diff --git a/package.json b/package.json
index 388c22181e..cb0bf15ed3 100644
--- a/package.json
+++ b/package.json
@@ -153,6 +153,11 @@
 					"deprecationMessage": "Use the setting 'githubPullRequests.defaultCreateOption' instead.",
 					"description": "%githubPullRequests.createDraft%"
 				},
+				"githubPullRequests.showPullRequestCancelConfirmation": {
+					"type": "boolean",
+					"default": true,
+					"description": "%githubPullRequests.showPullRequestCancelConfirmation%"
+				},
 				"githubPullRequests.logLevel": {
 					"type": "string",
 					"enum": [
diff --git a/package.nls.json b/package.nls.json
index ed80e9bbf5..46625f0a6c 100644
--- a/package.nls.json
+++ b/package.nls.json
@@ -13,6 +13,7 @@
 	"githubPullRequests.defaultCreateOption.createDraft": "The pull request will be created as a draft.",
 	"githubPullRequests.defaultCreateOption.createAutoMerge": "The pull request will be created with auto-merge enabled. The merge method selected will be the default for the repo or the value of `githubPullRequests.defaultMergeMethod` if set.",
 	"githubPullRequests.createDraft": "Whether the \"Draft\" checkbox will be checked by default when creating a pull request.",
+	"githubPullRequests.showPullRequestCancelConfirmation": "Show a confirmation dialog when canceling pull request creation if the description has been edited.",
 	"githubPullRequests.logLevel.description": "Logging for GitHub Pull Request extension. The log is emitted to the output channel named GitHub Pull Request.",
 	"githubPullRequests.logLevel.markdownDeprecationMessage": {
 		"message": "Log level is now controlled by the [Developer: Set Log Level...](command:workbench.action.setLogLevel) command. You can set the log level for the current session and also the default log level from there.",
diff --git a/src/common/settingKeys.ts b/src/common/settingKeys.ts
index ba0654cc23..2ac936b813 100644
--- a/src/common/settingKeys.ts
+++ b/src/common/settingKeys.ts
@@ -29,6 +29,7 @@ export const QUERIES = 'queries';
 export const PULL_REQUEST_LABELS = 'labelCreated';
 export const FOCUSED_MODE = 'focusedMode';
 export const CREATE_DRAFT = 'createDraft';
+export const SHOW_PULL_REQUEST_CANCEL_CONFIRMATION = 'showPullRequestCancelConfirmation';
 export const QUICK_DIFF = 'quickDiff';
 export const SET_AUTO_MERGE = 'setAutoMerge';
 export const SHOW_PULL_REQUEST_NUMBER_IN_TREE = 'showPullRequestNumberInTree';
diff --git a/src/github/createPRViewProvider.ts b/src/github/createPRViewProvider.ts
index 1a9d245633..c3eac9f921 100644
--- a/src/github/createPRViewProvider.ts
+++ b/src/github/createPRViewProvider.ts
@@ -35,7 +35,8 @@ import {
 	PR_SETTINGS_NAMESPACE,
 	PULL_REQUEST_DESCRIPTION,
 	PULL_REQUEST_LABELS,
-	PUSH_BRANCH
+	PUSH_BRANCH,
+	SHOW_PULL_REQUEST_CANCEL_CONFIRMATION
 } from '../common/settingKeys';
 import { ITelemetry } from '../common/telemetry';
 import { asPromise, compareIgnoreCase, formatError, promiseWithTimeout } from '../common/utils';
@@ -561,10 +562,27 @@ export abstract class BaseCreatePullRequestViewProvider<T extends BasePullReques
 	}
 
 	private async cancel(message: IRequestMessage<CreatePullRequestNew>) {
+		if (message.args.body && message.args.body.length > 0
+			&& vscode.workspace.getConfiguration(PR_SETTINGS_NAMESPACE).get<boolean>(SHOW_PULL_REQUEST_CANCEL_CONFIRMATION, true)) {
+			const discard = vscode.l10n.t('Discard');
+			const dontAskAgain = vscode.l10n.t('Don\'t Ask Again');
+			const result = await vscode.window.showWarningMessage(
+				vscode.l10n.t('Are you sure you want to cancel creating this pull request?'),
+				{ modal: true, detail: vscode.l10n.t('Your pull request title and description will be lost.') },
+				discard,
+				dontAskAgain
+			);
+			if (result !== discard && result !== dontAskAgain) {
+				return this._replyMessage(message, { cancelled: false });
+			}
+			if (result === dontAskAgain) {
+				await vscode.workspace.getConfiguration(PR_SETTINGS_NAMESPACE).update(SHOW_PULL_REQUEST_CANCEL_CONFIRMATION, false, vscode.ConfigurationTarget.Global);
+			}
+		}
 		this._onDone.fire(undefined);
 		// Re-fetch the automerge info so that it's updated for next time.
 		await this.getMergeConfiguration(message.args.owner, message.args.repo, true);
-		return this._replyMessage(message, undefined);
+		return this._replyMessage(message, { cancelled: true });
 	}
 
 	private async openDescriptionSettings(): Promise<void> {
diff --git a/webviews/common/createContextNew.ts b/webviews/common/createContextNew.ts
index b1bec93809..677bb4d4fd 100644
--- a/webviews/common/createContextNew.ts
+++ b/webviews/common/createContextNew.ts
@@ -92,10 +92,16 @@ export class CreatePRContextNew {
 		}
 	};
 
-	public cancelCreate = (): Promise<void> => {
+	public cancelCreate = async (): Promise<void> => {
 		const args = this.copyParams();
-		vscode.setState(defaultCreateParams);
-		return this.postMessage({ command: 'pr.cancelCreate', args });
+		const result = await this.postMessage({ command: 'pr.cancelCreate', args }) as { cancelled?: boolean } | undefined;
+		// Only clear persisted state if the extension explicitly confirmed the
+		// cancellation. Otherwise (e.g. the user declined the confirmation
+		// dialog, or the message did not get a response) preserve the user's
+		// in-progress title/description.
+		if (result?.cancelled === true) {
+			vscode.setState(defaultCreateParams);
+		}
 	};
 
 	public updateState = (params: Partial<CreateParamsNew>, reset: boolean = false): void => {