diff --git a/docs/static/llama-stack-spec.html b/docs/static/llama-stack-spec.html
index 2a591b223..349720f4e 100644
--- a/docs/static/llama-stack-spec.html
+++ b/docs/static/llama-stack-spec.html
@@ -614,7 +614,7 @@
                     "content": {
                         "application/json": {
                             "schema": {
-                                "$ref": "#/components/schemas/CreateRequest"
+                                "$ref": "#/components/schemas/AddItemsRequest"
                             }
                         }
                     },
@@ -6355,7 +6355,7 @@
                 "title": "ConversationItemList",
                 "description": "List of conversation items with pagination."
             },
-            "CreateRequest": {
+            "AddItemsRequest": {
                 "type": "object",
                 "properties": {
                     "items": {
@@ -6370,7 +6370,7 @@
                 "required": [
                     "items"
                 ],
-                "title": "CreateRequest"
+                "title": "AddItemsRequest"
             },
             "ConversationItemDeletedResource": {
                 "type": "object",
diff --git a/docs/static/llama-stack-spec.yaml b/docs/static/llama-stack-spec.yaml
index 199f429f6..a2fcb812a 100644
--- a/docs/static/llama-stack-spec.yaml
+++ b/docs/static/llama-stack-spec.yaml
@@ -505,7 +505,7 @@ paths:
         content:
           application/json:
             schema:
-              $ref: '#/components/schemas/CreateRequest'
+              $ref: '#/components/schemas/AddItemsRequest'
         required: true
       deprecated: false
   /v1/conversations/{conversation_id}/items/{item_id}:
@@ -4763,7 +4763,7 @@ components:
       title: ConversationItemList
       description: >-
         List of conversation items with pagination.
-    CreateRequest:
+    AddItemsRequest:
       type: object
       properties:
         items:
@@ -4775,7 +4775,7 @@ components:
       additionalProperties: false
       required:
         - items
-      title: CreateRequest
+      title: AddItemsRequest
     ConversationItemDeletedResource:
       type: object
       properties:
diff --git a/docs/static/stainless-llama-stack-spec.html b/docs/static/stainless-llama-stack-spec.html
index 7580ace7b..f037f24c3 100644
--- a/docs/static/stainless-llama-stack-spec.html
+++ b/docs/static/stainless-llama-stack-spec.html
@@ -614,7 +614,7 @@
                     "content": {
                         "application/json": {
                             "schema": {
-                                "$ref": "#/components/schemas/CreateRequest"
+                                "$ref": "#/components/schemas/AddItemsRequest"
                             }
                         }
                     },
@@ -8364,7 +8364,7 @@
                 "title": "ConversationItemList",
                 "description": "List of conversation items with pagination."
             },
-            "CreateRequest": {
+            "AddItemsRequest": {
                 "type": "object",
                 "properties": {
                     "items": {
@@ -8379,7 +8379,7 @@
                 "required": [
                     "items"
                 ],
-                "title": "CreateRequest"
+                "title": "AddItemsRequest"
             },
             "ConversationItemDeletedResource": {
                 "type": "object",
diff --git a/docs/static/stainless-llama-stack-spec.yaml b/docs/static/stainless-llama-stack-spec.yaml
index 22593cd7c..a3ad45487 100644
--- a/docs/static/stainless-llama-stack-spec.yaml
+++ b/docs/static/stainless-llama-stack-spec.yaml
@@ -508,7 +508,7 @@ paths:
         content:
           application/json:
             schema:
-              $ref: '#/components/schemas/CreateRequest'
+              $ref: '#/components/schemas/AddItemsRequest'
         required: true
       deprecated: false
   /v1/conversations/{conversation_id}/items/{item_id}:
@@ -6208,7 +6208,7 @@ components:
       title: ConversationItemList
       description: >-
         List of conversation items with pagination.
-    CreateRequest:
+    AddItemsRequest:
       type: object
       properties:
         items:
@@ -6220,7 +6220,7 @@ components:
       additionalProperties: false
       required:
         - items
-      title: CreateRequest
+      title: AddItemsRequest
     ConversationItemDeletedResource:
       type: object
       properties:
diff --git a/llama_stack/apis/conversations/conversations.py b/llama_stack/apis/conversations/conversations.py
index 3fe1a906d..58ae9c35a 100644
--- a/llama_stack/apis/conversations/conversations.py
+++ b/llama_stack/apis/conversations/conversations.py
@@ -208,7 +208,7 @@ class Conversations(Protocol):
         ...
 
     @webmethod(route="/conversations/{conversation_id}/items", method="POST", level=LLAMA_STACK_API_V1)
-    async def create(self, conversation_id: str, items: list[ConversationItem]) -> ConversationItemList:
+    async def add_items(self, conversation_id: str, items: list[ConversationItem]) -> ConversationItemList:
         """Create items in the conversation.
 
         :param conversation_id: The conversation identifier.
diff --git a/llama_stack/core/conversations/conversations.py b/llama_stack/core/conversations/conversations.py
index a41a60a6e..40173a0be 100644
--- a/llama_stack/core/conversations/conversations.py
+++ b/llama_stack/core/conversations/conversations.py
@@ -185,8 +185,8 @@ class ConversationServiceImpl(Conversations):
         self._validate_conversation_id(conversation_id)
         return await self.get_conversation(conversation_id)
 
-    async def create(self, conversation_id: str, items: list[ConversationItem]) -> ConversationItemList:
-        """Create items in the conversation."""
+    async def add_items(self, conversation_id: str, items: list[ConversationItem]) -> ConversationItemList:
+        """Create (add) items to a conversation."""
         await self._get_validated_conversation(conversation_id)
 
         created_items = []
diff --git a/tests/unit/conversations/test_conversations.py b/tests/unit/conversations/test_conversations.py
index 9ea47947a..65c3e2333 100644
--- a/tests/unit/conversations/test_conversations.py
+++ b/tests/unit/conversations/test_conversations.py
@@ -59,7 +59,7 @@ async def test_conversation_items(service):
             status="completed",
         )
     ]
-    item_list = await service.create(conversation.id, items)
+    item_list = await service.add_items(conversation.id, items)
 
     assert len(item_list.data) == 1
     assert item_list.data[0].id == "msg_test123"
@@ -96,7 +96,7 @@ async def test_openai_type_compatibility(service):
             status="completed",
         )
     ]
-    item_list = await service.create(conversation.id, items)
+    item_list = await service.add_items(conversation.id, items)
 
     for attr in ["object", "data", "first_id", "last_id", "has_more"]:
         assert hasattr(item_list, attr)