diff --git a/CHANGELOG.md b/CHANGELOG.md
index 66599ff02fb..c558dcf0976 100644
--- a/CHANGELOG.md
+++ b/CHANGELOG.md
@@ -34,6 +34,8 @@ release.
   ([#2706](https://github.com/open-telemetry/opentelemetry-specification/pull/2706))
 - Add exceptions to the logs semantic conventions
   ([#2819](https://github.com/open-telemetry/opentelemetry-specification/pull/2819))
+- Add `process.disk.operations` metric to semantic conventions
+  ([#2845](https://github.com/open-telemetry/opentelemetry-specification/pull/2845))
 
 ### Compatibility
 
diff --git a/specification/metrics/semantic_conventions/process-metrics.md b/specification/metrics/semantic_conventions/process-metrics.md
index 84c83e91af6..3f11dcd21fc 100644
--- a/specification/metrics/semantic_conventions/process-metrics.md
+++ b/specification/metrics/semantic_conventions/process-metrics.md
@@ -31,17 +31,18 @@ metrics](runtime-environment-metrics.md).
 
 Below is a table of Process metric instruments.
 
-| Name                                   | Instrument Type ([\*](README.md#instrument-types)) | Unit      | Description                                                                                                                         | Labels                                                                                                                                                                                          |
-| -------------------------------------- | -------------------------------------------------- | --------- | ----------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
-| `process.cpu.time`                     | Counter                                            | s         | Total CPU seconds broken down by different states.                                                                                  | `state`, if specified, SHOULD be one of: `system`, `user`, `wait`. A process SHOULD be characterized _either_ by data points with no `state` labels, _or only_ data points with `state` labels. |
-| `process.cpu.utilization`              | Gauge                                              | 1         | Difference in process.cpu.time since the last measurement, divided by the elapsed time and number of CPUs available to the process. | `state`, if specified, SHOULD be one of: `system`, `user`, `wait`. A process SHOULD be characterized _either_ by data points with no `state` labels, _or only_ data points with `state` labels. |
-| `process.memory.usage`                 | UpDownCounter                                      | By        | The amount of physical memory in use.                                                                                               |                                                                                                                                                                                                 |
-| `process.memory.virtual`               | UpDownCounter                                      | By        | The amount of committed virtual memory.                                                                                             |                                                                                                                                                                                                 |
-| `process.disk.io`                      | Counter                                            | By        | Disk bytes transferred.                                                                                                             | `direction` SHOULD be one of: `read`, `write`                                                                                                                                                   |
-| `process.network.io`                   | Counter                                            | By        | Network bytes transferred.                                                                                                          | `direction` SHOULD be one of: `receive`, `transmit`                                                                                                                                             |
-| `process.threads`                      | UpDownCounter                                      | {threads} | Process threads count.                                                                                                              |                                                                                                                                                                                                 |
-| `process.open_file_descriptors`        | UpDownCounter                                      | {count}   | Number of file descriptors in use by the process.                                                                                   |                                                                                                                                                                                                 |
-| `process.context_switches`             | Counter                                            | {count}   | Number of times the process has been context switched.                                                                              | `type` SHOULD be one of: `involuntary`, `voluntary`                                                                                                                                             |
+| Name                                   | Instrument Type ([\*](README.md#instrument-types)) | Unit         | Description                                                                                                                         | Labels                                                                                                                                                                                          |
+| -------------------------------------- | -------------------------------------------------- | ------------ | ----------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
+| `process.cpu.time`                     | Counter                                            | s            | Total CPU seconds broken down by different states.                                                                                  | `state`, if specified, SHOULD be one of: `system`, `user`, `wait`. A process SHOULD be characterized _either_ by data points with no `state` labels, _or only_ data points with `state` labels. |
+| `process.cpu.utilization`              | Gauge                                              | 1            | Difference in process.cpu.time since the last measurement, divided by the elapsed time and number of CPUs available to the process. | `state`, if specified, SHOULD be one of: `system`, `user`, `wait`. A process SHOULD be characterized _either_ by data points with no `state` labels, _or only_ data points with `state` labels. |
+| `process.memory.usage`                 | UpDownCounter                                      | By           | The amount of physical memory in use.                                                                                               |                                                                                                                                                                                                 |
+| `process.memory.virtual`               | UpDownCounter                                      | By           | The amount of committed virtual memory.                                                                                             |                                                                                                                                                                                                 |
+| `process.disk.io`                      | Counter                                            | By           | Disk bytes transferred.                                                                                                             | `direction` SHOULD be one of: `read`, `write`                                                                                                                                                   |
+| `process.disk.operations`              | Counter                                            | {operations} | Number of disk operations performed by the process                                                                  | `direction` SHOULD be one of: `read`, `write`                                                                                                                                                                   |
+| `process.network.io`                   | Counter                                            | By           | Network bytes transferred.                                                                                                          | `direction` SHOULD be one of: `receive`, `transmit`                                                                                                                                             |
+| `process.threads`                      | UpDownCounter                                      | {threads}    | Process threads count.                                                                                                              |                                                                                                                                                                                                 |
+| `process.open_file_descriptors`        | UpDownCounter                                      | {count}      | Number of file descriptors in use by the process.                                                                                   |                                                                                                                                                                                                 |
+| `process.context_switches`             | Counter                                            | {count}      | Number of times the process has been context switched.                                                                              | `type` SHOULD be one of: `involuntary`, `voluntary`                                                                                                                                             |
 
 ## Attributes