diff --git a/src/canonicalize/Can.zig b/src/canonicalize/Can.zig
index 09b6e998c6..21fe8ab482 100644
--- a/src/canonicalize/Can.zig
+++ b/src/canonicalize/Can.zig
@@ -922,10 +922,21 @@ fn processAssociatedItemsSecondPass(
                                     const def_idx_u16: u16 = @intCast(@intFromEnum(def_idx));
                                     try self.env.setExposedNodeIndexById(decl_ident, def_idx_u16);
 
-                                    // Also register by the type-qualified name for type modules
-                                    // This is needed so lookups like "Builtin.Str.is_empty" work
+                                    // Compute type-qualified name first (e.g., "Bool.not") before exposing
+                                    const type_qualified_idx = try self.env.insertQualifiedIdent(self.env.getIdent(parent_type_name), decl_text);
+
+                                    // Always register by the type-qualified name (e.g., "Bool.not")
+                                    // This is needed so lookups like "Bool.not" work from other modules
+                                    if (type_qualified_idx.idx != decl_ident.idx) {
+                                        try self.env.setExposedNodeIndexById(type_qualified_idx, def_idx_u16);
+                                    }
+
+                                    // Also register by the fully qualified name for type modules (e.g., "Builtin.Bool.not")
+                                    // This is needed so lookups like "Builtin.Bool.not" work
                                     if (self.env.module_kind == .type_module) {
-                                        try self.env.setExposedNodeIndexById(qualified_idx, def_idx_u16);
+                                        if (qualified_idx.idx != type_qualified_idx.idx and qualified_idx.idx != decl_ident.idx) {
+                                            try self.env.setExposedNodeIndexById(qualified_idx, def_idx_u16);
+                                        }
                                     }
 
                                     // Make the real pattern available in current scope (replaces placeholder)
@@ -939,7 +950,6 @@ fn processAssociatedItemsSecondPass(
                                     try self.updatePlaceholder(current_scope, decl_ident, pattern_idx);
 
                                     // Update type-qualified name (e.g., "MyBool.my_not")
-                                    const type_qualified_idx = try self.env.insertQualifiedIdent(self.env.getIdent(parent_type_name), decl_text);
                                     if (type_qualified_idx.idx != decl_ident.idx) {
                                         try self.updatePlaceholder(current_scope, type_qualified_idx, pattern_idx);
                                     }
@@ -974,10 +984,21 @@ fn processAssociatedItemsSecondPass(
                     const def_idx_u16: u16 = @intCast(@intFromEnum(def_idx));
                     try self.env.setExposedNodeIndexById(name_ident, def_idx_u16);
 
-                    // Also register by the type-qualified name for type modules
+                    // Compute type-qualified name first (e.g., "Str.is_empty") before exposing
+                    const type_qualified_idx = try self.env.insertQualifiedIdent(self.env.getIdent(parent_type_name), name_text);
+
+                    // Always register by the type-qualified name (e.g., "Str.is_empty")
+                    // This is needed so lookups like "Str.is_empty" work from other modules
+                    if (type_qualified_idx.idx != name_ident.idx) {
+                        try self.env.setExposedNodeIndexById(type_qualified_idx, def_idx_u16);
+                    }
+
+                    // Also register by the fully qualified name for type modules (e.g., "Builtin.Str.is_empty")
                     // This is needed so lookups like "Builtin.Str.is_empty" work
                     if (self.env.module_kind == .type_module) {
-                        try self.env.setExposedNodeIndexById(qualified_idx, def_idx_u16);
+                        if (qualified_idx.idx != type_qualified_idx.idx and qualified_idx.idx != name_ident.idx) {
+                            try self.env.setExposedNodeIndexById(qualified_idx, def_idx_u16);
+                        }
                     }
 
                     // Make the real pattern available in current scope (replaces placeholder)
@@ -989,7 +1010,6 @@ fn processAssociatedItemsSecondPass(
                     try self.updatePlaceholder(current_scope, name_ident, pattern_idx);
 
                     // Update type-qualified name (e.g., "List.is_empty")
-                    const type_qualified_idx = try self.env.insertQualifiedIdent(self.env.getIdent(parent_type_name), name_text);
                     if (type_qualified_idx.idx != name_ident.idx) {
                         try self.updatePlaceholder(current_scope, type_qualified_idx, pattern_idx);
                     }
@@ -1022,6 +1042,19 @@ fn processAssociatedItemsSecondPass(
                         // (e.g., "bar" not "Foo.bar")
                         const def_idx_u16: u16 = @intCast(@intFromEnum(def_idx));
                         try self.env.setExposedNodeIndexById(decl_ident, def_idx_u16);
+
+                        // Compute type-qualified name (e.g., "MyType.bar") and expose it
+                        const type_qualified_idx = try self.env.insertQualifiedIdent(self.env.getIdent(parent_type_name), decl_text);
+                        if (type_qualified_idx.idx != decl_ident.idx) {
+                            try self.env.setExposedNodeIndexById(type_qualified_idx, def_idx_u16);
+                        }
+
+                        // Also register by the fully qualified name for type modules (e.g., "Module.MyType.bar")
+                        if (self.env.module_kind == .type_module) {
+                            if (qualified_idx.idx != type_qualified_idx.idx and qualified_idx.idx != decl_ident.idx) {
+                                try self.env.setExposedNodeIndexById(qualified_idx, def_idx_u16);
+                            }
+                        }
                     }
                 } else {
                     // Non-identifier patterns are not supported in associated blocks