1000 ms for DateTime.Now.Ticks
0201 ms for Stopwatch.ElapsedTicks
0142 ms for Stopwatch.ElapsedMilliseconds
0139 ms for Stopwatch.ElapsedTicks after Reset
0264 ms for Stopwatch.ElapsedTicks setting ThreadAffinity
0151 ms for Stopwatch.ElapsedTicks setting ProcessorAffinity (and more)
0371 ms for Stopwatch.ElapsedTicks with Syncronized object
Done!

class Program
{
    static void Main(string[] args)
    {
        StopWatchTest.Go();
        Console.WriteLine("Done!");
        Console.ReadLine();
    }
}

internal static class StopWatchTest
{
    public const int SleepTime = 1000;

    public static void Go()
    {
        #region Test #0 with DateTime.Now.Ticks
        long startTick = DateTime.Now.Ticks;
        Thread.Sleep(SleepTime);
        long stopTick = DateTime.Now.Ticks;
        long elapsedDt = (stopTick - startTick) * 100;
        Display((int)(elapsedDt / 1000 / 1000), "DateTime.Now.Ticks");
        #endregion Test #0 with DateTime.Now.Ticks

        Stopwatch watch = Stopwatch.StartNew();
        long frequency = Stopwatch.Frequency;
        double nanosecPerTick = (1000.0 * 1000.0 * 1000.0) / frequency;

        #region Test #1 with Stopwatch.ElapsedTicks
        startTick = watch.ElapsedTicks;
        Thread.Sleep(SleepTime);
        stopTick = watch.ElapsedTicks;
        double elapsedSw = (stopTick - startTick) * nanosecPerTick;
        Display((int)(elapsedSw / 1000 / 1000), "Stopwatch.ElapsedTicks");
        #endregion Test #1 with Stopwatch.ElapsedTicks

        #region Test #2 with Stopwatch.ElapsedMilliseconds
        startTick = watch.ElapsedMilliseconds;
        Thread.Sleep(SleepTime);
        stopTick = watch.ElapsedMilliseconds;
        Display((int)(stopTick - startTick), "Stopwatch.ElapsedMilliseconds");
        #endregion Test #2 with Stopwatch.ElapsedMilliseconds

        #region Test #3 with Stopwatch.ElapsedTicks after Reset
        watch.Stop();
        watch.Reset();
        watch.Start();
        startTick = watch.ElapsedTicks;
        Thread.Sleep(SleepTime);
        stopTick = watch.ElapsedTicks;
        elapsedSw = (stopTick - startTick) * nanosecPerTick;
        Display((int)(elapsedSw / 1000 / 1000), "Stopwatch.ElapsedTicks after Reset");
        #endregion Test #3 with Stopwatch.ElapsedTicks after Reset

        #region Test #4 with Stopwatch.ElapsedTicks and ThreadAffinity
        Thread.BeginThreadAffinity();
        startTick = watch.ElapsedTicks;
        Thread.Sleep(SleepTime);
        stopTick = watch.ElapsedTicks;
        elapsedSw = (stopTick - startTick) * nanosecPerTick;
        Display((int)(elapsedSw / 1000 / 1000), "Stopwatch.ElapsedTicks setting ThreadAffinity");
        Thread.EndThreadAffinity();
        #endregion Test #4 with Stopwatch.ElapsedTicks and ThreadAffinity

        #region Test #5 with Stopwatch.ElapsedTicks and ProcessorAffinity (and more)
        const int affinity = 0x0001;
        Process proc = Process.GetCurrentProcess();
        proc.ProcessorAffinity = new IntPtr(affinity);
        proc.PriorityClass = ProcessPriorityClass.High;
        ProcessThreadCollection ptc = proc.Threads;
        foreach (ProcessThread pt in ptc)
        {
            pt.IdealProcessor = 0;
            pt.ProcessorAffinity = new IntPtr(affinity);
        }
        Thread.CurrentThread.Priority = ThreadPriority.Highest;

        startTick = watch.ElapsedTicks;
        Thread.Sleep(SleepTime);
        stopTick = watch.ElapsedTicks;
        elapsedSw = (stopTick - startTick) * nanosecPerTick;
        Display((int)(elapsedSw / 1000 / 1000), "Stopwatch.ElapsedTicks setting ProcessorAffinity (and more)");
        #endregion Test #5 with ProcessorAffinity and more

        #region Test #6 with Syncronized object
        elapsedSw = new SyncTimer().Go();
        Display((int)(elapsedSw / 1000 / 1000), "Stopwatch.ElapsedTicks with Syncronized object");
        #endregion Test #6 with Syncronized object
    }

    private static void Display(int milliseconds, string testName)
    {
        Console.WriteLine("{0:0000} ms for {1}", milliseconds, testName);
    }
}

[Synchronization]
internal class SyncTimer : ContextBoundObject
{
    [MethodImpl(MethodImplOptions.Synchronized)]
    public double Go()
    {
        Stopwatch.StartNew();
        long frequency = Stopwatch.Frequency;
        double nanosecPerTick = (1000.0 * 1000.0 * 1000.0) / frequency;

        long startTick = Stopwatch.GetTimestamp();
        Thread.Sleep(StopWatchTest.SleepTime);
        long stopTick = Stopwatch.GetTimestamp();
        return (stopTick - startTick) * nanosecPerTick;
    }
}

Stopwatch sw = new Stopwatch();
sw.Start();

... DO WORK

sw.Stop();

long elapsedTicks = sw.Elapsed.Ticks;
Debug.WriteLine(TimeSpan.FromTicks(elapsedTicks).ToString());

1000 ms for DateTime.Now.Ticks
0999 ms for Stopwatch.ElapsedTicks
1000 ms for Stopwatch.ElapsedMilliseconds
0999 ms for Stopwatch.ElapsedTicks after Reset
0999 ms for Stopwatch.ElapsedTicks setting ThreadAffinity
0999 ms for Stopwatch.ElapsedTicks setting ProcessorAffinity (and more)

var sw = new Stopwatch();
sw.Start();
Thread.Sleep(1000);
var elpased = sw.Elapsed;

using System;
using System.Diagnostics;

namespace HQ.Util.General
{
    public static class StopWatchExtension
    {
        public static TimeSpan ToTimeSpan(this Stopwatch stopWatch)
        {
            return TimeSpan.FromTicks(stopWatch.ElapsedTicks);
        }
    }
}

using HQ.Util.General;

Debug.Print($"Elapsed millisec: { stopWatch.ToTimeSpan().TotalMilliseconds}");