I had slow file add, delete, save, and slow folder add.
I just fixed mine, however my project also has React frontend, the culprit was the "node_modules" folder. I had moved the project from another drive and VS2019 included it as an active folder. Excluding it from the project brought everything back to normal. Since my project is .Net Core 3.1 + React - doing this might serve others - not sure if the OP is using node.js
In Solutions Explore --> Right click node_modules folder --> select "Exclude from Project"
If you are using source control (git) will still work ok as will the rest of your application.