When both the database management system and client are under the same ownership (e.g. when SQL Server is deployed to a Elastic database transactions for Azure SQL Database and Azure SQL Managed Instance allow you to run transactions that span several databases. SQL Managed Instance enables system administrators to spend less time on administrative tasks because the service either performs them for you or greatly simplifies those tasks. Reference: https://docs.microsoft.com/en-us/azure/azure-sql/database/elastic-transactions- overview?view=azuresql-azure