A composite sintered material includes: cubic boron nitride grains; and hexagonal boron nitride grains or the hexagonal boron nitride grains and wurtzite type boron nitride grains, wherein a dislocation density of the cubic boron nitride grains is more than or equal to 1×1015/m2 and less than or equal to 1×1017/m2, a median diameter d50 of equivalent circle diameters of the cubic boron nitride grains is more than or equal to 10 nm and less than or equal to 500 nm, and a relationship of the following expression 1 is satisfied: 0.015≤(Vh+Vw)/(Vc+Vh+Vw)≤0.5,  Expression 1: where Vc represents a volume-based content ratio of the cubic boron nitride grains, Vh represents a volume-based content ratio of the hexagonal boron nitride grains, and Vw represents a volume-based content ratio of the wurtzite type boron nitride grains.