I always thought they were about the same thing but someone pointed me out in one of my answers that such ain’t quite true.
Edit: Here is what I said and the comment I got.
Edit2:
What’s the difference between C++’s:
public: void foo(int& bar);
and C#’s
public void foo(ref int bar){
}
In C#, you have primitive types (ints, structs, etc.) and reference types (objects). These are built in to the language. In C++, you have to be explicit. Here is a set of equivalent ways of referring to objects in C# and C++, based on whether they are reference types or primitives, and whether or not you’re using ref: