diff --git a/meson.build b/meson.build
index 48fd6bb13..a2b5f0a66 100644
--- a/meson.build
+++ b/meson.build
@@ -90,15 +90,20 @@ if cc.get_id() != 'msvc'
   conf.set('WARN_UNUSED_RESULT', warn_unused_result)
 endif
 
-if cc.get_id() == 'msvc'
+if cc.get_argument_syntax() == 'msvc'
   # Basic usage in the cairo type system that causes spammy and useless warnings
   add_project_arguments('/wd4244', '/wd4146',
                         # Don't warn about double -> float truncation
                         '/wd4305',
                         # Don't warn about _cairo_status -> _cairo_int_status conversion
                         '/wd5286',
+                        # Turn "<function> undefined, assuming extern returning int" to an error
+                        '/we4013',
                         language : ['c', 'cpp'])
-  add_project_arguments('-D_CRT_SECURE_NO_WARNINGS', language : ['c', 'cpp'])
+  add_project_arguments(['-D_CRT_SECURE_NO_WARNINGS',
+                         '-D_CRT_NONSTDC_NO_WARNINGS',
+                         '-D_USE_MATH_DEFINES',
+                        ], language : ['c', 'cpp'])
 endif
 
 add_project_arguments('-D_GNU_SOURCE', language: ['c', 'cpp'])
diff --git a/perf/micro/pythagoras-tree.c b/perf/micro/pythagoras-tree.c
index 9d3ca1155..6581e4ed6 100644
--- a/perf/micro/pythagoras-tree.c
+++ b/perf/micro/pythagoras-tree.c
@@ -24,7 +24,7 @@
  */
 
 #include "cairo-perf.h"
-#define _USE_MATH_DEFINES /* for M_SQRT2 on win32 */
+
 #include <math.h>
 
 static void
diff --git a/src/cairo-compiler-private.h b/src/cairo-compiler-private.h
index 1aaced394..90fd28019 100644
--- a/src/cairo-compiler-private.h
+++ b/src/cairo-compiler-private.h
@@ -154,20 +154,11 @@
 #endif
 
 #if (defined(__WIN32__) && !defined(__WINE__)) || defined(_MSC_VER)
-#define access _access
 #ifndef R_OK
 #define R_OK 4
 #endif
-#define fdopen _fdopen
-#define hypot _hypot
 #define pclose _pclose
 #define popen _popen
-#define strdup _strdup
-#define unlink _unlink
-#if defined (_MSC_VER) && _MSC_VER < 1900
-  #define vsnprintf _vsnprintf
-  #define snprintf _snprintf
-#endif
 #endif
 
 #if defined(_MSC_VER) && defined(_M_IX86)
diff --git a/src/cairoint.h b/src/cairoint.h
index b18a579be..fa8f5d395 100644
--- a/src/cairoint.h
+++ b/src/cairoint.h
@@ -55,9 +55,6 @@
 #include <stdarg.h>
 #include <stddef.h>
 
-#ifdef _MSC_VER
-#define _USE_MATH_DEFINES
-#endif
 #include <math.h>
 #include <limits.h>
 #include <stdio.h>
diff --git a/test/any2ppm.c b/test/any2ppm.c
index f601ec835..c0efdede1 100644
--- a/test/any2ppm.c
+++ b/test/any2ppm.c
@@ -87,6 +87,10 @@
 #include <fcntl.h>
 #endif
 
+#ifdef _WIN32
+#include <io.h>
+#endif
+
 #if HAVE_UNISTD_H && HAVE_SIGNAL_H && HAVE_SYS_STAT_H && HAVE_SYS_SOCKET_H && (HAVE_POLL_H || HAVE_SYS_POLL_H) && HAVE_SYS_UN_H
 #include <signal.h>
 #include <sys/stat.h>
diff --git a/test/cairo-test.c b/test/cairo-test.c
index 49dfadb15..f6e25647c 100644
--- a/test/cairo-test.c
+++ b/test/cairo-test.c
@@ -67,9 +67,9 @@
 #ifdef _MSC_VER
 #include <crtdbg.h>
 #include <direct.h>
+#include <io.h>
 #define F_OK 0
 #define HAVE_MKDIR 1
-#define mkdir _mkdir
 #endif
 
 #ifndef FALSE
diff --git a/test/cairo-test.h b/test/cairo-test.h
index b70654654..0a36cd7a3 100644
--- a/test/cairo-test.h
+++ b/test/cairo-test.h
@@ -55,13 +55,7 @@ typedef unsigned __int64 uint64_t;
 #endif
 
 #ifdef _MSC_VER
-#define _USE_MATH_DEFINES
-
 #include <float.h>
-#if _MSC_VER <= 1600
-#define isnan(x) _isnan(x)
-#endif
-
 #endif
 
 #if HAVE_FENV_H
diff --git a/test/pdf-tagged-text.c b/test/pdf-tagged-text.c
index 094b1c8b0..5e58d2b71 100644
--- a/test/pdf-tagged-text.c
+++ b/test/pdf-tagged-text.c
@@ -41,6 +41,13 @@
 #include <sys/mman.h>
 #endif
 
+#ifdef _WIN32
+#include <fcntl.h>
+#include <sys/types.h>
+#include <sys/stat.h>
+#include <io.h>
+#endif
+
 #include <cairo.h>
 
 #if CAIRO_HAS_PDF_SURFACE
diff --git a/util/cairo-script/cairo-script-operators.c b/util/cairo-script/cairo-script-operators.c
index b3b03457f..87bfa6b4a 100644
--- a/util/cairo-script/cairo-script-operators.c
+++ b/util/cairo-script/cairo-script-operators.c
@@ -46,11 +46,6 @@
 #include <stdlib.h> /* mkstemp */
 #include <string.h>
 
-#ifdef _MSC_VER
-#define _USE_MATH_DEFINES /* for M_LN2, M_PI and M_SQRT2 on win32 */
-#define snprintf _snprintf
-#endif
-
 #include <math.h>
 #include <limits.h> /* INT_MAX */
 #include <assert.h>