diff --git a/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.cs b/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.cs
index d93f16b7..887baaca 100644
--- a/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.cs
+++ b/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.cs
@@ -12916,6 +12916,16 @@ namespace Microsoft.SqlTools.ServiceLayer
             return Keys.GetString(Keys.NonClusteredColumnStoreIndexMustHaveColumnsRuleDescription, indexName);
         }
 
+        public static string TableDesignerCreateTablePermissionDenied(string db)
+        {
+            return Keys.GetString(Keys.TableDesignerCreateTablePermissionDenied, db);
+        }
+
+        public static string TableDesignerAlterTablePermissionDenied(string table)
+        {
+            return Keys.GetString(Keys.TableDesignerAlterTablePermissionDenied, table);
+        }
+
         public static string SqlProjectModelNotFound(string projectUri)
         {
             return Keys.GetString(Keys.SqlProjectModelNotFound, projectUri);
@@ -16871,6 +16881,12 @@ namespace Microsoft.SqlTools.ServiceLayer
             public const string TableDesignerConfirmationText = "TableDesignerConfirmationText";
 
 
+            public const string TableDesignerCreateTablePermissionDenied = "TableDesignerCreateTablePermissionDenied";
+
+
+            public const string TableDesignerAlterTablePermissionDenied = "TableDesignerAlterTablePermissionDenied";
+
+
             public const string SqlProjectModelNotFound = "SqlProjectModelNotFound";
 
 
diff --git a/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.resx b/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.resx
index eae3dac2..336e93be 100644
--- a/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.resx
+++ b/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.resx
@@ -5440,6 +5440,16 @@ The Query Processor estimates that implementing the following index could improv
     <value>I have read the summary and understand the potential risks.</value>
     <comment></comment>
   </data>
+  <data name="TableDesignerCreateTablePermissionDenied" xml:space="preserve">
+    <value>CREATE TABLE permission denied in database &apos;{0}&apos;.</value>
+    <comment>.
+ Parameters: 0 - db (string) </comment>
+  </data>
+  <data name="TableDesignerAlterTablePermissionDenied" xml:space="preserve">
+    <value>ALTER TABLE permission denied for table &apos;{0}&apos;.</value>
+    <comment>.
+ Parameters: 0 - table (string) </comment>
+  </data>
   <data name="SqlProjectModelNotFound" xml:space="preserve">
     <value>Could not find SQL model from project: {0}.</value>
     <comment>.
diff --git a/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.strings b/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.strings
index 2883e583..97eb2e91 100644
--- a/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.strings
+++ b/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.strings
@@ -2451,6 +2451,8 @@ HashIndexMustHaveBucketCountRuleDescription(string indexName) = Hash index '{0}'
 ColumnCanOnlyAppearOnceInNonClusteredColumnStoreIndexRuleDescription(string columnName, string indexName, int rowNumber) = Column with name '{0}' has already been added to the non-clustered columnstore index '{1}'. Row number: {2}.
 NonClusteredColumnStoreIndexMustHaveColumnsRuleDescription(string indexName) = Non-clustered columnstore index '{0}' does not have any columns associated with it.
 TableDesignerConfirmationText = I have read the summary and understand the potential risks.
+TableDesignerCreateTablePermissionDenied(string db) = CREATE TABLE permission denied in database '{0}'.
+TableDesignerAlterTablePermissionDenied(string table) = ALTER TABLE permission denied for table '{0}'.
 
 ############################################################################
 # TSql Model
diff --git a/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.xlf b/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.xlf
index 5060a6fa..8b4344ab 100644
--- a/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.xlf
+++ b/src/Microsoft.SqlTools.ServiceLayer/Localization/sr.xlf
@@ -8321,6 +8321,17 @@ The Query Processor estimates that implementing the following index could improv
         <target state="new">None</target>
         <note></note>
       </trans-unit>
+      <trans-unit id="TableDesignerCreateTablePermissionDenied">
+        <source>CREATE TABLE permission denied in database '{0}'.</source>
+        <target state="new">CREATE TABLE permission denied in database '{0}'.</target>
+        <note></note>
+      </trans-unit>
+      <trans-unit id="TableDesignerAlterTablePermissionDenied">
+        <source>ALTER TABLE permission denied for table '{0}'.</source>
+        <target state="new">ALTER TABLE permission denied for table '{0}'.</target>
+        <note>.
+ Parameters: 0 - table (string) </note>
+      </trans-unit>
     </body>
   </file>
 </xliff>
\ No newline at end of file
diff --git a/src/Microsoft.SqlTools.ServiceLayer/TableDesigner/TableDesignerService.cs b/src/Microsoft.SqlTools.ServiceLayer/TableDesigner/TableDesignerService.cs
index 4d2f8330..32d94799 100644
--- a/src/Microsoft.SqlTools.ServiceLayer/TableDesigner/TableDesignerService.cs
+++ b/src/Microsoft.SqlTools.ServiceLayer/TableDesigner/TableDesignerService.cs
@@ -18,6 +18,7 @@ using Dac = Microsoft.Data.Tools.Sql.DesignServices.TableDesigner;
 using STSHost = Microsoft.SqlTools.ServiceLayer.Hosting.ServiceHost;
 using Microsoft.SqlTools.ServiceLayer.SqlContext;
 using Microsoft.SqlTools.ServiceLayer.Connection;
+using Microsoft.SqlTools.ServiceLayer.Connection.ReliableConnection;
 
 namespace Microsoft.SqlTools.ServiceLayer.TableDesigner
 {
@@ -31,6 +32,8 @@ namespace Microsoft.SqlTools.ServiceLayer.TableDesigner
         private Dictionary<string, Dac.TableDesigner> idTableMap = new Dictionary<string, Dac.TableDesigner>();
         private bool disposed = false;
         private static readonly Lazy<TableDesignerService> instance = new Lazy<TableDesignerService>(() => new TableDesignerService());
+        private const string CheckCreateTablePermissionInDbQuery = "SELECT HAS_PERMS_BY_NAME(QUOTENAME(@dbname), 'DATABASE', 'CREATE TABLE')";
+        private const string CheckAlterTablePermissionQuery = "SELECT HAS_PERMS_BY_NAME(QUOTENAME(@schema) + '.' + QUOTENAME(@table), 'OBJECT', 'ALTER')";
 
         public TableDesignerService()
         {
@@ -1807,7 +1810,16 @@ namespace Microsoft.SqlTools.ServiceLayer.TableDesigner
                 // Set Access Token only when authentication mode is not specified.
                 var accessToken = connectionStringBuilder.Authentication == SqlAuthenticationMethod.NotSpecified
                     ? tableInfo.AccessToken : null;
-                tableDesigner = new Dac.TableDesigner(connectionString, accessToken, tableInfo.Schema, tableInfo.Name, tableInfo.IsNewTable, tableDesignerOptions);
+
+                try
+                {
+                    tableDesigner = new Dac.TableDesigner(connectionString, accessToken, tableInfo.Schema, tableInfo.Name, tableInfo.IsNewTable, tableDesignerOptions);
+                }
+                catch (Exception ex)
+                {
+                    CheckPermissions(tableInfo, connectionString);
+                    throw ex;
+                }
             }
             else
             {
@@ -1855,6 +1867,55 @@ namespace Microsoft.SqlTools.ServiceLayer.TableDesigner
             return metadata;
         }
 
+        private void CheckPermissions(TableInfo tableInfo, string connectionString)
+        {
+            CheckCreateAlterTablePermission(tableInfo, connectionString);
+        }
+
+        private void CheckCreateAlterTablePermission(TableInfo tableInfo, string connectionString)
+        {
+            if (tableInfo.IsNewTable)
+            {
+
+                ReliableConnectionHelper.ExecuteReader(connectionString, CheckCreateTablePermissionInDbQuery, (reader) =>
+                {
+                    reader.Read();
+                    if (reader.IsDBNull(0) || (int)reader[0] != 1)
+                    {
+                        throw new Exception(SR.TableDesignerCreateTablePermissionDenied(tableInfo.Database));
+                    }
+                }, (cmd) =>
+                {
+                    var dbNameParameter = cmd.CreateParameter();
+                    dbNameParameter.ParameterName = "@dbname";
+                    dbNameParameter.Value = tableInfo.Database;
+                    cmd.Parameters.Add(dbNameParameter);
+                });
+            }
+            else
+            {
+                ReliableConnectionHelper.ExecuteReader(connectionString, CheckAlterTablePermissionQuery, (reader) =>
+                {
+                    reader.Read();
+                    if (reader.IsDBNull(0) || (int)reader[0] != 1)
+                    {
+                        throw new Exception(SR.TableDesignerAlterTablePermissionDenied(tableInfo.Name));
+                    }
+                }, (cmd) =>
+                {
+                    var schemaParameter = cmd.CreateParameter();
+                    schemaParameter.ParameterName = "@schema";
+                    schemaParameter.Value = tableInfo.Schema;
+                    cmd.Parameters.Add(schemaParameter);
+
+                    var tableParameter = cmd.CreateParameter();
+                    tableParameter.ParameterName = "@table";
+                    tableParameter.Value = tableInfo.Name;
+                    cmd.Parameters.Add(tableParameter);
+                });
+            }
+        }
+
         /// <summary>
         /// Disposes the table designer Service
         /// </summary>