/grpc++/grpc++.vcxproj
@@ -264,9 +264,11 @@
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\completion_queue.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\create_channel.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\create_channel_posix.h" />
+    <ClInclude Include="$(SolutionDir)\..\include\grpc++\ext\health_check_service_server_builder_option.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\generic\async_generic_service.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\generic\generic_stub.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\grpc++.h" />
+    <ClInclude Include="$(SolutionDir)\..\include\grpc++\health_check_service_interface.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\impl\call.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\impl\client_unary_call.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\impl\codegen\core_codegen.h" />
@@ -360,6 +362,8 @@
     <ClInclude Include="$(SolutionDir)\..\src\cpp\client\create_channel_internal.h" />
     <ClInclude Include="$(SolutionDir)\..\src\cpp\common\channel_filter.h" />
     <ClInclude Include="$(SolutionDir)\..\src\cpp\server\dynamic_thread_pool.h" />
+    <ClInclude Include="$(SolutionDir)\..\src\cpp\server\health\default_health_check_service.h" />
+    <ClInclude Include="$(SolutionDir)\..\src\cpp\server\health\health.pb.h" />
     <ClInclude Include="$(SolutionDir)\..\src\cpp\server\thread_pool_interface.h" />
     <ClInclude Include="$(SolutionDir)\..\src\cpp\thread_manager\thread_manager.h" />
   </ItemGroup>
@@ -414,6 +418,14 @@
     </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\dynamic_thread_pool.cc">
     </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\default_health_check_service.cc">
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health.pb.c">
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health_check_service.cc">
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health_check_service_server_builder_option.cc">
+    </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\server_builder.cc">
     </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\server_cc.cc">
diff --git a/vsprojects/vcxproj/grpc++/grpc++.vcxproj.filters b/vsprojects/vcxproj/grpc++/grpc++.vcxproj.filters
index 4b501a1e74ea5ddd9afea2970b34fd176370d755..95cdb7434c157f2c3bc6cd78fdccd05047cd4625 100644
--- a/vsprojects/vcxproj/grpc++/grpc++.vcxproj.filters
+++ b/vsprojects/vcxproj/grpc++/grpc++.vcxproj.filters
@@ -76,6 +76,18 @@
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\dynamic_thread_pool.cc">
       <Filter>src\cpp\server</Filter>
     </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\default_health_check_service.cc">
+      <Filter>src\cpp\server\health</Filter>
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health.pb.c">
+      <Filter>src\cpp\server\health</Filter>
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health_check_service.cc">
+      <Filter>src\cpp\server\health</Filter>
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health_check_service_server_builder_option.cc">
+      <Filter>src\cpp\server\health</Filter>
+    </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\server_builder.cc">
       <Filter>src\cpp\server</Filter>
     </ClCompile>
@@ -132,6 +144,9 @@
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\create_channel_posix.h">
       <Filter>include\grpc++</Filter>
     </ClInclude>
+    <ClInclude Include="$(SolutionDir)\..\include\grpc++\ext\health_check_service_server_builder_option.h">
+      <Filter>include\grpc++\ext</Filter>
+    </ClInclude>
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\generic\async_generic_service.h">
       <Filter>include\grpc++\generic</Filter>
     </ClInclude>
@@ -141,6 +156,9 @@
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\grpc++.h">
       <Filter>include\grpc++</Filter>
     </ClInclude>
+    <ClInclude Include="$(SolutionDir)\..\include\grpc++\health_check_service_interface.h">
+      <Filter>include\grpc++</Filter>
+    </ClInclude>
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\impl\call.h">
       <Filter>include\grpc++\impl</Filter>
     </ClInclude>
@@ -416,6 +434,12 @@
     <ClInclude Include="$(SolutionDir)\..\src\cpp\server\dynamic_thread_pool.h">
       <Filter>src\cpp\server</Filter>
     </ClInclude>
+    <ClInclude Include="$(SolutionDir)\..\src\cpp\server\health\default_health_check_service.h">
+      <Filter>src\cpp\server\health</Filter>
+    </ClInclude>
+    <ClInclude Include="$(SolutionDir)\..\src\cpp\server\health\health.pb.h">
+      <Filter>src\cpp\server\health</Filter>
+    </ClInclude>
     <ClInclude Include="$(SolutionDir)\..\src\cpp\server\thread_pool_interface.h">
       <Filter>src\cpp\server</Filter>
     </ClInclude>
@@ -434,6 +458,9 @@
     <Filter Include="include\grpc++">
       <UniqueIdentifier>{784a0281-f547-aeb0-9f55-b26b7de9c769}</UniqueIdentifier>
     </Filter>
+    <Filter Include="include\grpc++\ext">
+      <UniqueIdentifier>{25501d8e-5fae-2fe4-14a6-d69a07acefdd}</UniqueIdentifier>
+    </Filter>
     <Filter Include="include\grpc++\generic">
       <UniqueIdentifier>{51dae921-3aa2-1976-2ee4-c5615de1af54}</UniqueIdentifier>
     </Filter>
@@ -476,6 +503,9 @@
     <Filter Include="src\cpp\server">
       <UniqueIdentifier>{321b0980-74ad-e8ca-f23b-deffa5d6bb8f}</UniqueIdentifier>
     </Filter>
+    <Filter Include="src\cpp\server\health">
+      <UniqueIdentifier>{5bc9ef4e-78c1-159e-4e4e-30ddfce3e140}</UniqueIdentifier>
+    </Filter>
     <Filter Include="src\cpp\thread_manager">
       <UniqueIdentifier>{23f9df56-8604-52a0-e6a2-f01b8e68d0e7}</UniqueIdentifier>
     </Filter>
diff --git a/vsprojects/vcxproj/grpc++_test_util/grpc++_test_util.vcxproj b/vsprojects/vcxproj/grpc++_test_util/grpc++_test_util.vcxproj
index ba12f0be60dca5699f4e625d13c8167553f4ca80..13d80ec4dad1e28b08aa0cd0277dd45583afb629 100644
--- a/vsprojects/vcxproj/grpc++_test_util/grpc++_test_util.vcxproj
+++ b/vsprojects/vcxproj/grpc++_test_util/grpc++_test_util.vcxproj
@@ -210,6 +210,14 @@
     <ClInclude Include="$(SolutionDir)\..\test\cpp\util\test_credentials_provider.h" />
   </ItemGroup>
   <ItemGroup>
+    <ClCompile Include="$(SolutionDir)\..\src\proto\grpc\health\v1\health.pb.cc">
+    </ClCompile>
+    <ClInclude Include="$(SolutionDir)\..\src\proto\grpc\health\v1\health.pb.h">
+    </ClInclude>
+    <ClCompile Include="$(SolutionDir)\..\src\proto\grpc\health\v1\health.grpc.pb.cc">
+    </ClCompile>
+    <ClInclude Include="$(SolutionDir)\..\src\proto\grpc\health\v1\health.grpc.pb.h">
+    </ClInclude>
     <ClCompile Include="$(SolutionDir)\..\src\proto\grpc\testing\echo_messages.pb.cc">
     </ClCompile>
     <ClInclude Include="$(SolutionDir)\..\src\proto\grpc\testing\echo_messages.pb.h">
diff --git a/vsprojects/vcxproj/grpc++_test_util/grpc++_test_util.vcxproj.filters b/vsprojects/vcxproj/grpc++_test_util/grpc++_test_util.vcxproj.filters
index 116a6396905e9b7d42b72215523a199d0a669bb5..7981feb4de9b7400865770ddc07c25eff7189219 100644
--- a/vsprojects/vcxproj/grpc++_test_util/grpc++_test_util.vcxproj.filters
+++ b/vsprojects/vcxproj/grpc++_test_util/grpc++_test_util.vcxproj.filters
@@ -1,6 +1,9 @@
 <?xml version="1.0" encoding="utf-8"?>
 <Project ToolsVersion="4.0" xmlns="http://schemas.microsoft.com/developer/msbuild/2003">
   <ItemGroup>
+    <ClCompile Include="$(SolutionDir)\..\src\proto\grpc\health\v1\health.proto">
+      <Filter>src\proto\grpc\health\v1</Filter>
+    </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\proto\grpc\testing\echo_messages.proto">
       <Filter>src\proto\grpc\testing</Filter>
     </ClCompile>
@@ -254,6 +257,12 @@
     <Filter Include="src\proto\grpc">
       <UniqueIdentifier>{f3daac52-2bfd-362e-9a76-04cd7a90aa34}</UniqueIdentifier>
     </Filter>
+    <Filter Include="src\proto\grpc\health">
+      <UniqueIdentifier>{d2393dd7-6f95-0e70-c36d-cd8ef8e2f17e}</UniqueIdentifier>
+    </Filter>
+    <Filter Include="src\proto\grpc\health\v1">
+      <UniqueIdentifier>{f2f10901-f74f-a55a-abea-082923feb664}</UniqueIdentifier>
+    </Filter>
     <Filter Include="src\proto\grpc\testing">
       <UniqueIdentifier>{3df5f11f-e018-1126-8c22-291540035aa8}</UniqueIdentifier>
     </Filter>
diff --git a/vsprojects/vcxproj/grpc++_unsecure/grpc++_unsecure.vcxproj b/vsprojects/vcxproj/grpc++_unsecure/grpc++_unsecure.vcxproj
index f073ea595d40083b9c29a681d73065c30734b3d7..22ea361a02e7e5875c8cbd07521840c50945b5da 100644
--- a/vsprojects/vcxproj/grpc++_unsecure/grpc++_unsecure.vcxproj
+++ b/vsprojects/vcxproj/grpc++_unsecure/grpc++_unsecure.vcxproj
@@ -264,9 +264,11 @@
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\completion_queue.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\create_channel.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\create_channel_posix.h" />
+    <ClInclude Include="$(SolutionDir)\..\include\grpc++\ext\health_check_service_server_builder_option.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\generic\async_generic_service.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\generic\generic_stub.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\grpc++.h" />
+    <ClInclude Include="$(SolutionDir)\..\include\grpc++\health_check_service_interface.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\impl\call.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\impl\client_unary_call.h" />
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\impl\codegen\core_codegen.h" />
@@ -354,6 +356,8 @@
     <ClInclude Include="$(SolutionDir)\..\src\cpp\client\create_channel_internal.h" />
     <ClInclude Include="$(SolutionDir)\..\src\cpp\common\channel_filter.h" />
     <ClInclude Include="$(SolutionDir)\..\src\cpp\server\dynamic_thread_pool.h" />
+    <ClInclude Include="$(SolutionDir)\..\src\cpp\server\health\default_health_check_service.h" />
+    <ClInclude Include="$(SolutionDir)\..\src\cpp\server\health\health.pb.h" />
     <ClInclude Include="$(SolutionDir)\..\src\cpp\server\thread_pool_interface.h" />
     <ClInclude Include="$(SolutionDir)\..\src\cpp\thread_manager\thread_manager.h" />
   </ItemGroup>
@@ -398,6 +402,14 @@
     </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\dynamic_thread_pool.cc">
     </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\default_health_check_service.cc">
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health.pb.c">
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health_check_service.cc">
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health_check_service_server_builder_option.cc">
+    </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\server_builder.cc">
     </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\server_cc.cc">
diff --git a/vsprojects/vcxproj/grpc++_unsecure/grpc++_unsecure.vcxproj.filters b/vsprojects/vcxproj/grpc++_unsecure/grpc++_unsecure.vcxproj.filters
index a2515e23a021367af99ae4d1bd0377d446857dad..c3cef2d4df50935e4171ae84b6d52580207a2ac0 100644
--- a/vsprojects/vcxproj/grpc++_unsecure/grpc++_unsecure.vcxproj.filters
+++ b/vsprojects/vcxproj/grpc++_unsecure/grpc++_unsecure.vcxproj.filters
@@ -61,6 +61,18 @@
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\dynamic_thread_pool.cc">
       <Filter>src\cpp\server</Filter>
     </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\default_health_check_service.cc">
+      <Filter>src\cpp\server\health</Filter>
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health.pb.c">
+      <Filter>src\cpp\server\health</Filter>
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health_check_service.cc">
+      <Filter>src\cpp\server\health</Filter>
+    </ClCompile>
+    <ClCompile Include="$(SolutionDir)\..\src\cpp\server\health\health_check_service_server_builder_option.cc">
+      <Filter>src\cpp\server\health</Filter>
+    </ClCompile>
     <ClCompile Include="$(SolutionDir)\..\src\cpp\server\server_builder.cc">
       <Filter>src\cpp\server</Filter>
     </ClCompile>
@@ -117,6 +129,9 @@
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\create_channel_posix.h">
       <Filter>include\grpc++</Filter>
     </ClInclude>
+    <ClInclude Include="$(SolutionDir)\..\include\grpc++\ext\health_check_service_server_builder_option.h">
+      <Filter>include\grpc++\ext</Filter>
+    </ClInclude>
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\generic\async_generic_service.h">
       <Filter>include\grpc++\generic</Filter>
     </ClInclude>
@@ -126,6 +141,9 @@
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\grpc++.h">
       <Filter>include\grpc++</Filter>
     </ClInclude>
+    <ClInclude Include="$(SolutionDir)\..\include\grpc++\health_check_service_interface.h">
+      <Filter>include\grpc++</Filter>
+    </ClInclude>
     <ClInclude Include="$(SolutionDir)\..\include\grpc++\impl\call.h">
       <Filter>include\grpc++\impl</Filter>
     </ClInclude>
@@ -383,6 +401,12 @@
     <ClInclude Include="$(SolutionDir)\..\src\cpp\server\dynamic_thread_pool.h">
       <Filter>src\cpp\server</Filter>
     </ClInclude>
+    <ClInclude Include="$(SolutionDir)\..\src\cpp\server\health\default_health_check_service.h">
+      <Filter>src\cpp\server\health</Filter>
+    </ClInclude>
+    <ClInclude Include="$(SolutionDir)\..\src\cpp\server\health\health.pb.h">
+      <Filter>src\cpp\server\health</Filter>
+    </ClInclude>
     <ClInclude Include="$(SolutionDir)\..\src\cpp\server\thread_pool_interface.h">
       <Filter>src\cpp\server</Filter>
     </ClInclude>
@@ -401,6 +425,9 @@
     <Filter Include="include\grpc++">
       <UniqueIdentifier>{eceb50c0-bb49-3812-b6bd-b0af6df81da7}</UniqueIdentifier>
     </Filter>
+    <Filter Include="include\grpc++\ext">
+      <UniqueIdentifier>{e6643be2-2b2f-953d-ab14-27d89c835c8a}</UniqueIdentifier>
+    </Filter>
     <Filter Include="include\grpc++\generic">
       <UniqueIdentifier>{83717d3c-57d9-2bfa-ed9c-2b08f86da12b}</UniqueIdentifier>
     </Filter>
@@ -443,6 +470,9 @@
     <Filter Include="src\cpp\server">
       <UniqueIdentifier>{8a54a279-d14b-4237-0df3-1ffe1ef5a7af}</UniqueIdentifier>
     </Filter>
+    <Filter Include="src\cpp\server\health">
+      <UniqueIdentifier>{a003cb5c-7249-106c-8ee5-de5e11a6692c}</UniqueIdentifier>
+    </Filter>
     <Filter Include="src\cpp\thread_manager">
       <UniqueIdentifier>{e5b55f25-d99f-b8e5-9981-7da7fa7ba628}</UniqueIdentifier>
     </Filter>
diff --git a/vsprojects/vcxproj/test/internal_api_canary_iomgr_test/internal_api_canary_iomgr_test.vcxproj b/vsprojects/vcxproj/test/health_service_end2end_test/health_service_end2end_test.vcxproj
similarity index 94%
rename from vsprojects/vcxproj/test/internal_api_canary_iomgr_test/internal_api_canary_iomgr_test.vcxproj
rename to vsprojects/vcxproj/test/health_service_end2end_test/health_service_end2end_test.vcxproj
index 11d89a01c15d7dc7817bee49bc3d1db44a7f98d9..28530d07b53b6fb41f84f6e1c3aeafc63576d780 100644
--- a/vsprojects/vcxproj/test/internal_api_canary_iomgr_test/internal_api_canary_iomgr_test.vcxproj
+++ b/vsprojects/vcxproj/test/health_service_end2end_test/health_service_end2end_test.vcxproj
@@ -20,7 +20,7 @@
     </ProjectConfiguration>
   </ItemGroup>
   <PropertyGroup Label="Globals">
-    <ProjectGuid>{28AE726B-1BFB-202B-48D2-41AF9D09B9EA}</ProjectGuid>
+    <ProjectGuid>{3EB2B3E9-8BC3-8DF7-82CB-38462FFE5919}</ProjectGuid>
     <IgnoreWarnIntDirInTempDetected>true</IgnoreWarnIntDirInTempDetected>
     <IntDir>$(SolutionDir)IntDir\$(MSBuildProjectName)\</IntDir>
   </PropertyGroup>
@@ -53,21 +53,23 @@
   </ImportGroup>
   <ImportGroup Label="PropertySheets">
     <Import Project="$(UserRootDir)\Microsoft.Cpp.$(Platform).user.props" Condition="exists('$(UserRootDir)\Microsoft.Cpp.$(Platform).user.props')" Label="LocalAppDataPlatform" />
+    <Import Project="$(SolutionDir)\..\vsprojects\cpptest.props" />
     <Import Project="$(SolutionDir)\..\vsprojects\global.props" />
     <Import Project="$(SolutionDir)\..\vsprojects\openssl.props" />
+    <Import Project="$(SolutionDir)\..\vsprojects\protobuf.props" />
     <Import Project="$(SolutionDir)\..\vsprojects\winsock.props" />
     <Import Project="$(SolutionDir)\..\vsprojects\zlib.props" />
   </ImportGroup>
   <PropertyGroup Label="UserMacros" />
   <PropertyGroup Condition="'$(Configuration)'=='Debug'">
-    <TargetName>internal_api_canary_iomgr_test</TargetName>
+    <TargetName>health_service_end2end_test</TargetName>
     <Linkage-grpc_dependencies_zlib>static</Linkage-grpc_dependencies_zlib>
     <Configuration-grpc_dependencies_zlib>Debug</Configuration-grpc_dependencies_zlib>
     <Linkage-grpc_dependencies_openssl>static</Linkage-grpc_dependencies_openssl>
     <Configuration-grpc_dependencies_openssl>Debug</Configuration-grpc_dependencies_openssl>
   </PropertyGroup>
   <PropertyGroup Condition="'$(Configuration)'=='Release'">
-    <TargetName>internal_api_canary_iomgr_test</TargetName>
+    <TargetName>health_service_end2end_test</TargetName>
     <Linkage-grpc_dependencies_zlib>static</Linkage-grpc_dependencies_zlib>
     <Configuration-grpc_dependencies_zlib>Release</Configuration-grpc_dependencies_zlib>
     <Linkage-grpc_dependencies_openssl>static</Linkage-grpc_dependencies_openssl>
@@ -158,13 +160,19 @@
   </ItemDefinitionGroup>
 
   <ItemGroup>
-    <ClCompile Include="$(SolutionDir)\..\test\core\internal_api_canaries\iomgr.c">
+    <ClCompile Include="$(SolutionDir)\..\test\cpp\end2end\health_service_end2end_test.cc">
     </ClCompile>
   </ItemGroup>
   <ItemGroup>
+    <ProjectReference Include="$(SolutionDir)\..\vsprojects\vcxproj\.\grpc++_test_util\grpc++_test_util.vcxproj">
+      <Project>{0BE77741-552A-929B-A497-4EF7ECE17A64}</Project>
+    </ProjectReference>
     <ProjectReference Include="$(SolutionDir)\..\vsprojects\vcxproj\.\grpc_test_util\grpc_test_util.vcxproj">
       <Project>{17BCAFC0-5FDC-4C94-AEB9-95F3E220614B}</Project>
     </ProjectReference>
+    <ProjectReference Include="$(SolutionDir)\..\vsprojects\vcxproj\.\grpc++\grpc++.vcxproj">
+      <Project>{C187A093-A0FE-489D-A40A-6E33DE0F9FEB}</Project>
+    </ProjectReference>
     <ProjectReference Include="$(SolutionDir)\..\vsprojects\vcxproj\.\grpc\grpc.vcxproj">
       <Project>{29D16885-7228-4C31-81ED-5F9187C7F2A9}</Project>
     </ProjectReference>
diff --git a/vsprojects/vcxproj/test/health_service_end2end_test/health_service_end2end_test.vcxproj.filters b/vsprojects/vcxproj/test/health_service_end2end_test/health_service_end2end_test.vcxproj.filters
new file mode 100644
index 0000000000000000000000000000000000000000..cccf96828693e2a6619eb61cad3c278abe95eb93
--- /dev/null
+++ b/vsprojects/vcxproj/test/health_service_end2end_test/health_service_end2end_test.vcxproj.filters
@@ -0,0 +1,21 @@
+<?xml version="1.0" encoding="utf-8"?>
+<Project ToolsVersion="4.0" xmlns="http://schemas.microsoft.com/developer/msbuild/2003">
+  <ItemGroup>
+    <ClCompile Include="$(SolutionDir)\..\test\cpp\end2end\health_service_end2end_test.cc">
+      <Filter>test\cpp\end2end</Filter>
+    </ClCompile>
+  </ItemGroup>
+
+  <ItemGroup>
+    <Filter Include="test">
+      <UniqueIdentifier>{00d750b2-db02-2106-d9b7-1d3b2ca58604}</UniqueIdentifier>
+    </Filter>
+    <Filter Include="test\cpp">
+      <UniqueIdentifier>{02e29b2f-d68a-4474-8483-621ecfd7fa9d}</UniqueIdentifier>
+    </Filter>
+    <Filter Include="test\cpp\end2end">
+      <UniqueIdentifier>{b0de697a-d73a-23e1-c9af-fa0edf011d4d}</UniqueIdentifier>
+    </Filter>
+  </ItemGroup>
+</Project>
+
diff --git a/vsprojects/vcxproj/test/internal_api_canary_iomgr_test/internal_api_canary_iomgr_test.vcxproj.filters b/vsprojects/vcxproj/test/internal_api_canary_iomgr_test/internal_api_canary_iomgr_test.vcxproj.filters
deleted file mode 100644
index f1ee82d1f4c80bb08d8f68ac7a2b86a14463bd20..0000000000000000000000000000000000000000
--- a/vsprojects/vcxproj/test/internal_api_canary_iomgr_test/internal_api_canary_iomgr_test.vcxproj.filters
+++ /dev/null
@@ -1,21 +0,0 @@
-<?xml version="1.0" encoding="utf-8"?>
-<Project ToolsVersion="4.0" xmlns="http://schemas.microsoft.com/developer/msbuild/2003">
-  <ItemGroup>
-    <ClCompile Include="$(SolutionDir)\..\test\core\internal_api_canaries\iomgr.c">
-      <Filter>test\core\internal_api_canaries</Filter>
-    </ClCompile>
-  </ItemGroup>
-
-  <ItemGroup>
-    <Filter Include="test">
-      <UniqueIdentifier>{881986d1-d1fe-b377-cf26-b3377af95009}</UniqueIdentifier>
-    </Filter>
-    <Filter Include="test\core">
-      <UniqueIdentifier>{4f9a544e-5680-18ee-30d7-38179bf82cee}</UniqueIdentifier>
-    </Filter>
-    <Filter Include="test\core\internal_api_canaries">
-      <UniqueIdentifier>{6ab29f78-ec9d-d63a-8e8f-0d7552b3edd4}</UniqueIdentifier>
-    </Filter>
-  </ItemGroup>
-</Project>
-
diff --git a/vsprojects/vcxproj/test/internal_api_canary_support_test/internal_api_canary_support_test.vcxproj b/vsprojects/vcxproj/test/internal_api_canary_support_test/internal_api_canary_support_test.vcxproj
deleted file mode 100644
index 59092dc2b3c9e902c489a884ac0d0e44177cee64..0000000000000000000000000000000000000000
--- a/vsprojects/vcxproj/test/internal_api_canary_support_test/internal_api_canary_support_test.vcxproj
+++ /dev/null
@@ -1,199 +0,0 @@
-<?xml version="1.0" encoding="utf-8"?>
-<Project DefaultTargets="Build" ToolsVersion="12.0" xmlns="http://schemas.microsoft.com/developer/msbuild/2003">
-  <Import Project="$(SolutionDir)\..\vsprojects\packages\grpc.dependencies.openssl.1.0.204.1\build\native\grpc.dependencies.openssl.props" Condition="Exists('$(SolutionDir)\..\vsprojects\packages\grpc.dependencies.openssl.1.0.204.1\build\native\1.0.204.1.props')" />
-  <ItemGroup Label="ProjectConfigurations">
-    <ProjectConfiguration Include="Debug|Win32">
-      <Configuration>Debug</Configuration>
-      <Platform>Win32</Platform>
-    </ProjectConfiguration>
-    <ProjectConfiguration Include="Debug|x64">
-      <Configuration>Debug</Configuration>
-      <Platform>x64</Platform>
-    </ProjectConfiguration>
-    <ProjectConfiguration Include="Release|Win32">
-      <Configuration>Release</Configuration>
-      <Platform>Win32</Platform>
-    </ProjectConfiguration>
-    <ProjectConfiguration Include="Release|x64">
-      <Configuration>Release</Configuration>
-      <Platform>x64</Platform>
-    </ProjectConfiguration>
-  </ItemGroup>
-  <PropertyGroup Label="Globals">
-    <ProjectGuid>{D53575C6-713C-E6E3-FD74-E65F20916498}</ProjectGuid>
-    <IgnoreWarnIntDirInTempDetected>true</IgnoreWarnIntDirInTempDetected>
-    <IntDir>$(SolutionDir)IntDir\$(MSBuildProjectName)\</IntDir>
-  </PropertyGroup>
-  <Import Project="$(VCTargetsPath)\Microsoft.Cpp.Default.props" />
-  <PropertyGroup Condition="'$(VisualStudioVersion)' == '10.0'" Label="Configuration">
-    <PlatformToolset>v100</PlatformToolset>
-  </PropertyGroup>
-  <PropertyGroup Condition="'$(VisualStudioVersion)' == '11.0'" Label="Configuration">
-    <PlatformToolset>v110</PlatformToolset>
-  </PropertyGroup>
-  <PropertyGroup Condition="'$(VisualStudioVersion)' == '12.0'" Label="Configuration">
-    <PlatformToolset>v120</PlatformToolset>
-  </PropertyGroup>
-  <PropertyGroup Condition="'$(VisualStudioVersion)' == '14.0'" Label="Configuration">
-    <PlatformToolset>v140</PlatformToolset>
-  </PropertyGroup>
-  <PropertyGroup Condition="'$(Configuration)'=='Debug'" Label="Configuration">
-    <ConfigurationType>Application</ConfigurationType>
-    <UseDebugLibraries>true</UseDebugLibraries>
-    <CharacterSet>Unicode</CharacterSet>
-  </PropertyGroup>
-  <PropertyGroup Condition="'$(Configuration)'=='Release'" Label="Configuration">
-    <ConfigurationType>Application</ConfigurationType>
-    <UseDebugLibraries>false</UseDebugLibraries>
-    <WholeProgramOptimization>true</WholeProgramOptimization>
-    <CharacterSet>Unicode</CharacterSet>
-  </PropertyGroup>
-  <Import Project="$(VCTargetsPath)\Microsoft.Cpp.props" />
-  <ImportGroup Label="ExtensionSettings">
-  </ImportGroup>
-  <ImportGroup Label="PropertySheets">
-    <Import Project="$(UserRootDir)\Microsoft.Cpp.$(Platform).user.props" Condition="exists('$(UserRootDir)\Microsoft.Cpp.$(Platform).user.props')" Label="LocalAppDataPlatform" />
-    <Import Project="$(SolutionDir)\..\vsprojects\global.props" />
-    <Import Project="$(SolutionDir)\..\vsprojects\openssl.props" />
-    <Import Project="$(SolutionDir)\..\vsprojects\winsock.props" />
-    <Import Project="$(SolutionDir)\..\vsprojects\zlib.props" />
-  </ImportGroup>
-  <PropertyGroup Label="UserMacros" />
-  <PropertyGroup Condition="'$(Configuration)'=='Debug'">
-    <TargetName>internal_api_canary_support_test</TargetName>
-    <Linkage-grpc_dependencies_zlib>static</Linkage-grpc_dependencies_zlib>
-    <Configuration-grpc_dependencies_zlib>Debug</Configuration-grpc_dependencies_zlib>
-    <Linkage-grpc_dependencies_openssl>static</Linkage-grpc_dependencies_openssl>
-    <Configuration-grpc_dependencies_openssl>Debug</Configuration-grpc_dependencies_openssl>
-  </PropertyGroup>
-  <PropertyGroup Condition="'$(Configuration)'=='Release'">
-    <TargetName>internal_api_canary_support_test</TargetName>
-    <Linkage-grpc_dependencies_zlib>static</Linkage-grpc_dependencies_zlib>
-    <Configuration-grpc_dependencies_zlib>Release</Configuration-grpc_dependencies_zlib>
-    <Linkage-grpc_dependencies_openssl>static</Linkage-grpc_dependencies_openssl>
-    <Configuration-grpc_dependencies_openssl>Release</Configuration-grpc_dependencies_openssl>
-  </PropertyGroup>
-    <ItemDefinitionGroup Condition="'$(Configuration)|$(Platform)'=='Debug|Win32'">
-    <ClCompile>
-      <PrecompiledHeader>NotUsing</PrecompiledHeader>
-      <WarningLevel>Level3</WarningLevel>
-      <Optimization>Disabled</Optimization>
-      <PreprocessorDefinitions>WIN32;_DEBUG;_LIB;%(PreprocessorDefinitions)</PreprocessorDefinitions>
-      <SDLCheck>true</SDLCheck>
-      <RuntimeLibrary>MultiThreadedDebug</RuntimeLibrary>
-      <TreatWarningAsError>true</TreatWarningAsError>
-      <DebugInformationFormat Condition="$(Jenkins)">None</DebugInformationFormat>
-      <MinimalRebuild Condition="$(Jenkins)">false</MinimalRebuild>
-    </ClCompile>
-    <Link>
-      <SubSystem>Console</SubSystem>
-      <GenerateDebugInformation Condition="!$(Jenkins)">true</GenerateDebugInformation>
-      <GenerateDebugInformation Condition="$(Jenkins)">false</GenerateDebugInformation>
-    </Link>
-  </ItemDefinitionGroup>
-
-    <ItemDefinitionGroup Condition="'$(Configuration)|$(Platform)'=='Debug|x64'">
-    <ClCompile>
-      <PrecompiledHeader>NotUsing</PrecompiledHeader>
-      <WarningLevel>Level3</WarningLevel>
-      <Optimization>Disabled</Optimization>
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