diff --git a/scalafix-core/src/main/scala/scalafix/internal/patch/ReplaceSymbolOps.scala b/scalafix-core/src/main/scala/scalafix/internal/patch/ReplaceSymbolOps.scala
index 052dbaf50..19ab9ea99 100644
--- a/scalafix-core/src/main/scala/scalafix/internal/patch/ReplaceSymbolOps.scala
+++ b/scalafix-core/src/main/scala/scalafix/internal/patch/ReplaceSymbolOps.scala
@@ -1,5 +1,7 @@
 package scalafix.internal.patch
 
+import scala.annotation.tailrec
+
 import scala.meta._
 import scala.meta.internal.trees._
 
@@ -12,6 +14,11 @@ import scalafix.syntax._
 import scalafix.v0._
 
 object ReplaceSymbolOps {
+  private case class ImportInfo(
+      globalImports: Seq[Import],
+      globalImportedSymbols: Map[String, Symbol]
+  )
+
   private object Select {
     def unapply(arg: Ref): Option[(Ref, Name)] = arg match {
       case Term.Select(a: Ref, b) => Some(a -> b)
@@ -20,10 +27,47 @@ object ReplaceSymbolOps {
     }
   }
 
+  private def extractImports(stats: Seq[Stat]): Seq[Import] = {
+    stats.collect { case i: Import => i }
+  }
+
+  private def extractImportInfo(
+      tree: Tree
+  )(implicit index: SemanticdbIndex): ImportInfo = {
+    @tailrec
+    def getGlobalImports(ast: Tree): Seq[Import] = ast match {
+      case Pkg(_, Seq(pkg: Pkg)) => getGlobalImports(pkg)
+      case Source(Seq(pkg: Pkg)) => getGlobalImports(pkg)
+      case Pkg(_, stats) => extractImports(stats)
+      case Source(stats) => extractImports(stats)
+      case _ => Nil
+    }
+
+    val globalImports = getGlobalImports(tree)
+
+    // pre-compute global imported symbols for O(1) collision detection
+    // since ctx.addGlobalImport adds imports at global scope
+    val globalImportedSymbols = globalImports.flatMap { importStat =>
+      importStat.importers.flatMap { importer =>
+        importer.importees.collect {
+          case Importee.Name(name) =>
+            name.value -> name.symbol.getOrElse(Symbol.None)
+          case Importee.Rename(_, rename) =>
+            rename.value -> rename.symbol.getOrElse(Symbol.None)
+        }
+      }
+    }.toMap
+
+    ImportInfo(globalImports, globalImportedSymbols)
+  }
+
   def naiveMoveSymbolPatch(
       moveSymbols: Seq[ReplaceSymbol]
   )(implicit ctx: RuleCtx, index: SemanticdbIndex): Patch = {
     if (moveSymbols.isEmpty) return Patch.empty
+
+    val importInfo = extractImportInfo(ctx.tree)(index)
+
     val moves: Map[String, Symbol.Global] =
       moveSymbols.iterator.flatMap {
         case ReplaceSymbol(
@@ -126,10 +170,15 @@ object ReplaceSymbolOps {
             if sig.name != parent.value =>
           Patch.empty // do nothing because it was a renamed symbol
         case Some(_) =>
+          val causesCollision =
+            importInfo.globalImportedSymbols.contains(to.signature.name)
           val addImport =
-            if (n.isDefinition) Patch.empty
+            if (n.isDefinition || causesCollision) Patch.empty
             else ctx.addGlobalImport(to)
-          addImport + ctx.replaceTree(n, to.signature.name)
+          if (causesCollision)
+            addImport + ctx.replaceTree(n, to.owner.syntax + to.signature.name)
+          else
+            addImport + ctx.replaceTree(n, to.signature.name)
         case _ =>
           Patch.empty
       }
diff --git a/scalafix-tests/input/src/main/scala/test/ReplaceSymbol.scala b/scalafix-tests/input/src/main/scala/test/ReplaceSymbol.scala
index 5281f1dca..a74f7322b 100644
--- a/scalafix-tests/input/src/main/scala/test/ReplaceSymbol.scala
+++ b/scalafix-tests/input/src/main/scala/test/ReplaceSymbol.scala
@@ -12,6 +12,8 @@ patches.replaceSymbols = [
     to = "com.geirsson.mutable.CoolBuffer" }
   { from = "scala.collection.mutable.HashMap"
     to = "com.geirsson.mutable.unsafe.CoolMap" }
+  { from = "scala.collection.immutable.TreeMap"
+    to = "com.geirsson.immutable.SortedMap" }
   { from = "scala.math.sqrt"
     to = "com.geirsson.fastmath.sqrt" }
   // normalized symbol renames all overloaded methods
@@ -29,6 +31,7 @@ patches.replaceSymbols = [
  */
 package fix
 
+import scala.collection.immutable.{ SortedMap, TreeMap }
 import scala.collection.mutable.HashMap
 import scala.collection.mutable.ListBuffer
 import scala.collection.mutable
@@ -42,6 +45,7 @@ object ReplaceSymbol {
   "blah".substring(1)
   "blah".substring(1, 2)
   val u: mutable.HashMap[Int, Int] = HashMap.empty[Int, Int]
+  val v: SortedMap[Int, Int] = TreeMap.empty[Int, Int]
   val x: ListBuffer[Int] = ListBuffer.empty[Int]
   val y: mutable.ListBuffer[Int] = mutable.ListBuffer.empty[Int]
   val z: scala.collection.mutable.ListBuffer[Int] =
diff --git a/scalafix-tests/output/src/main/scala/com/geirsson/immutable.scala b/scalafix-tests/output/src/main/scala/com/geirsson/immutable.scala
new file mode 100644
index 000000000..0e1ad286f
--- /dev/null
+++ b/scalafix-tests/output/src/main/scala/com/geirsson/immutable.scala
@@ -0,0 +1,11 @@
+package com.geirsson
+
+import scala.collection.immutable.TreeMap
+
+object immutable {
+  type SortedMap[A, B] = TreeMap[A, B]
+
+  object SortedMap {
+    def empty[A : Ordering, B]: SortedMap[A, B] = TreeMap.empty[A, B]
+  }
+}
diff --git a/scalafix-tests/output/src/main/scala/test/ReplaceSymbol.scala b/scalafix-tests/output/src/main/scala/test/ReplaceSymbol.scala
index 55fc14b58..24f745d68 100644
--- a/scalafix-tests/output/src/main/scala/test/ReplaceSymbol.scala
+++ b/scalafix-tests/output/src/main/scala/test/ReplaceSymbol.scala
@@ -1,5 +1,6 @@
 package fix
 
+import scala.collection.immutable.SortedMap
 import com.geirsson.Future
 import com.geirsson.{ fastmath, mutable }
 import com.geirsson.mutable.{ CoolBuffer, unsafe }
@@ -13,6 +14,7 @@ object ReplaceSymbol {
   "blah".substringFrom(1)
   "blah".substringBetween(1, 2)
   val u: unsafe.CoolMap[Int, Int] = CoolMap.empty[Int, Int]
+  val v: SortedMap[Int, Int] = com.geirsson.immutable.SortedMap.empty[Int, Int]
   val x: CoolBuffer[Int] = CoolBuffer.empty[Int]
   val y: mutable.CoolBuffer[Int] = mutable.CoolBuffer.empty[Int]
   val z: com.geirsson.mutable.CoolBuffer[Int] =