diff --git a/internal/bundler_tests/snapshots/snapshots_lower.txt b/internal/bundler_tests/snapshots/snapshots_lower.txt
index e19692e0c7..deb16099df 100644
--- a/internal/bundler_tests/snapshots/snapshots_lower.txt
+++ b/internal/bundler_tests/snapshots/snapshots_lower.txt
@@ -436,7 +436,7 @@ class StaticPrivate {
 }
 
 ---------- /out/ts-assign/ts-assign.js ----------
-var _a, _b;
+var _a, _b, _a2, __a;
 class Foo {
   #one = 1;
   get one() {
@@ -483,30 +483,30 @@ class Foo {
 }
 class Normal {
   constructor() {
-    this.#a = b;
+    __privateAdd(this, _a2, b);
     this.c = d;
   }
-  #a;
   get a() {
-    return this.#a;
+    return __privateGet(this, _a2);
   }
   set a(_) {
-    this.#a = _;
+    __privateSet(this, _a2, _);
   }
 }
+_a2 = new WeakMap();
 class Private {
   constructor() {
-    this.#_a = b;
+    __privateAdd(this, __a, b);
     this.c = d;
   }
-  #_a;
   get #a() {
-    return this.#_a;
+    return __privateGet(this, __a);
   }
   set #a(_) {
-    this.#_a = _;
+    __privateSet(this, __a, _);
   }
 }
+__a = new WeakMap();
 class StaticNormal {
   static #a = b;
   static get a() {
@@ -571,6 +571,7 @@ class StaticPrivate {
 }
 
 ---------- /out/ts-assign/ts-assign.js ----------
+var _a, __a;
 class Foo {
   accessor one = 1;
   accessor #two = 2;
@@ -581,30 +582,30 @@ class Foo {
 }
 class Normal {
   constructor() {
-    this.#a = b;
+    __privateAdd(this, _a, b);
     this.c = d;
   }
-  #a;
   get a() {
-    return this.#a;
+    return __privateGet(this, _a);
   }
   set a(_) {
-    this.#a = _;
+    __privateSet(this, _a, _);
   }
 }
+_a = new WeakMap();
 class Private {
   constructor() {
-    this.#_a = b;
+    __privateAdd(this, __a, b);
     this.c = d;
   }
-  #_a;
   get #a() {
-    return this.#_a;
+    return __privateGet(this, __a);
   }
   set #a(_) {
-    this.#_a = _;
+    __privateSet(this, __a, _);
   }
 }
+__a = new WeakMap();
 class StaticNormal {
   static accessor a = b;
   static {
diff --git a/internal/js_parser/js_parser_lower_class.go b/internal/js_parser/js_parser_lower_class.go
index 88949a8ce9..89138bc1d9 100644
--- a/internal/js_parser/js_parser_lower_class.go
+++ b/internal/js_parser/js_parser_lower_class.go
@@ -1462,6 +1462,13 @@ func (ctx *lowerClassContext) rewriteAutoAccessorToGetSet(
 	// Replace this accessor with other properties
 	loc := keyExprNoSideEffects.Loc
 	storagePrivate := &js_ast.EPrivateIdentifier{Ref: storageRef}
+	if mustLowerField {
+		// Forward the accessor's lowering status on to the storage field. If we
+		// don't do this, then we risk having the underlying private symbol
+		// behaving differently than if it were authored manually (e.g. being
+		// placed outside of the class body, which is a syntax error).
+		p.symbols[storageRef.InnerIndex].Flags |= ast.PrivateSymbolMustBeLowered
+	}
 	storageNeedsToBeLowered := p.privateSymbolNeedsToBeLowered(storagePrivate)
 	storageProp := js_ast.Property{
 		Loc:              prop.Loc,
diff --git a/internal/js_parser/js_parser_lower_test.go b/internal/js_parser/js_parser_lower_test.go
index 2afc1586a6..0c29abfb2d 100644
--- a/internal/js_parser/js_parser_lower_test.go
+++ b/internal/js_parser/js_parser_lower_test.go
@@ -794,4 +794,105 @@ func TestLowerAutoAccessors(t *testing.T) {
 		"class Foo {\n  static #x = null;\n  static get x() {\n    return this.#x;\n  }\n  static set x(_) {\n    this.#x = _;\n  }\n}\n")
 	expectPrintedWithUnsupportedFeatures(t, compat.Decorators, "class Foo { static accessor [x] = null }",
 		"var _a;\nclass Foo {\n  static #a = null;\n  static get [_a = x]() {\n    return this.#a;\n  }\n  static set [_a](_) {\n    this.#a = _;\n  }\n}\n")
+
+	// Test various combinations of flags
+	expectPrintedWithUnsupportedFeatures(t, compat.Decorators|compat.ClassPrivateField, "class Foo { accessor x = null }",
+		`var _x;
+class Foo {
+  constructor() {
+    __privateAdd(this, _x, null);
+  }
+  get x() {
+    return __privateGet(this, _x);
+  }
+  set x(_) {
+    __privateSet(this, _x, _);
+  }
+}
+_x = new WeakMap();
+`)
+	expectPrintedWithUnsupportedFeatures(t, compat.Decorators|compat.ClassPrivateStaticField, "class Foo { static accessor x = null }",
+		`var _x;
+class Foo {
+  static get x() {
+    return __privateGet(this, _x);
+  }
+  static set x(_) {
+    __privateSet(this, _x, _);
+  }
+}
+_x = new WeakMap();
+__privateAdd(Foo, _x, null);
+`)
+	expectPrintedWithUnsupportedFeatures(t, compat.Decorators|compat.ClassField|compat.ClassPrivateField, "class Foo { accessor x = null }",
+		`var _x;
+class Foo {
+  constructor() {
+    __privateAdd(this, _x, null);
+  }
+  get x() {
+    return __privateGet(this, _x);
+  }
+  set x(_) {
+    __privateSet(this, _x, _);
+  }
+}
+_x = new WeakMap();
+`)
+	expectPrintedWithUnsupportedFeatures(t, compat.Decorators|compat.ClassStaticField|compat.ClassPrivateStaticField, "class Foo { static accessor x = null }",
+		`var _x;
+class Foo {
+  static get x() {
+    return __privateGet(this, _x);
+  }
+  static set x(_) {
+    __privateSet(this, _x, _);
+  }
+}
+_x = new WeakMap();
+__privateAdd(Foo, _x, null);
+`)
+	expectPrintedWithUnsupportedFeatures(t, compat.Decorators|compat.ClassField|compat.ClassPrivateField, "class Foo { accessor x = 1; static accessor y = 2 }",
+		`var _x, _y;
+class Foo {
+  constructor() {
+    __privateAdd(this, _x, 1);
+  }
+  get x() {
+    return __privateGet(this, _x);
+  }
+  set x(_) {
+    __privateSet(this, _x, _);
+  }
+  static get y() {
+    return __privateGet(this, _y);
+  }
+  static set y(_) {
+    __privateSet(this, _y, _);
+  }
+}
+_x = new WeakMap();
+_y = new WeakMap();
+__privateAdd(Foo, _y, 2);
+`)
+	expectPrintedWithUnsupportedFeatures(t, compat.Decorators|compat.ClassStaticField|compat.ClassPrivateStaticField, "class Foo { accessor x = 1; static accessor y = 2 }",
+		`var _y;
+class Foo {
+  #x = 1;
+  get x() {
+    return this.#x;
+  }
+  set x(_) {
+    this.#x = _;
+  }
+  static get y() {
+    return __privateGet(this, _y);
+  }
+  static set y(_) {
+    __privateSet(this, _y, _);
+  }
+}
+_y = new WeakMap();
+__privateAdd(Foo, _y, 2);
+`)
 }
diff --git a/scripts/end-to-end-tests.js b/scripts/end-to-end-tests.js
index a89469bffd..463e664f4d 100644
--- a/scripts/end-to-end-tests.js
+++ b/scripts/end-to-end-tests.js
@@ -5732,6 +5732,26 @@ for (let flags of [['--target=es2022'], ['--target=es6'], ['--bundle', '--target
       }`,
     }),
 
+    // Check various combinations of flags
+    test(['in.ts', '--outfile=node.js', '--supported:class-field=false'].concat(flags), {
+      'in.ts': `
+        class Foo {
+          accessor foo = 1
+          static accessor bar = 2
+        }
+        if (new Foo().foo !== 1 || Foo.bar !== 2) throw 'fail'
+      `,
+    }),
+    test(['in.ts', '--outfile=node.js', '--supported:class-static-field=false'].concat(flags), {
+      'in.ts': `
+        class Foo {
+          accessor foo = 1
+          static accessor bar = 2
+        }
+        if (new Foo().foo !== 1 || Foo.bar !== 2) throw 'fail'
+      `,
+    }),
+
     // Make sure class body side effects aren't reordered
     test(['in.ts', '--outfile=node.js', '--supported:class-field=false'].concat(flags), {
       'in.ts': `