You hold bitcoin and want ETH: to use Ethereum at all — every action there needs ETH for gas — to buy something priced in ETH, or to hold the second-largest coin alongside the first. The two oldest routes in crypto still cannot be done inside one wallet.
Bitcoin and Ethereum are separate networks with separate rules. A Bitcoin transaction cannot credit a 0x… address, and Ethereum cannot verify a bitcoin payment. The route receives your BTC at a one-time address, waits for 2 confirmations — plan for 21–44 minutes — and sends ETH to the address you gave. The ETH amount is fixed at the second confirmation, so the estimate you see when you send is not the final figure.