...one of the most highly
regarded and expertly designed C++ library projects in the
world.
— Herb Sutter and Andrei
Alexandrescu, C++
Coding Standards
As a general rule, all conversions between unrelated types are performed using basic arithmetic operations, therefore conversions are either exact, or follow the same rounding rules as arithmetic for the type in question.
The following table summarises the situation for conversions from native types:
Backend 
Rounding Rules 

Conversions from integer types are exact if the target has sufficient precision, otherwise they truncate to the first 2^MaxBits bits (modulo arithmetic). Conversions from floatingpoint types are truncating to the nearest integer. 

Conversions are performed by the GMP library except for conversion
from 

Conversions from floatingpoint types are truncating, all others are performed by libtommath and are exact. 

Conversions are performed by the GMP library except for conversion
from 

All conversions are performed by the underlying MPFR library. 

All conversions are performed using basic arithmetic operations and are truncating. 

See gmp_int 

See cpp_int 

See tom_int 