diff --git a/CodeConverter/CSharp/MethodBodyExecutableStatementVisitor.cs b/CodeConverter/CSharp/MethodBodyExecutableStatementVisitor.cs
index 8f2a4856..bc48a7dc 100644
--- a/CodeConverter/CSharp/MethodBodyExecutableStatementVisitor.cs
+++ b/CodeConverter/CSharp/MethodBodyExecutableStatementVisitor.cs
@@ -211,9 +211,22 @@ public override async Task<SyntaxList<StatementSyntax>> VisitAssignmentStatement
         var lhs = await node.Left.AcceptAsync<ExpressionSyntax>(_expressionVisitor);
         var lOperation = _semanticModel.GetOperation(node.Left);
 
-        //Already dealt with by call to the same method in ConvertInvocationExpression
         var (parameterizedPropertyAccessMethod, _) = await CommonConversions.GetParameterizedPropertyAccessMethodAsync(lOperation);
-        if (parameterizedPropertyAccessMethod != null) return SingleStatement(lhs);
+
+        // If it's a simple assignment, we can return early as it's already handled by ConvertInvocationExpression
+        if (parameterizedPropertyAccessMethod != null && node.IsKind(VBasic.SyntaxKind.SimpleAssignmentStatement)) {
+            return SingleStatement(lhs);
+        }
+
+        // For compound assignments, we want to expand it to the setter, but parameterizedPropertyAccessMethod above
+        // returned 'get_Item' or 'set_Item' depending on operation context.
+        // We know for sure the left-hand side is a getter invocation for compound assignments (e.g. this.get_Item(0) += 2),
+        // but we need the setter name to build the final expression.
+        string setMethodName = null;
+        if (lOperation is IPropertyReferenceOperation pro && pro.Arguments.Any() && !Microsoft.CodeAnalysis.VisualBasic.VisualBasicExtensions.IsDefault(pro.Property)) {
+            setMethodName = pro.Property.SetMethod?.Name;
+        }
+
         var rhs = await node.Right.AcceptAsync<ExpressionSyntax>(_expressionVisitor);
 
         if (node.Left is VBSyntax.IdentifierNameSyntax id &&
@@ -241,16 +254,41 @@ _methodNode is VBSyntax.MethodBlockSyntax mb &&
                 
             var nonCompoundRhs = SyntaxFactory.BinaryExpression(nonCompound, lhs, typeConvertedRhs);
             var typeConvertedNonCompoundRhs = CommonConversions.TypeConversionAnalyzer.AddExplicitConversion(node.Right, nonCompoundRhs, forceSourceType: rhsTypeInfo.ConvertedType, forceTargetType: lhsTypeInfo.Type);
-            if (nonCompoundRhs != typeConvertedNonCompoundRhs) {
+            if (nonCompoundRhs != typeConvertedNonCompoundRhs || setMethodName != null) {
                 kind = SyntaxKind.SimpleAssignmentExpression;
                 typeConvertedRhs = typeConvertedNonCompoundRhs;
             }
+        } else if (setMethodName != null && node.IsKind(VBasic.SyntaxKind.ExponentiateAssignmentStatement)) {
+            // ExponentiateAssignmentStatement evaluates to Math.Pow invocation which might need casting back to lhsType
+            var typeConvertedNonCompoundRhs = CommonConversions.TypeConversionAnalyzer.AddExplicitConversion(node.Right, typeConvertedRhs, forceSourceType: _semanticModel.Compilation.GetTypeByMetadataName("System.Double"), forceTargetType: lhsTypeInfo.Type);
+            kind = SyntaxKind.SimpleAssignmentExpression;
+            typeConvertedRhs = typeConvertedNonCompoundRhs;
         }
 
         rhs = typeConvertedRhs;
-            
-        var assignment = SyntaxFactory.AssignmentExpression(kind, lhs, rhs);
 
+        if (setMethodName != null) {
+            if (lhs is InvocationExpressionSyntax ies) {
+                ExpressionSyntax exprToReplace = ies.Expression;
+                if (exprToReplace is MemberAccessExpressionSyntax maes) {
+                    var newName = SyntaxFactory.IdentifierName(setMethodName).WithTriviaFrom(maes.Name);
+                    var stripThis = maes.Expression is ThisExpressionSyntax
+                        && node.Left.SkipIntoParens() is not VBSyntax.MemberAccessExpressionSyntax {
+                            Expression: not (VBSyntax.MeExpressionSyntax or VBSyntax.MyClassExpressionSyntax)
+                        };
+                    exprToReplace = stripThis ? newName.WithTriviaFrom(maes) : maes.WithName(newName);
+                } else if (exprToReplace is IdentifierNameSyntax) {
+                    exprToReplace = SyntaxFactory.IdentifierName(setMethodName).WithTriviaFrom(exprToReplace);
+                }
+                var newArgList = ies.ArgumentList.AddArguments(SyntaxFactory.Argument(rhs));
+                var newLhs = ies.WithExpression(exprToReplace).WithArgumentList(newArgList);
+                var postAssign = GetPostAssignmentStatements(node);
+                return postAssign.Insert(0, SyntaxFactory.ExpressionStatement(newLhs));
+            }
+            return SingleStatement(lhs);
+        }
+
+        var assignment = SyntaxFactory.AssignmentExpression(kind, lhs, rhs);
         var postAssignment = GetPostAssignmentStatements(node);
         return postAssignment.Insert(0, SyntaxFactory.ExpressionStatement(assignment));
     }
diff --git a/Tests/CSharp/StatementTests/MethodStatementTests.cs b/Tests/CSharp/StatementTests/MethodStatementTests.cs
index 42c13f4d..bc20f218 100644
--- a/Tests/CSharp/StatementTests/MethodStatementTests.cs
+++ b/Tests/CSharp/StatementTests/MethodStatementTests.cs
@@ -1713,4 +1713,79 @@ public void TestMethod()
     }
 }");
     }
+
+
+    [Fact]
+    public async Task AssignmentOperatorsParameterizedPropertiesAsync()
+    {
+        await TestConversionVisualBasicToCSharpAsync(@"Public Class TestClass
+    Private _items As Integer() = New Integer() {1}
+    Public Property Item(index As Integer) As Integer
+        Get
+            Return _items(index)
+        End Get
+        Set(value As Integer)
+            _items(index) = value
+        End Set
+    End Property
+
+    Private _strItems As String() = New String() {""Hello""}
+    Public Property StrItem(index As Integer) As String
+        Get
+            Return _strItems(index)
+        End Get
+        Set(value As String)
+            _strItems(index) = value
+        End Set
+    End Property
+
+    Public Sub AllAssignmentOperators()
+        Item(0) += 2
+        Item(0) *= 2
+        Item(0) ^= 2
+        Item(0) /= 2
+        Item(0) -= 2
+        Item(0) \= 2
+        Item(0) <<= 2
+        Item(0) >>= 2
+        StrItem(0) &= "" World""
+    End Sub
+End Class", @"using System;
+
+public partial class TestClass
+{
+    private int[] _items = new int[] { 1 };
+    public int get_Item(int index)
+    {
+        return _items[index];
+    }
+    public void set_Item(int index, int value)
+    {
+        _items[index] = value;
+    }
+
+    private string[] _strItems = new string[] { ""Hello"" };
+    public string get_StrItem(int index)
+    {
+        return _strItems[index];
+    }
+    public void set_StrItem(int index, string value)
+    {
+        _strItems[index] = value;
+    }
+
+    public void AllAssignmentOperators()
+    {
+        set_Item(0, get_Item(0) + 2);
+        set_Item(0, get_Item(0) * 2);
+        set_Item(0, (int)Math.Round(Math.Pow(get_Item(0), 2d)));
+        set_Item(0, (int)Math.Round(get_Item(0) / 2d));
+        set_Item(0, get_Item(0) - 2);
+        set_Item(0, get_Item(0) / 2);
+        set_Item(0, get_Item(0) << 2);
+        set_Item(0, get_Item(0) >> 2);
+        set_StrItem(0, get_StrItem(0) + "" World"");
+    }
+}");
+    }
 }