diff --git a/crates/ide-db/src/imports/insert_use/tests.rs b/crates/ide-db/src/imports/insert_use/tests.rs
index b92e367f7e1..01d2f1970c3 100644
--- a/crates/ide-db/src/imports/insert_use/tests.rs
+++ b/crates/ide-db/src/imports/insert_use/tests.rs
@@ -993,6 +993,46 @@ use foo::bar::qux;
     );
 }
 
+#[test]
+fn insert_with_renamed_import_simple_use() {
+    check_with_config(
+        "use self::foo::Foo",
+        r#"
+use self::foo::Foo as _;
+"#,
+        r#"
+use self::foo::Foo;
+"#,
+        &InsertUseConfig {
+            granularity: ImportGranularity::Crate,
+            prefix_kind: hir::PrefixKind::BySelf,
+            enforce_granularity: true,
+            group: true,
+            skip_glob_imports: true,
+        },
+    );
+}
+
+#[test]
+fn insert_with_renamed_import_complex_use() {
+    check_with_config(
+        "use self::foo::Foo;",
+        r#"
+use self::foo::{self, Foo as _, Bar};
+"#,
+        r#"
+use self::foo::{self, Foo, Bar};
+"#,
+        &InsertUseConfig {
+            granularity: ImportGranularity::Crate,
+            prefix_kind: hir::PrefixKind::BySelf,
+            enforce_granularity: true,
+            group: true,
+            skip_glob_imports: true,
+        },
+    );
+}
+
 fn check_with_config(
     path: &str,
     ra_fixture_before: &str,
diff --git a/crates/ide-db/src/imports/merge_imports.rs b/crates/ide-db/src/imports/merge_imports.rs
index 27b6321f3a7..ff84e9ffaee 100644
--- a/crates/ide-db/src/imports/merge_imports.rs
+++ b/crates/ide-db/src/imports/merge_imports.rs
@@ -78,6 +78,10 @@ fn try_merge_trees_mut(lhs: &ast::UseTree, rhs: &ast::UseTree, merge: MergeBehav
     {
         lhs.split_prefix(&lhs_prefix);
         rhs.split_prefix(&rhs_prefix);
+    } else {
+        ted::replace(lhs.syntax(), rhs.syntax());
+        // we can safely return here, in this case `recursive_merge` doesn't do anything
+        return Some(());
     }
     recursive_merge(lhs, rhs, merge)
 }
@@ -123,6 +127,13 @@ fn recursive_merge(lhs: &ast::UseTree, rhs: &ast::UseTree, merge: MergeBehavior)
                             // so they need to be handled explicitly
                             .or_else(|| tree.star_token().map(|_| false))
                     };
+
+                    if lhs_t.rename().and_then(|x| x.underscore_token()).is_some() {
+                        ted::replace(lhs_t.syntax(), rhs_t.syntax());
+                        *lhs_t = rhs_t;
+                        continue;
+                    }
+
                     match (tree_contains_self(lhs_t), tree_contains_self(&rhs_t)) {
                         (Some(true), None) => continue,
                         (None, Some(true)) => {