Conditional Stochastic Optimization (CSO) covers a variety of applications ranging from metalearning and causal inference to invariant learning. However, constructing unbiased gradient estimates in CSO is challenging due to the composition structure. As an alternative, we propose a biased stochastic gradient descent (BSGD) algorithm and study the bias-variance tradeoff under different structural assumptions. We establish the sample complexities of BSGD for strongly convex, convex, and weakly convex objectives, under smooth and non-smooth conditions. We also provide matching lower bounds of BSGD for convex CSO objectives. Extensive numerical experiments are conducted to illustrate the performance of BSGD on robust logistic regression, model-agnostic meta-learning (MAML), and instrumental variable regression (IV).