diff --git a/src/python/grpcio/grpc/experimental/aio/_metadata.py b/src/python/grpcio/grpc/experimental/aio/_metadata.py
index 03c39ba9b7a..d470979d5a4 100644
--- a/src/python/grpcio/grpc/experimental/aio/_metadata.py
+++ b/src/python/grpcio/grpc/experimental/aio/_metadata.py
@@ -26,15 +26,15 @@ class Metadata(abc.Mapping):
         * The order of the values by key is preserved
         * Getting by an element by key, retrieves the first mapped value
         * Supports an immutable view of the data
+        * Allows partial mutation on the data without recreating the new object from scratch.
     """
 
-    def __init__(self, *args) -> None:
+    def __init__(self, *args: Tuple[str, AnyStr]) -> None:
         self._metadata = OrderedDict()
         for md_key, md_value in args:
             self.add(md_key, md_value)
 
     def add(self, key: str, value: str) -> None:
-        key = key.lower()
         self._metadata.setdefault(key, [])
         self._metadata[key].append(value)
 
@@ -43,30 +43,36 @@ class Metadata(abc.Mapping):
 
     def __getitem__(self, key: str) -> str:
         try:
-            first, *_ = self._metadata[key.lower()]
-            return first
-        except ValueError as e:
+            return self._metadata[key][0]
+        except (ValueError, IndexError) as e:
             raise KeyError("{0!r}".format(key)) from e
 
-    def __iter__(self) -> Iterator[Tuple[AnyStr, AnyStr]]:
+    def __setitem__(self, key: str, value: AnyStr) -> None:
+        self._metadata[key] = [value]
+
+    def __iter__(self) -> Iterator[Tuple[str, AnyStr]]:
         for key, values in self._metadata.items():
             for value in values:
                 yield (key, value)
 
-    def view(self) -> Tuple[AnyStr, AnyStr]:
-        return tuple(self)
-
     def get_all(self, key: str) -> List[str]:
         """For compatibility with other Metadata abstraction objects (like in Java),
         this would return all items under the desired <key>.
         """
-        return self._metadata.get(key.lower(), [])
+        return self._metadata.get(key, [])
+
+    def set_all(self, key: str, values: List[AnyStr]) -> None:
+        self._metadata[key] = values
 
     def __contains__(self, key: str) -> bool:
-        return key.lower() in self._metadata
+        return key in self._metadata
 
     def __eq__(self, other: Any) -> bool:
         if not isinstance(other, self.__class__):
             return NotImplemented
 
         return self._metadata == other._metadata
+
+    def __repr__(self):
+        view = tuple(self)
+        return f"{0!r}({1!r})".format(self.__class__.__name__, view)
diff --git a/src/python/grpcio_tests/tests/tests.json b/src/python/grpcio_tests/tests/tests.json
index 196e9f08b0a..c595a4d1bab 100644
--- a/src/python/grpcio_tests/tests/tests.json
+++ b/src/python/grpcio_tests/tests/tests.json
@@ -60,6 +60,7 @@
   "unit._metadata_code_details_test.MetadataCodeDetailsTest",
   "unit._metadata_flags_test.MetadataFlagsTest",
   "unit._metadata_test.MetadataTest",
+  "unit._metadata_test.MetadataTypeTest",
   "unit._reconnect_test.ReconnectTest",
   "unit._resource_exhausted_test.ResourceExhaustedTest",
   "unit._rpc_test.RPCTest",
diff --git a/src/python/grpcio_tests/tests/unit/_metadata_test.py b/src/python/grpcio_tests/tests/unit/_metadata_test.py
index e19da5f3867..7325d8b12ba 100644
--- a/src/python/grpcio_tests/tests/unit/_metadata_test.py
+++ b/src/python/grpcio_tests/tests/unit/_metadata_test.py
@@ -267,10 +267,6 @@ class MetadataTypeTest(unittest.TestCase):
             metadata["key not found"]
         self.assertIsNone(metadata.get("key not found"))
 
-    def test_view(self):
-        self.assertEqual(
-            Metadata(*self._DEFAULT_DATA).view(), self._DEFAULT_DATA)
-
     def test_add_value(self):
         metadata = Metadata()
         metadata.add("key", "value")
@@ -279,7 +275,6 @@ class MetadataTypeTest(unittest.TestCase):
 
         self.assertEqual(metadata["key"], "value")
         self.assertEqual(metadata["key2"], "value2")
-        self.assertEqual(metadata["KEY2"], "value2")
 
     def test_get_all_items(self):
         metadata = Metadata(*self._MULTI_ENTRY_DATA)
@@ -290,9 +285,7 @@ class MetadataTypeTest(unittest.TestCase):
 
     def test_container(self):
         metadata = Metadata(*self._MULTI_ENTRY_DATA)
-        for key in ("key1", "Key1", "KEY1"):
-            with self.subTest(case=key):
-                self.assertIn(key, metadata, "{0!r} not found".format(key))
+        self.assertIn("key", metadata)
 
     def test_equals(self):
         metadata = Metadata()
@@ -303,6 +296,23 @@ class MetadataTypeTest(unittest.TestCase):
         self.assertEqual(metadata, metadata2)
         self.assertNotEqual(metadata, "foo")
 
+    def test_repr(self):
+        metadata = Metadata(*self._DEFAULT_DATA)
+        expected = "Metadata({0!r})".format(self._DEFAULT_DATA)
+        self.assertEqual(repr(metadata), expected)
+
+    def test_set(self):
+        metadata = Metadata(*self._DEFAULT_DATA)
+        metadata["key"] = "override value"
+        self.assertEqual(metadata["key"], "override value")
+
+    def test_set_all(self):
+        metadata = Metadata(self._DEFAULT_DATA)
+        metadata.set_all("key", ["value1", b"new value 2"])
+
+        self.assertEqual(metadata["key"], "value1")
+        self.assertEqual(metadata.get_all("value1"), ["value1", b"new value 2"])
+
 
 if __name__ == '__main__':
     logging.basicConfig()