diff --git a/CHANGES/783.feature b/CHANGES/783.feature
new file mode 100644
index 000000000..c756df555
--- /dev/null
+++ b/CHANGES/783.feature
@@ -0,0 +1 @@
+Added ``to_dict()`` method to export multidict contents as a standard dict with value lists. (#783)
diff --git a/multidict/_abc.py b/multidict/_abc.py
index 54253e9e7..897eaae77 100644
--- a/multidict/_abc.py
+++ b/multidict/_abc.py
@@ -42,6 +42,10 @@ def getone(self, key: str, default: _T) -> Union[_V_co, _T]: ...
     def getone(self, key: str, default: _T = ...) -> Union[_V_co, _T]:
         """Return first value for key."""
 
+    @abc.abstractmethod
+    def to_dict(self) -> dict[str, list[_V_co]]:
+        """Return a dict with lists of all values for each key."""
+
 
 class MutableMultiMapping(MultiMapping[_V], MutableMapping[str, _V]):
     @abc.abstractmethod
diff --git a/multidict/_multidict.c b/multidict/_multidict.c
index 73c002296..a002494c9 100644
--- a/multidict/_multidict.c
+++ b/multidict/_multidict.c
@@ -245,6 +245,77 @@ _multidict_proxy_copy(MultiDictProxyObject *self, PyTypeObject *type)
     return multidict_copy(self->md);
 }
 
+PyDoc_STRVAR(multidict_to_dict_doc,
+             "Return a dict with lists of all values for each key.");
+
+static PyObject *
+multidict_to_dict(MultiDictObject *self)
+{
+    PyObject *result = PyDict_New();
+    if (result == NULL) {
+        return NULL;
+    }
+
+    PyObject *seen = PyDict_New();
+    if (seen == NULL) {
+        Py_DECREF(result);
+        return NULL;
+    }
+
+    md_pos_t pos;
+    md_init_pos(self, &pos);
+    PyObject *identity = NULL;
+    PyObject *key = NULL;
+    PyObject *value = NULL;
+
+    int tmp;
+    while ((tmp = md_next(self, &pos, &identity, &key, &value)) > 0) {
+        PyObject *first_key = PyDict_GetItem(seen, identity);
+        if (first_key == NULL) {
+            PyObject *lst = PyList_New(1);
+            if (lst == NULL) {
+                goto fail;
+            }
+            PyList_SET_ITEM(lst, 0, value);
+            value = NULL;
+            if (PyDict_SetItem(seen, identity, key) < 0) {
+                Py_DECREF(lst);
+                goto fail;
+            }
+            if (PyDict_SetItem(result, key, lst) < 0) {
+                Py_DECREF(lst);
+                goto fail;
+            }
+            Py_DECREF(lst);
+        } else {
+            PyObject *lst = PyDict_GetItem(result, first_key);
+            if (lst == NULL || PyList_Append(lst, value) < 0) {
+                goto fail;
+            }
+            Py_DECREF(value);
+            value = NULL;
+        }
+        Py_DECREF(identity);
+        Py_DECREF(key);
+        identity = NULL;
+        key = NULL;
+    }
+    if (tmp < 0) {
+        goto fail;
+    }
+
+    Py_DECREF(seen);
+    return result;
+
+fail:
+    Py_XDECREF(identity);
+    Py_XDECREF(key);
+    Py_XDECREF(value);
+    Py_DECREF(seen);
+    Py_DECREF(result);
+    return NULL;
+}
+
 /******************** Base Methods ********************/
 
 static inline PyObject *
@@ -887,6 +958,10 @@ static PyMethodDef multidict_methods[] = {
      METH_FASTCALL | METH_KEYWORDS,
      multidict_add_doc},
     {"copy", (PyCFunction)multidict_copy, METH_NOARGS, multidict_copy_doc},
+    {"to_dict",
+     (PyCFunction)multidict_to_dict,
+     METH_NOARGS,
+     multidict_to_dict_doc},
     {"extend",
      (PyCFunction)multidict_extend,
      METH_VARARGS | METH_KEYWORDS,
@@ -1144,6 +1219,12 @@ multidict_proxy_reduce(MultiDictProxyObject *self)
     return NULL;
 }
 
+static PyObject *
+multidict_proxy_to_dict(MultiDictProxyObject *self)
+{
+    return multidict_to_dict(self->md);
+}
+
 static Py_ssize_t
 multidict_proxy_mp_len(MultiDictProxyObject *self)
 {
@@ -1245,6 +1326,10 @@ static PyMethodDef multidict_proxy_methods[] = {
      (PyCFunction)Py_GenericAlias,
      METH_O | METH_CLASS,
      NULL},
+    {"to_dict",
+     (PyCFunction)multidict_proxy_to_dict,
+     METH_NOARGS,
+     multidict_to_dict_doc},
     {NULL, NULL} /* sentinel */
 };
 
diff --git a/multidict/_multidict_py.py b/multidict/_multidict_py.py
index ef6c03c7f..e95d1b602 100644
--- a/multidict/_multidict_py.py
+++ b/multidict/_multidict_py.py
@@ -772,6 +772,19 @@ def __sizeof__(self) -> int:
     def __reduce__(self) -> tuple[type[Self], tuple[list[tuple[str, _V]]]]:
         return (self.__class__, (list(self.items()),))
 
+    def to_dict(self) -> dict[str, list[_V]]:
+        """Return a dict with lists of all values for each key."""
+        result: dict[str, list[_V]] = {}
+        seen_identities: dict[str, str] = {}
+        for e in self._keys.iter_entries():
+            first_key = seen_identities.get(e.identity)
+            if first_key is None:
+                seen_identities[e.identity] = self._key(e.key)
+                result[self._key(e.key)] = [e.value]
+            else:
+                result[first_key].append(e.value)
+        return result
+
     def add(self, key: str, value: _V) -> None:
         identity = self._identity(key)
         hash_ = hash(identity)
@@ -1212,6 +1225,10 @@ def __repr__(self) -> str:
         body = ", ".join(f"'{k}': {v!r}" for k, v in self.items())
         return f"<{self.__class__.__name__}({body})>"
 
+    def to_dict(self) -> dict[str, list[_V]]:
+        """Return a dict with lists of all values for each key."""
+        return self._md.to_dict()
+
     def copy(self) -> MultiDict[_V]:
         """Return a copy of itself."""
         return MultiDict(self._md)
diff --git a/tests/isolated/multidict_to_dict.py b/tests/isolated/multidict_to_dict.py
new file mode 100644
index 000000000..f8bc38942
--- /dev/null
+++ b/tests/isolated/multidict_to_dict.py
@@ -0,0 +1,41 @@
+"""Memory leak test for to_dict()."""
+
+import gc
+import os
+
+import psutil
+from multidict import MultiDict
+
+
+process = psutil.Process(os.getpid())
+
+
+def trim_ram() -> None:
+    gc.collect()
+
+
+def get_memory_usage() -> int:
+    memory_info = process.memory_info()
+    return memory_info.rss // (1024 * 1024)
+
+
+def test_to_dict_leak() -> None:
+    for _ in range(100):
+        d = MultiDict([("a", 1), ("b", 2)])
+        d.to_dict()
+    trim_ram()
+
+    mem_before = get_memory_usage()
+    for _ in range(1_000_000):
+        d = MultiDict([("a", 1), ("b", 2)])
+        d.to_dict()
+    trim_ram()
+    mem_after = get_memory_usage()
+
+    growth = mem_after - mem_before
+    assert growth < 50, f"Memory grew by {growth} MB, possible leak"
+
+
+if __name__ == "__main__":
+    test_to_dict_leak()
+    print("PASSED: No memory leak detected in to_dict()")
diff --git a/tests/test_leaks.py b/tests/test_leaks.py
index 56126d4bc..29949e76e 100644
--- a/tests/test_leaks.py
+++ b/tests/test_leaks.py
@@ -16,6 +16,7 @@
         "multidict_extend_tuple.py",
         "multidict_update_multidict.py",
         "multidict_pop.py",
+        "multidict_to_dict.py",
     ),
 )
 @pytest.mark.leaks
diff --git a/tests/test_to_dict.py b/tests/test_to_dict.py
new file mode 100644
index 000000000..b2a860acd
--- /dev/null
+++ b/tests/test_to_dict.py
@@ -0,0 +1,180 @@
+"""Test to_dict functionality for all multidict types."""
+
+from collections.abc import Iterable
+from typing import Optional, Protocol, Type
+
+import pytest
+
+from multidict import (
+    CIMultiDict,
+    CIMultiDictProxy,
+    MultiDict,
+    MultiDictProxy,
+    MultiMapping,
+)
+
+
+class MultidictModule(Protocol):
+    MultiDict: Type[MultiDict[object]]
+    CIMultiDict: Type[CIMultiDict[object]]
+    MultiDictProxy: Type[MultiDictProxy[object]]
+    CIMultiDictProxy: Type[CIMultiDictProxy[object]]
+
+
+class DictFactory(Protocol):
+    def __call__(
+        self, arg: Optional[Iterable[tuple[str, object]]] = None
+    ) -> MultiMapping[object]:
+        raise NotImplementedError  # pragma: no cover
+
+
+class BaseToDictTests:
+    """Base tests for to_dict() method, inherited by all multidict type tests."""
+
+    def test_to_dict_simple(self, cls: DictFactory) -> None:
+        """Test basic conversion with unique keys."""
+        d = cls([("a", 1), ("b", 2)])
+        result = d.to_dict()
+        assert result == {"a": [1], "b": [2]}
+
+    def test_to_dict_multi_values(self, cls: DictFactory) -> None:
+        """Test grouping multiple values under the same key."""
+        d = cls([("a", 1), ("b", 2), ("a", 3)])
+        result = d.to_dict()
+        assert result == {"a": [1, 3], "b": [2]}
+
+    def test_to_dict_empty(self, cls: DictFactory) -> None:
+        """Test conversion of an empty multidict."""
+        d = cls()
+        result = d.to_dict()
+        assert result == {}
+
+    def test_to_dict_returns_new_dict(self, cls: DictFactory) -> None:
+        """Test that each call returns a new dictionary instance."""
+        d = cls([("a", 1)])
+        result1 = d.to_dict()
+        result2 = d.to_dict()
+        assert result1 == result2
+        assert result1 is not result2
+
+    def test_to_dict_list_is_fresh(self, cls: DictFactory) -> None:
+        """Test that value lists are independent between calls."""
+        d = cls([("a", 1)])
+        result1 = d.to_dict()
+        result2 = d.to_dict()
+        assert result1["a"] is not result2["a"]
+
+    def test_to_dict_order_preservation(self, cls: DictFactory) -> None:
+        """Test that value lists maintain insertion order."""
+        d = cls([("x", 3), ("x", 1), ("x", 2)])
+        result = d.to_dict()
+        assert result["x"] == [3, 1, 2]
+
+    def test_to_dict_large_data(self, cls: DictFactory) -> None:
+        """Test to_dict with a large number of entries for performance."""
+        items = [(f"key{i % 100}", i) for i in range(10000)]
+        d = cls(items)
+        result = d.to_dict()
+        assert len(result) == 100
+        assert all(len(v) == 100 for v in result.values())
+
+    def test_to_dict_mixed_value_types(self, cls: DictFactory) -> None:
+        """Test to_dict with mixed value types (str, int) to verify generic _V."""
+        d = cls([("a", 1), ("a", "two"), ("b", 3.14)])
+        result = d.to_dict()
+        assert result["a"] == [1, "two"]
+        assert result["b"] == [3.14]
+
+
+class TestMultiDictToDict(BaseToDictTests):
+    """Tests for MultiDict.to_dict()."""
+
+    @pytest.fixture
+    def cls(self, multidict_module: MultidictModule) -> Type[MultiDict[object]]:
+        return multidict_module.MultiDict
+
+
+class TestCIMultiDictToDict(BaseToDictTests):
+    """Tests for CIMultiDict.to_dict()."""
+
+    @pytest.fixture
+    def cls(self, multidict_module: MultidictModule) -> Type[CIMultiDict[object]]:
+        return multidict_module.CIMultiDict
+
+    def test_to_dict_case_insensitive_grouping(self, cls: DictFactory) -> None:
+        """Test that case variants are grouped under the same key."""
+        d = cls([("A", 1), ("a", 2), ("B", 3)])
+        result = d.to_dict()
+        assert len(result) == 2
+        assert "A" in result or "a" in result
+        assert "B" in result or "b" in result
+        key_a = "A" if "A" in result else "a"
+        key_b = "B" if "B" in result else "b"
+        assert result[key_a] == [1, 2]
+        assert result[key_b] == [3]
+
+
+class TestMultiDictProxyToDict(BaseToDictTests):
+    """Tests for MultiDictProxy.to_dict()."""
+
+    @pytest.fixture
+    def cls(self, multidict_module: MultidictModule) -> DictFactory:
+        def make_proxy(
+            arg: Optional[Iterable[tuple[str, object]]] = None,
+        ) -> MultiMapping[object]:
+            md: MultiDict[object] = (
+                multidict_module.MultiDict(arg) if arg else multidict_module.MultiDict()
+            )
+            return multidict_module.MultiDictProxy(md)
+
+        return make_proxy
+
+    def test_to_dict_proxy_mutation_isolation(
+        self, cls: DictFactory, multidict_module: MultidictModule
+    ) -> None:
+        """Test that modifying returned dict does not affect the proxy."""
+        md: MultiDict[object] = multidict_module.MultiDict([("a", 1)])
+        proxy: MultiMapping[object] = multidict_module.MultiDictProxy(md)
+        result = proxy.to_dict()
+        result["a"].append(999)
+        assert proxy.getall("a") == [1]
+
+
+class TestCIMultiDictProxyToDict(BaseToDictTests):
+    """Tests for CIMultiDictProxy.to_dict()."""
+
+    @pytest.fixture
+    def cls(self, multidict_module: MultidictModule) -> DictFactory:
+        def make_proxy(
+            arg: Optional[Iterable[tuple[str, object]]] = None,
+        ) -> MultiMapping[object]:
+            md: CIMultiDict[object] = (
+                multidict_module.CIMultiDict(arg)
+                if arg
+                else multidict_module.CIMultiDict()
+            )
+            return multidict_module.CIMultiDictProxy(md)
+
+        return make_proxy
+
+    def test_to_dict_case_insensitive_grouping(self, cls: DictFactory) -> None:
+        """Test that case variants are grouped under the same key."""
+        d = cls([("A", 1), ("a", 2), ("B", 3)])
+        result = d.to_dict()
+        assert len(result) == 2
+        assert "A" in result or "a" in result
+        assert "B" in result or "b" in result
+        key_a = "A" if "A" in result else "a"
+        key_b = "B" if "B" in result else "b"
+        assert result[key_a] == [1, 2]
+        assert result[key_b] == [3]
+
+    def test_to_dict_proxy_mutation_isolation(
+        self, cls: DictFactory, multidict_module: MultidictModule
+    ) -> None:
+        """Test that modifying returned dict does not affect the proxy."""
+        md: CIMultiDict[object] = multidict_module.CIMultiDict([("a", 1)])
+        proxy: MultiMapping[object] = multidict_module.CIMultiDictProxy(md)
+        result = proxy.to_dict()
+        result["a"].append(999)
+        assert proxy.getall("a") == [1]