diff --git a/Package.swift b/Package.swift
index 7093a0144ca..01ea46869eb 100644
--- a/Package.swift
+++ b/Package.swift
@@ -93,7 +93,7 @@ let package = Package(
 
     .target(
       name: "_SwiftSyntaxTestSupport",
-      dependencies: ["SwiftBasicFormat", "SwiftSyntax", "SwiftSyntaxBuilder"]
+      dependencies: ["SwiftBasicFormat", "SwiftSyntax", "SwiftSyntaxBuilder", "SwiftSyntaxMacroExpansion"]
     ),
 
     .testTarget(
diff --git a/Sources/SwiftSyntaxMacrosTestSupport/Assertions.swift b/Sources/SwiftSyntaxMacrosTestSupport/Assertions.swift
index dbde15df38f..0a347c36238 100644
--- a/Sources/SwiftSyntaxMacrosTestSupport/Assertions.swift
+++ b/Sources/SwiftSyntaxMacrosTestSupport/Assertions.swift
@@ -325,7 +325,16 @@ public func assertMacroExpansion(
 
   // Applying Fix-Its
   if let expectedFixedSource = expectedFixedSource {
-    let fixedTree = FixItApplier.applyFixes(from: context.diagnostics, filterByMessages: applyFixIts, to: origSourceFile)
+    let messages = applyFixIts ?? context.diagnostics.compactMap { $0.fixIts.first?.message.message }
+
+    let edits =
+      context.diagnostics
+      .flatMap(\.fixIts)
+      .filter { messages.contains($0.message.message) }
+      .flatMap { $0.changes }
+      .map { $0.edit(in: context) }
+
+    let fixedTree = FixItApplier.apply(edits: edits, to: origSourceFile)
     let fixedTreeDescription = fixedTree.description
     assertStringsEqualWithDiff(
       fixedTreeDescription.trimmingTrailingWhitespace(),
@@ -335,3 +344,50 @@ public func assertMacroExpansion(
     )
   }
 }
+
+fileprivate extension FixIt.Change {
+  /// Returns the edit for this change, translating positions from detached nodes
+  /// to the corresponding locations in the original source file based on
+  /// `expansionContext`.
+  ///
+  /// - SeeAlso: `FixIt.Change.edit`
+  func edit(in expansionContext: BasicMacroExpansionContext) -> SourceEdit {
+    switch self {
+    case .replace(let oldNode, let newNode):
+      let start = expansionContext.position(of: oldNode.position, anchoredAt: oldNode)
+      let end = expansionContext.position(of: oldNode.endPosition, anchoredAt: oldNode)
+      return SourceEdit(
+        range: start..<end,
+        replacement: newNode.description
+      )
+
+    case .replaceLeadingTrivia(let token, let newTrivia):
+      let start = expansionContext.position(of: token.position, anchoredAt: token)
+      let end = expansionContext.position(of: token.positionAfterSkippingLeadingTrivia, anchoredAt: token)
+      return SourceEdit(
+        range: start..<end,
+        replacement: newTrivia.description
+      )
+
+    case .replaceTrailingTrivia(let token, let newTrivia):
+      let start = expansionContext.position(of: token.endPositionBeforeTrailingTrivia, anchoredAt: token)
+      let end = expansionContext.position(of: token.endPosition, anchoredAt: token)
+      return SourceEdit(
+        range: start..<end,
+        replacement: newTrivia.description
+      )
+    }
+  }
+}
+
+fileprivate extension BasicMacroExpansionContext {
+  /// Translates a position from a detached node to the corresponding position
+  /// in the original source file.
+  func position(
+    of position: AbsolutePosition,
+    anchoredAt node: some SyntaxProtocol
+  ) -> AbsolutePosition {
+    let location = self.location(for: position, anchoredAt: Syntax(node), fileName: "")
+    return AbsolutePosition(utf8Offset: location.offset)
+  }
+}
diff --git a/Sources/_SwiftSyntaxTestSupport/FixItApplier.swift b/Sources/_SwiftSyntaxTestSupport/FixItApplier.swift
index 68ec3a86b52..a6ea94b9430 100644
--- a/Sources/_SwiftSyntaxTestSupport/FixItApplier.swift
+++ b/Sources/_SwiftSyntaxTestSupport/FixItApplier.swift
@@ -12,6 +12,7 @@
 
 import SwiftDiagnostics
 import SwiftSyntax
+import SwiftSyntaxMacroExpansion
 
 public enum FixItApplier {
   /// Applies selected or all Fix-Its from the provided diagnostics to a given syntax tree.
@@ -22,7 +23,7 @@ public enum FixItApplier {
   ///     If `nil`, the first Fix-It from each diagnostic is applied.
   ///   - tree: The syntax tree to which the Fix-Its will be applied.
   ///
-  /// - Returns: A ``String`` representation of the modified syntax tree after applying the Fix-Its.
+  /// - Returns: A `String` representation of the modified syntax tree after applying the Fix-Its.
   public static func applyFixes(
     from diagnostics: [Diagnostic],
     filterByMessages messages: [String]?,
@@ -30,12 +31,26 @@ public enum FixItApplier {
   ) -> String {
     let messages = messages ?? diagnostics.compactMap { $0.fixIts.first?.message.message }
 
-    var edits =
+    let edits =
       diagnostics
       .flatMap(\.fixIts)
       .filter { messages.contains($0.message.message) }
       .flatMap(\.edits)
 
+    return self.apply(edits: edits, to: tree)
+  }
+
+  /// Apply the given edits to the syntax tree.
+  ///
+  /// - Parameters:
+  ///   - edits: The edits to apply to the syntax tree
+  ///   - tree: he syntax tree to which the edits should be applied.
+  /// - Returns: A `String` representation of the modified syntax tree after applying the edits.
+  public static func apply(
+    edits: [SourceEdit],
+    to tree: any SyntaxProtocol
+  ) -> String {
+    var edits = edits
     var source = tree.description
 
     while let edit = edits.first {
diff --git a/Tests/SwiftSyntaxMacroExpansionTest/PeerMacroTests.swift b/Tests/SwiftSyntaxMacroExpansionTest/PeerMacroTests.swift
index c9d10683cc0..8db37ce3c88 100644
--- a/Tests/SwiftSyntaxMacroExpansionTest/PeerMacroTests.swift
+++ b/Tests/SwiftSyntaxMacroExpansionTest/PeerMacroTests.swift
@@ -247,4 +247,38 @@ final class PeerMacroTests: XCTestCase {
       indentationWidth: indentationWidth
     )
   }
+
+  func testAdjustFixItLocationsWhenComputingFixedSource() {
+    // Test that we adjust the locations of the Fix-Its to the original source
+    // before computing the `fixedSource` if the macro doesn't start at the
+    // start of the file.
+    assertMacroExpansion(
+      """
+      func other() {}
+
+      @addCompletionHandler
+      func f(a: Int, for b: String, _ value: Double) -> String { }
+      """,
+      expandedSource: """
+        func other() {}
+        func f(a: Int, for b: String, _ value: Double) -> String { }
+        """,
+      diagnostics: [
+        DiagnosticSpec(
+          message: "can only add a completion-handler variant to an 'async' function",
+          line: 4,
+          column: 1,
+          fixIts: [FixItSpec(message: "add 'async'")]
+        )
+      ],
+      macros: ["addCompletionHandler": AddCompletionHandler.self],
+      fixedSource: """
+        func other() {}
+
+        @addCompletionHandler
+        func f(a: Int, for b: String, _ value: Double) async-> String { }
+        """,
+      indentationWidth: indentationWidth
+    )
+  }
 }