diff --git a/.changeset/pink-papayas-relate.md b/.changeset/pink-papayas-relate.md
new file mode 100644
index 00000000000..86ec2997696
--- /dev/null
+++ b/.changeset/pink-papayas-relate.md
@@ -0,0 +1,5 @@
+---
+"@primer/react": patch
+---
+
+Fix `useDynamicTextareaHeight` initial render with slots
diff --git a/src/drafts/hooks/useDynamicTextareaHeight.ts b/src/drafts/hooks/useDynamicTextareaHeight.ts
index 89312af0e48..b6a1b2c44e0 100644
--- a/src/drafts/hooks/useDynamicTextareaHeight.ts
+++ b/src/drafts/hooks/useDynamicTextareaHeight.ts
@@ -1,4 +1,4 @@
-import {RefObject, useLayoutEffect, useState} from 'react'
+import {RefObject, useCallback, useEffect, useLayoutEffect, useState} from 'react'
 
 import {SxProp} from '../../sx'
 import {getCharacterCoordinates} from '../utils/character-coordinates'
@@ -34,7 +34,7 @@ export const useDynamicTextareaHeight = ({
   const [minHeight, setMinHeight] = useState<string | undefined>(undefined)
   const [maxHeight, setMaxHeight] = useState<string | undefined>(undefined)
 
-  useLayoutEffect(() => {
+  const refreshHeight = useCallback(() => {
     if (disabled) return
 
     const element = elementRef.current
@@ -60,8 +60,17 @@ export const useDynamicTextareaHeight = ({
     if (minHeightLines !== undefined) setMinHeight(`calc(${minHeightLines} * ${lineHeight})`)
     if (maxHeightLines !== undefined) setMaxHeight(`calc(${maxHeightLines} * ${lineHeight})`)
     // `value` is an unnecessary dependency but it enables us to recalculate as the user types
+    // eslint-disable-next-line react-hooks/exhaustive-deps
   }, [minHeightLines, maxHeightLines, value, elementRef, disabled])
 
+  useLayoutEffect(refreshHeight, [refreshHeight])
+
+  // With Slots, initial render of the component is delayed and so the initial layout effect can occur
+  // before the target element has actually been calculated in the DOM. But if we only use regular effects,
+  // there will be a visible flash on initial render when not using slots
+  // eslint-disable-next-line react-hooks/exhaustive-deps
+  useEffect(refreshHeight, [])
+
   if (disabled) return {}
 
   return {height, minHeight, maxHeight, boxSizing: 'content-box'}