diff --git a/onnxruntime/core/providers/dml/DmlExecutionProvider/src/Operators/DmlOperatorResize.cpp b/onnxruntime/core/providers/dml/DmlExecutionProvider/src/Operators/DmlOperatorResize.cpp
index 53f7ce1ba4657..b7cceb1d1d998 100644
--- a/onnxruntime/core/providers/dml/DmlExecutionProvider/src/Operators/DmlOperatorResize.cpp
+++ b/onnxruntime/core/providers/dml/DmlExecutionProvider/src/Operators/DmlOperatorResize.cpp
@@ -9,11 +9,12 @@ namespace Dml
 constexpr NameAndIndex coordinateTransformationModes[] =
 {
     {"half_pixel", 0},
-    {"pytorch_half_pixel", 1},
-    {"align_corners", 2},
-    {"asymmetric", 3},
-    {"tf_half_pixel_for_nn", 4},
-    {"tf_crop_and_resize", 5},
+    {"half_pixel_symmetric", 1},
+    {"pytorch_half_pixel", 2},
+    {"align_corners", 3},
+    {"asymmetric", 4},
+    {"tf_half_pixel_for_nn", 5},
+    {"tf_crop_and_resize", 6},
 };
 
 constexpr NameAndIndex nearestNeighborRoundingModes[] =
@@ -50,7 +51,7 @@ void ComputePixelOffsetsAndScales(
     uint32_t coordinateTransformationModeValue = *optionalCoordinateTransformationModeValue;
 
     ML_CHECK_VALID_ARGUMENT(
-        !regionOfInterest.empty() || coordinateTransformationModeValue != 5 /*tf_crop_and_resize*/,
+        !regionOfInterest.empty() || coordinateTransformationModeValue != 6 /*tf_crop_and_resize*/,
         "Resize expects 'roi' tensor for 'tf_crop_and_resize' mode."
     );
 
@@ -88,6 +89,18 @@ void ComputePixelOffsetsAndScales(
             break;
 
         case 1:
+            // coordinate_transformation_mode is "half_pixel_symmetric",
+            // adjustment = output_width_int / output_width
+            // center = input_width / 2
+            // offset = center * (1 - adjustment)
+            // x_original = (x + 0.5) / scale - (0.5 - offset)
+            // x_original = (x + 0.5) / scale - (0.5 - [(input_width / 2) * (1 - (output_width_int / output_width))])
+            // output_width can be fractional when calculated with scale factor
+            inputPixelOffset = 0.5f - float((inputDimensions[i] / 2.0f) * (1.0f - outputDimensions[i] / (scales[i] * inputDimensions[i])));
+            outputPixelOffset = -0.5;
+            break;
+
+        case 2:
             // if coordinate_transformation_mode is "pytorch_half_pixel",
             // x_original = length_resized > 1 ? (x_resized + 0.5) / scale - 0.5 : 0
             if (inputDimensions[i] <= 1)
@@ -104,7 +117,7 @@ void ComputePixelOffsetsAndScales(
             }
             break;
 
-        case 2:
+        case 3:
             // if coordinate_transformation_mode is "align_corners",
             // x_original = x_resized * (length_original - 1) / (length_resized - 1)
             inputPixelOffset = 0.0;
@@ -121,7 +134,7 @@ void ComputePixelOffsetsAndScales(
             }
             break;
 
-        case 3:
+        case 4:
             // if coordinate_transformation_mode is "asymmetric",
             // x_original = x_resized / scale
             inputPixelOffset = 0.0;
@@ -129,7 +142,7 @@ void ComputePixelOffsetsAndScales(
             // Keep existing scales.
             break;
 
-        case 4:
+        case 5:
             // if coordinate_transformation_mode is "tf_half_pixel_for_nn",
             // x_original = (x_resized + 0.5) / scale
             inputPixelOffset = 0.0;
@@ -137,7 +150,7 @@ void ComputePixelOffsetsAndScales(
             // Keep existing scales.
             break;
 
-        case 5:
+        case 6:
             // if coordinate_transformation_mode is "tf_crop_and_resize",
             // x_original = length_resized > 1 ? start_x * (length_original - 1) + x_resized * (end_x - start_x) * (length_original - 1) / (length_resized - 1)
             //                                 : 0.5 * (start_x + end_x) * (length_original - 1)
@@ -357,6 +370,7 @@ DML_OP_DEFINE_CREATION_FUNCTION(Resize11, VersionedKernel<DmlOperatorResize, 11>
 DML_OP_DEFINE_CREATION_FUNCTION(Resize13, VersionedKernel<DmlOperatorResize, 13>);
 #if DML_TARGET_VERSION >= 0x6300
 DML_OP_DEFINE_CREATION_FUNCTION(Resize18, VersionedKernel<DmlOperatorResize, 18>);
+DML_OP_DEFINE_CREATION_FUNCTION(Resize19, VersionedKernel<DmlOperatorResize, 19>);
 #endif
 DML_OP_DEFINE_CREATION_FUNCTION(Upsample7, VersionedKernel<DmlOperatorResize, 7>);
 DML_OP_DEFINE_CREATION_FUNCTION(Upsample9, VersionedKernel<DmlOperatorResize, 9>);
diff --git a/onnxruntime/core/providers/dml/DmlExecutionProvider/src/Operators/OperatorRegistration.cpp b/onnxruntime/core/providers/dml/DmlExecutionProvider/src/Operators/OperatorRegistration.cpp
index 40b054549afbc..cc202fd7b8e30 100644
--- a/onnxruntime/core/providers/dml/DmlExecutionProvider/src/Operators/OperatorRegistration.cpp
+++ b/onnxruntime/core/providers/dml/DmlExecutionProvider/src/Operators/OperatorRegistration.cpp
@@ -507,6 +507,7 @@ DML_OP_EXTERN_CREATION_FUNCTION(Trilu);
 #if DML_TARGET_VERSION >= 0x6300
 DML_OP_EXTERN_CREATION_FUNCTION(Col2Im);
 DML_OP_EXTERN_CREATION_FUNCTION(Resize18);
+DML_OP_EXTERN_CREATION_FUNCTION(Resize19);
 #endif
 
 DML_OP_EXTERN_CREATION_FUNCTION(Shape);
@@ -965,6 +966,7 @@ constexpr static OperatorRegistrationInformation operatorRegistrationInformation
     {REG_INFO_VER( 13,  Resize,                             typeNameListTwo,                supportedTypeListResize13,              DmlGraphSupport::Supported,      requiredConstantCpuInputs(1, 2, 3) /*roi, scales, sizes*/, std::nullopt, QueryResize)},
 #if DML_TARGET_VERSION >= 0x6300
     {REG_INFO_VER( 18,  Resize,                             typeNameListTwo,                supportedTypeListResize18,              DmlGraphSupport::Supported,      requiredConstantCpuInputs(1, 2, 3) /*roi, scales, sizes*/, std::nullopt, QueryResize)},
+    {REG_INFO_VER( 19,  Resize,                             typeNameListTwo,                supportedTypeListResize18,              DmlGraphSupport::Supported,      requiredConstantCpuInputs(1, 2, 3) /*roi, scales, sizes*/, std::nullopt, QueryResize)},
 #endif
     // Activation Functions
     {REG_INFO(      7,  Sigmoid,                            typeNameListDefault,            supportedTypeListFloat16to32,           DmlGraphSupport::Supported)},
diff --git a/onnxruntime/core/providers/dml/OperatorAuthorHelper/OperatorHelper.h b/onnxruntime/core/providers/dml/OperatorAuthorHelper/OperatorHelper.h
index 8820ad22b01d7..e25816811426b 100644
--- a/onnxruntime/core/providers/dml/OperatorAuthorHelper/OperatorHelper.h
+++ b/onnxruntime/core/providers/dml/OperatorAuthorHelper/OperatorHelper.h
@@ -1655,6 +1655,7 @@ using ShapeInferenceHelper_Resize10 = VersionedOpsetHelper<ResizeHelper, 10>;
 using ShapeInferenceHelper_Resize11 = VersionedOpsetHelper<ResizeHelper, 11>;
 using ShapeInferenceHelper_Resize13 = VersionedOpsetHelper<ResizeHelper, 13>;
 using ShapeInferenceHelper_Resize18 = VersionedOpsetHelper<ResizeHelper, 18>;
+using ShapeInferenceHelper_Resize19 = VersionedOpsetHelper<ResizeHelper, 19>;
 using ShapeInferenceHelper_OneHot = OneHotHelper;
 
 using ShapeInferenceHelper_Sqrt = GetOutputShapeAsInputShapeHelper;
diff --git a/onnxruntime/core/providers/dml/OperatorAuthorHelper/OperatorVersions.h b/onnxruntime/core/providers/dml/OperatorAuthorHelper/OperatorVersions.h
index 7cd5343d4db63..798adde905448 100644
--- a/onnxruntime/core/providers/dml/OperatorAuthorHelper/OperatorVersions.h
+++ b/onnxruntime/core/providers/dml/OperatorAuthorHelper/OperatorVersions.h
@@ -414,6 +414,7 @@ namespace OperatorHelper
     namespace OnnxOperatorSet19
     {
         static const int sc_sinceVer_AveragePool = 19;
+        static const int sc_sinceVer_Resize = 19;
     }
 
     namespace MsftOperatorSet1