C# takes a lot of different roles. If all you're doing is higher level stuff, say you're only working on a local GUI app where you're waiting on the user 99% of the time, you probably don't need to understand it. But you can also treat C# as more of a low level systems language, maybe you need to optimise some number crunching in a server - and then, as with any systems language, being able to read it may help.