diff --git a/pkgs/swift2objc/lib/src/ast/_core/shared/referred_type.dart b/pkgs/swift2objc/lib/src/ast/_core/shared/referred_type.dart
index c99e1802e3..f4a43859cf 100644
--- a/pkgs/swift2objc/lib/src/ast/_core/shared/referred_type.dart
+++ b/pkgs/swift2objc/lib/src/ast/_core/shared/referred_type.dart
@@ -143,3 +143,35 @@ class OptionalType extends AstNode implements ReferredType {
     visitor.visit(child);
   }
 }
+
+/// An inout type, like Swift's pass-by-reference params. Eg `inout Int`.
+class InoutType extends AstNode implements ReferredType {
+  final ReferredType child;
+
+  @override
+  bool get isObjCRepresentable => false;
+
+  @override
+  String get swiftType => child.swiftType;
+
+  @override
+  bool _sameAs(ReferredType other) =>
+      other is InoutType && child.sameAs(other.child);
+
+  @override
+  ReferredType get aliasedType => InoutType(child.aliasedType);
+
+  InoutType(this.child);
+
+  @override
+  String toString() => 'inout $child';
+
+  @override
+  void visit(Visitation visitation) => visitation.visitInoutType(this);
+
+  @override
+  void visitChildren(Visitor visitor) {
+    super.visitChildren(visitor);
+    visitor.visit(child);
+  }
+}
diff --git a/pkgs/swift2objc/lib/src/ast/visitor.dart b/pkgs/swift2objc/lib/src/ast/visitor.dart
index 6c4a60ea4c..b486f08b3b 100644
--- a/pkgs/swift2objc/lib/src/ast/visitor.dart
+++ b/pkgs/swift2objc/lib/src/ast/visitor.dart
@@ -78,6 +78,7 @@ abstract class Visitation {
   void visitDeclaredType(DeclaredType node) => visitReferredType(node);
   void visitGenericType(GenericType node) => visitReferredType(node);
   void visitOptionalType(OptionalType node) => visitReferredType(node);
+  void visitInoutType(InoutType node) => visitReferredType(node);
   void visitDeclaration(Declaration node) => visitAstNode(node);
   void visitBuiltInDeclaration(BuiltInDeclaration node) =>
       visitDeclaration(node);
diff --git a/pkgs/swift2objc/lib/src/parser/parsers/parse_type.dart b/pkgs/swift2objc/lib/src/parser/parsers/parse_type.dart
index 52ce80b474..7f3d7275d5 100644
--- a/pkgs/swift2objc/lib/src/parser/parsers/parse_type.dart
+++ b/pkgs/swift2objc/lib/src/parser/parsers/parse_type.dart
@@ -145,9 +145,8 @@ typedef PrefixParselet =
   if (_tokenId(fragments[0]) == 'text: ') {
     fragments = fragments.slice(1);
   }
-  // TODO(https://github.com/dart-lang/native/issues/1754): Mark the returned
-  // type as inout (maybe wrap it in a new InOutType AST node?).
-  return parseType(context, symbolgraph, fragments);
+  final (type, suffix) = parseType(context, symbolgraph, fragments);
+  return (InoutType(type), suffix);
 }
 
 Map<String, PrefixParselet> _prefixParsets = {
diff --git a/pkgs/swift2objc/lib/src/transformer/_core/utils.dart b/pkgs/swift2objc/lib/src/transformer/_core/utils.dart
index 35204c8be9..e4938de933 100644
--- a/pkgs/swift2objc/lib/src/transformer/_core/utils.dart
+++ b/pkgs/swift2objc/lib/src/transformer/_core/utils.dart
@@ -24,6 +24,17 @@ import 'unique_namer.dart';
   TransformationState state, {
   bool shouldWrapPrimitives = false,
 }) {
+  if (type is InoutType) {
+    final (newValue, newType) = maybeWrapValue(
+      type.child,
+      value,
+      globalNamer,
+      state,
+      shouldWrapPrimitives: shouldWrapPrimitives,
+    );
+    return (newValue, InoutType(newType));
+  }
+
   final (wrappedPrimitiveType, returnsWrappedPrimitive) =
       maybeGetPrimitiveWrapper(type, shouldWrapPrimitives, state);
   if (returnsWrappedPrimitive) {
@@ -78,6 +89,11 @@ import 'unique_namer.dart';
   ReferredType type,
   String value,
 ) {
+  if (type is InoutType) {
+    final (newValue, newType) = maybeUnwrapValue(type.child, value);
+    return (newValue, InoutType(newType));
+  }
+
   if (!type.isObjCRepresentable) {
     return (value, type);
   }
diff --git a/pkgs/swift2objc/lib/src/transformer/transformers/transform_function.dart b/pkgs/swift2objc/lib/src/transformer/transformers/transform_function.dart
index b78eaf913c..6cd7edbf26 100644
--- a/pkgs/swift2objc/lib/src/transformer/transformers/transform_function.dart
+++ b/pkgs/swift2objc/lib/src/transformer/transformers/transform_function.dart
@@ -165,11 +165,14 @@ String generateInvocationParams(
     );
 
     assert(unwrappedType.sameAs(originalParam.type));
+    final invocationValue = originalParam.type is InoutType
+        ? '&$unwrappedParamValue'
+        : unwrappedParamValue;
 
     argumentsList.add(
       originalParam.name.isEmpty || originalParam.name == '_'
-          ? unwrappedParamValue
-          : '${originalParam.name}: $unwrappedParamValue',
+          ? invocationValue
+          : '${originalParam.name}: $invocationValue',
     );
   }
   return argumentsList.join(', ');
diff --git a/pkgs/swift2objc/lib/src/transformer/transformers/transform_referred_type.dart b/pkgs/swift2objc/lib/src/transformer/transformers/transform_referred_type.dart
index 6793d2e829..decd5f98d2 100644
--- a/pkgs/swift2objc/lib/src/transformer/transformers/transform_referred_type.dart
+++ b/pkgs/swift2objc/lib/src/transformer/transformers/transform_referred_type.dart
@@ -5,6 +5,7 @@
 import '../../ast/_core/interfaces/declaration.dart';
 import '../../ast/_core/shared/referred_type.dart';
 import '../../ast/declarations/typealias_declaration.dart';
+import '../_core/primitive_wrappers.dart';
 import '../_core/unique_namer.dart';
 import '../transform.dart';
 
@@ -16,6 +17,18 @@ ReferredType transformReferredType(
   UniqueNamer globalNamer,
   TransformationState state,
 ) {
+  if (type is InoutType) {
+    final (wrappedPrimitive, hasWrappedPrimitive) = maybeGetPrimitiveWrapper(
+      type.child,
+      true,
+      state,
+    );
+    if (hasWrappedPrimitive) {
+      return InoutType(wrappedPrimitive);
+    }
+    return InoutType(transformReferredType(type.child, globalNamer, state));
+  }
+
   if (type.isObjCRepresentable) return type;
 
   if (type is GenericType) {
diff --git a/pkgs/swift2objc/test/integration/inout_input.swift b/pkgs/swift2objc/test/integration/inout_input.swift
new file mode 100644
index 0000000000..7677bd2014
--- /dev/null
+++ b/pkgs/swift2objc/test/integration/inout_input.swift
@@ -0,0 +1,21 @@
+import Foundation
+
+public class MyClass {
+  public func update(_ value: inout Int) {
+    value += 1
+  }
+}
+
+public class MyOtherClass {
+  public init() {}
+}
+
+public func swapTwoInts(_ a: inout Int, _ b: inout Int) {
+  let temp = a
+  a = b
+  b = temp
+}
+
+public func replaceOther(_ value: inout MyOtherClass) {
+  value = MyOtherClass()
+}
diff --git a/pkgs/swift2objc/test/integration/inout_output.swift b/pkgs/swift2objc/test/integration/inout_output.swift
new file mode 100644
index 0000000000..9f02e66594
--- /dev/null
+++ b/pkgs/swift2objc/test/integration/inout_output.swift
@@ -0,0 +1,50 @@
+// Test preamble text
+
+import Foundation
+
+@objc public class GlobalsWrapper: NSObject {
+  @objc static public func swapTwoIntsWrapper(_ a: IntWrapper, _ b: IntWrapper) {
+    return swapTwoInts(&a.wrappedInstance, &b.wrappedInstance)
+  }
+
+  @objc static public func replaceOtherWrapper(_ value: MyOtherClassWrapper) {
+    return replaceOther(&value.wrappedInstance)
+  }
+
+}
+
+@objc public class MyOtherClassWrapper: NSObject {
+  var wrappedInstance: MyOtherClass
+
+  init(_ wrappedInstance: MyOtherClass) {
+    self.wrappedInstance = wrappedInstance
+  }
+
+  @objc override public init() {
+    wrappedInstance = MyOtherClass()
+  }
+
+}
+
+@objc public class MyClassWrapper: NSObject {
+  var wrappedInstance: MyClass
+
+  init(_ wrappedInstance: MyClass) {
+    self.wrappedInstance = wrappedInstance
+  }
+
+  @objc public func update(_ value: IntWrapper) {
+    return wrappedInstance.update(&value.wrappedInstance)
+  }
+
+}
+
+@objc public class IntWrapper: NSObject {
+  var wrappedInstance: Int
+
+  init(_ wrappedInstance: Int) {
+    self.wrappedInstance = wrappedInstance
+  }
+
+}
+
diff --git a/pkgs/swift2objc/test/unit/parse_type_test.dart b/pkgs/swift2objc/test/unit/parse_type_test.dart
index 491f1b3399..d2f3b86440 100644
--- a/pkgs/swift2objc/test/unit/parse_type_test.dart
+++ b/pkgs/swift2objc/test/unit/parse_type_test.dart
@@ -67,6 +67,68 @@ void main() {
     expect(remaining.length, 0);
   });
 
+  test('Inout', () {
+    final fragments = Json(
+      jsonDecode('''
+      [
+        {
+          "kind": "keyword",
+          "spelling": "inout"
+        },
+        {
+          "kind": "text",
+          "spelling": " "
+        },
+        {
+          "kind": "typeIdentifier",
+          "spelling": "Int",
+          "preciseIdentifier": "s:Si"
+        }
+      ]
+      '''),
+    );
+
+    final (type, remaining) = parseType(
+      context,
+      parsedSymbols,
+      TokenList(fragments),
+    );
+
+    expect(type.sameAs(InoutType(intType)), isTrue);
+    expect(remaining.length, 0);
+  });
+
+  test('Inout non-primitive', () {
+    final fragments = Json(
+      jsonDecode('''
+      [
+        {
+          "kind": "keyword",
+          "spelling": "inout"
+        },
+        {
+          "kind": "text",
+          "spelling": " "
+        },
+        {
+          "kind": "typeIdentifier",
+          "spelling": "Foo",
+          "preciseIdentifier": "Foo"
+        }
+      ]
+      '''),
+    );
+
+    final (type, remaining) = parseType(
+      context,
+      parsedSymbols,
+      TokenList(fragments),
+    );
+
+    expect(type.sameAs(InoutType(classFoo.asDeclaredType)), isTrue);
+    expect(remaining.length, 0);
+  });
+
   test('Empty tuple', () {
     final fragments = Json(
       jsonDecode('''