diff --git a/crates/oxc_transformer/src/typescript/annotations.rs b/crates/oxc_transformer/src/typescript/annotations.rs
index d321921602d68..7b35111bdd7f3 100644
--- a/crates/oxc_transformer/src/typescript/annotations.rs
+++ b/crates/oxc_transformer/src/typescript/annotations.rs
@@ -1,6 +1,6 @@
 use rustc_hash::FxHashSet;
 
-use oxc_allocator::Vec as ArenaVec;
+use oxc_allocator::{CloneIn, Vec as ArenaVec};
 use oxc_ast::ast::*;
 use oxc_diagnostics::OxcDiagnostic;
 use oxc_semantic::SymbolFlags;
@@ -95,31 +95,49 @@ impl<'a, 'ctx> Traverse<'a> for TypeScriptAnnotations<'a, 'ctx> {
                 Statement::ImportDeclaration(decl) => {
                     if decl.import_kind.is_type() {
                         false
-                    } else if self.only_remove_type_imports {
-                        true
                     } else if let Some(specifiers) = &mut decl.specifiers {
                         if specifiers.is_empty() {
                             // import {} from 'mod' -> import 'mod'
                             decl.specifiers = None;
                             true
                         } else {
+                            let mut all_specifiers_is_type = true;
                             specifiers.retain(|specifier| {
                                 let id = match specifier {
                                     ImportDeclarationSpecifier::ImportSpecifier(s) => {
                                         if s.import_kind.is_type() {
                                             return false;
                                         }
+                                        all_specifiers_is_type = false;
                                         &s.local
                                     }
                                     ImportDeclarationSpecifier::ImportDefaultSpecifier(s) => {
+                                        all_specifiers_is_type = false;
                                         &s.local
                                     }
                                     ImportDeclarationSpecifier::ImportNamespaceSpecifier(s) => {
+                                        all_specifiers_is_type = false;
                                         &s.local
                                     }
                                 };
+                                // Should preserve `import x from 'x'`(x is unused) if only_remove_type_imports enable
+                                if self.only_remove_type_imports {
+                                    return true;
+                                }
                                 self.has_value_reference(&id.name, ctx)
                             });
+                            // Should transform `import { type x } from 'x'`` to `import 'xx'` if only_remove_type_imports enable
+                            if all_specifiers_is_type && self.only_remove_type_imports {
+                                *decl = ctx.ast.alloc_import_declaration(
+                                    decl.span,
+                                    None,
+                                    decl.source.clone(),
+                                    None,
+                                    decl.with_clause.clone_in(ctx.ast.allocator),
+                                    decl.import_kind,
+                                );
+                                return true;
+                            }
                             !specifiers.is_empty()
                         }
                     } else {
diff --git a/tasks/transform_conformance/snapshots/babel.snap.md b/tasks/transform_conformance/snapshots/babel.snap.md
index 35e84c82d74b6..ada27f3245ccb 100644
--- a/tasks/transform_conformance/snapshots/babel.snap.md
+++ b/tasks/transform_conformance/snapshots/babel.snap.md
@@ -1691,7 +1691,9 @@ after transform: []
 rebuilt        : ["require"]
 
 * imports/only-remove-type-imports/input.ts
-x Output mismatch
+Bindings mismatch:
+after transform: ScopeId(0): ["H", "I", "I2", "J", "K1", "K2", "L1", "L2", "L3", "a", "b", "c2", "d", "d2", "e", "e4"]
+rebuilt        : ScopeId(0): ["L2", "a", "b", "c2", "d", "d2", "e", "e4"]
 
 * imports/property-signature/input.ts
 Bindings mismatch:
@@ -1722,7 +1724,9 @@ after transform: ScopeId(0): ["Foo1", "Foo2"]
 rebuilt        : ScopeId(0): []
 
 * imports/type-only-import-specifier-4/input.ts
-x Output mismatch
+Bindings mismatch:
+after transform: ScopeId(0): ["A"]
+rebuilt        : ScopeId(0): []
 
 * lvalues/TSTypeParameterInstantiation/input.ts
 Symbol reference IDs mismatch for "AbstractClass":