diff --git a/src/coreclr/nativeaot/Runtime/HandleTableHelpers.cpp b/src/coreclr/nativeaot/Runtime/HandleTableHelpers.cpp
index 23e985357d343..8eddc1d3440d2 100644
--- a/src/coreclr/nativeaot/Runtime/HandleTableHelpers.cpp
+++ b/src/coreclr/nativeaot/Runtime/HandleTableHelpers.cpp
@@ -70,3 +70,57 @@ FCIMPL2(void, RhUnregisterRefCountedHandleCallback, void * pCallout, MethodTable
     RestrictedCallouts::UnregisterRefCountedHandleCallback(pCallout, pTypeFilter);
 }
 FCIMPLEND
+
+// This structure mirrors the managed type System.Runtime.InteropServices.ComWrappers.ManagedObjectWrapper.
+struct ManagedObjectWrapper
+{
+    intptr_t HolderHandle;
+    uint64_t RefCount;
+
+    int32_t UserDefinedCount;
+    void* /* ComInterfaceEntry */ UserDefined;
+    void* /* InternalComInterfaceDispatch* */ Dispatches;
+
+    int32_t /* CreateComInterfaceFlagsEx */ Flags;
+
+    uint32_t AddRef()
+    {
+        return GetComCount((uint64_t)PalInterlockedIncrement64((int64_t*)&RefCount));
+    }
+
+    static const uint64_t ComRefCountMask = 0x000000007fffffffUL;
+
+    static uint32_t GetComCount(uint64_t c)
+    {
+        return (uint32_t)(c & ComRefCountMask);
+    }
+};
+
+// This structure mirrors the managed type System.Runtime.InteropServices.ComWrappers.InternalComInterfaceDispatch.
+struct InternalComInterfaceDispatch
+{
+    void* Vtable;
+    ManagedObjectWrapper* _thisPtr;
+};
+
+static ManagedObjectWrapper* ToManagedObjectWrapper(void* dispatchPtr)
+{
+    return ((InternalComInterfaceDispatch*)dispatchPtr)->_thisPtr;
+}
+
+//
+// AddRef is implemented in native code so that it does not need to synchronize with the GC. This is important because Xaml
+// invokes AddRef while holding a lock that it *also* holds while a GC is in progress.  If AddRef was managed, we would have
+// to synchronize with the GC before entering AddRef, which would deadlock with the other thread holding Xaml's lock.
+//
+static uint32_t __stdcall IUnknown_AddRef(void* pComThis)
+{
+    ManagedObjectWrapper* wrapper = ToManagedObjectWrapper(pComThis);
+    return wrapper->AddRef();
+}
+
+FCIMPL0(void*, RhGetIUnknownAddRef)
+{
+    return (void*)&IUnknown_AddRef;
+}
+FCIMPLEND
diff --git a/src/coreclr/nativeaot/Runtime/unix/PalRedhawkInline.h b/src/coreclr/nativeaot/Runtime/unix/PalRedhawkInline.h
index 983f17a36aba0..2380bacdf02a1 100644
--- a/src/coreclr/nativeaot/Runtime/unix/PalRedhawkInline.h
+++ b/src/coreclr/nativeaot/Runtime/unix/PalRedhawkInline.h
@@ -30,6 +30,13 @@ FORCEINLINE int32_t PalInterlockedIncrement(_Inout_ int32_t volatile *pDst)
     return result;
 }
 
+FORCEINLINE int64_t PalInterlockedIncrement64(_Inout_ int64_t volatile *pDst)
+{
+    int64_t result = __sync_add_and_fetch(pDst, 1);
+    PalInterlockedOperationBarrier();
+    return result;
+}
+
 FORCEINLINE int32_t PalInterlockedDecrement(_Inout_ int32_t volatile *pDst)
 {
     int32_t result = __sync_sub_and_fetch(pDst, 1);
diff --git a/src/coreclr/nativeaot/Runtime/windows/PalRedhawkInline.h b/src/coreclr/nativeaot/Runtime/windows/PalRedhawkInline.h
index 1f2a74dcd1510..595c7f663b9d1 100644
--- a/src/coreclr/nativeaot/Runtime/windows/PalRedhawkInline.h
+++ b/src/coreclr/nativeaot/Runtime/windows/PalRedhawkInline.h
@@ -67,6 +67,17 @@ FORCEINLINE int64_t PalInterlockedExchange64(_Inout_ int64_t volatile *pDst, int
                                           iOldValue) != iOldValue);
     return iOldValue;
 }
+
+FORCEINLINE int64_t PalInterlockedIncrement64(_Inout_ int64_t volatile *Addend)
+{
+    int64_t Old;
+    do {
+        Old = *Addend;
+    } while (PalInterlockedCompareExchange64(Addend,
+                                          Old + 1,
+                                          Old) != Old);
+    return Old + 1;
+}
 #else // HOST_X86
 EXTERN_C int64_t _InterlockedExchange64(int64_t volatile *, int64_t);
 #pragma intrinsic(_InterlockedExchange64)
@@ -74,6 +85,13 @@ FORCEINLINE int64_t PalInterlockedExchange64(_Inout_ int64_t volatile *pDst, int
 {
     return _InterlockedExchange64(pDst, iValue);
 }
+
+EXTERN_C int64_t _InterlockedIncrement64(int64_t volatile *);
+#pragma intrinsic(_InterlockedIncrement64)
+FORCEINLINE int64_t PalInterlockedIncrement64(_Inout_ int64_t volatile *pDst)
+{
+    return _InterlockedIncrement64(pDst);
+}
 #endif // HOST_X86
 
 #if defined(HOST_AMD64) || defined(HOST_ARM64)
diff --git a/src/coreclr/nativeaot/System.Private.CoreLib/src/System/Runtime/InteropServices/ComWrappers.NativeAot.cs b/src/coreclr/nativeaot/System.Private.CoreLib/src/System/Runtime/InteropServices/ComWrappers.NativeAot.cs
index b4d70b66c2a93..75a49c362ff2a 100644
--- a/src/coreclr/nativeaot/System.Private.CoreLib/src/System/Runtime/InteropServices/ComWrappers.NativeAot.cs
+++ b/src/coreclr/nativeaot/System.Private.CoreLib/src/System/Runtime/InteropServices/ComWrappers.NativeAot.cs
@@ -1157,7 +1157,7 @@ public static void RegisterForMarshalling(ComWrappers instance)
         public static unsafe void GetIUnknownImpl(out IntPtr fpQueryInterface, out IntPtr fpAddRef, out IntPtr fpRelease)
         {
             fpQueryInterface = (IntPtr)(delegate* unmanaged<IntPtr, Guid*, IntPtr*, int>)&ComWrappers.IUnknown_QueryInterface;
-            fpAddRef = (IntPtr)(delegate* unmanaged<IntPtr, uint>)&ComWrappers.IUnknown_AddRef;
+            fpAddRef = RuntimeImports.RhGetIUnknownAddRef(); // Implemented in C/C++ to avoid GC transitions
             fpRelease = (IntPtr)(delegate* unmanaged<IntPtr, uint>)&ComWrappers.IUnknown_Release;
         }
 
@@ -1302,13 +1302,6 @@ internal static unsafe int IUnknown_QueryInterface(IntPtr pThis, Guid* guid, Int
             return wrapper->QueryInterface(in *guid, out *ppObject);
         }
 
-        [UnmanagedCallersOnly]
-        internal static unsafe uint IUnknown_AddRef(IntPtr pThis)
-        {
-            ManagedObjectWrapper* wrapper = ComInterfaceDispatch.ToManagedObjectWrapper((ComInterfaceDispatch*)pThis);
-            return wrapper->AddRef();
-        }
-
         [UnmanagedCallersOnly]
         internal static unsafe uint IUnknown_Release(IntPtr pThis)
         {
@@ -1381,8 +1374,7 @@ private static unsafe IntPtr CreateDefaultIReferenceTrackerTargetVftbl()
         {
             IntPtr* vftbl = (IntPtr*)RuntimeHelpers.AllocateTypeAssociatedMemory(typeof(ComWrappers), 7 * sizeof(IntPtr));
             vftbl[0] = (IntPtr)(delegate* unmanaged<IntPtr, Guid*, IntPtr*, int>)&ComWrappers.IReferenceTrackerTarget_QueryInterface;
-            vftbl[1] = (IntPtr)(delegate* unmanaged<IntPtr, uint>)&ComWrappers.IUnknown_AddRef;
-            vftbl[2] = (IntPtr)(delegate* unmanaged<IntPtr, uint>)&ComWrappers.IUnknown_Release;
+            GetIUnknownImpl(out _, out vftbl[1], out vftbl[2]);
             vftbl[3] = (IntPtr)(delegate* unmanaged<IntPtr, uint>)&ComWrappers.IReferenceTrackerTarget_AddRefFromReferenceTracker;
             vftbl[4] = (IntPtr)(delegate* unmanaged<IntPtr, uint>)&ComWrappers.IReferenceTrackerTarget_ReleaseFromReferenceTracker;
             vftbl[5] = (IntPtr)(delegate* unmanaged<IntPtr, uint>)&ComWrappers.IReferenceTrackerTarget_Peg;
diff --git a/src/coreclr/nativeaot/System.Private.CoreLib/src/System/Runtime/RuntimeImports.cs b/src/coreclr/nativeaot/System.Private.CoreLib/src/System/Runtime/RuntimeImports.cs
index 454c5a1e0c4be..29de35fe4c308 100644
--- a/src/coreclr/nativeaot/System.Private.CoreLib/src/System/Runtime/RuntimeImports.cs
+++ b/src/coreclr/nativeaot/System.Private.CoreLib/src/System/Runtime/RuntimeImports.cs
@@ -503,6 +503,10 @@ internal enum GcRestrictedCalloutKind
         [RuntimeImport(RuntimeLibrary, "RhUnregisterRefCountedHandleCallback")]
         internal static extern unsafe void RhUnregisterRefCountedHandleCallback(IntPtr pCalloutMethod, MethodTable* pTypeFilter);
 
+        [MethodImplAttribute(MethodImplOptions.InternalCall)]
+        [RuntimeImport(RuntimeLibrary, "RhGetIUnknownAddRef")]
+        internal static extern IntPtr RhGetIUnknownAddRef();
+
 #if FEATURE_OBJCMARSHAL
         [MethodImplAttribute(MethodImplOptions.InternalCall)]
         [RuntimeImport(RuntimeLibrary, "RhRegisterObjectiveCMarshalBeginEndCallback")]