[c#] How to write an async method with out parameter?

You cannot have ref or out parameters in async methods (as was already noted).

This screams for some modelling in the data moving around:

public class Data
{
    public int Op {get; set;}
    public int Result {get; set;}
}

public async void Method1()
{
    Data data = await GetDataTaskAsync();
    // use data.Op and data.Result from here on
}

public async Task<Data> GetDataTaskAsync()
{
    var returnValue = new Data();
    // Fill up returnValue
    return returnValue;
}

You gain the ability to reuse your code more easily, plus it's way more readable than variables or tuples.