diff --git a/gemfiles/standard.rb b/gemfiles/standard.rb
index c8065b3a1b..0d534f78d8 100644
--- a/gemfiles/standard.rb
+++ b/gemfiles/standard.rb
@@ -4,6 +4,7 @@
 def standard_dependencies
   gem 'yard', '>= 0.9.35'
   gem 'ffi'
+  gem 'opentelemetry-sdk'
 
   group :development, :testing do
     gem 'jruby-openssl', platforms: :jruby
diff --git a/lib/mongo.rb b/lib/mongo.rb
index c866ad1a9e..0e62e92415 100644
--- a/lib/mongo.rb
+++ b/lib/mongo.rb
@@ -33,6 +33,7 @@
 autoload :CGI, 'cgi'
 
 require 'bson'
+require 'opentelemetry-api'
 
 require 'mongo/id'
 require 'mongo/bson'
@@ -74,6 +75,7 @@
 require 'mongo/socket'
 require 'mongo/srv'
 require 'mongo/timeout'
+require 'mongo/tracing'
 require 'mongo/uri'
 require 'mongo/version'
 require 'mongo/write_concern'
diff --git a/lib/mongo/client.rb b/lib/mongo/client.rb
index 70f5768628..904524c360 100644
--- a/lib/mongo/client.rb
+++ b/lib/mongo/client.rb
@@ -112,6 +112,7 @@ class Client
       :ssl_verify_hostname,
       :ssl_verify_ocsp_endpoint,
       :timeout_ms,
+      :tracing,
       :truncate_logs,
       :user,
       :wait_queue_timeout,
@@ -437,6 +438,20 @@ def hash
     #   See Ruby's Zlib module for valid levels.
     # @option options [ Hash ] :resolv_options For internal driver use only.
     #   Options to pass through to Resolv::DNS constructor for SRV lookups.
+    # @option options [ Hash ] :tracing OpenTelemetry tracing options.
+    #   - :enabled => Boolean, whether to enable OpenTelemetry tracing. The default
+    #     value is nil that means that the configuration will be taken from the
+    #     OTEL_RUBY_INSTRUMENTATION_MONGODB_ENABLED environment variable.
+    #   - :tracer => OpenTelemetry::Trace::Tracer, the tracer to use for
+    #     tracing. Must be an implementation of OpenTelemetry::Trace::Tracer
+    #     interface.
+    #   - :query_text_max_length => Integer, the maximum length of the query text
+    #     to be included in the span attributes. If the query text exceeds this
+    #     length, it will be truncated. Value 0 means no query text
+    #     will be included in the span attributes. The default value is nil that
+    #     means that the configuration will be taken from the
+    #     OTEL_RUBY_INSTRUMENTATION_MONGODB_QUERY_TEXT_MAX_LENGTH environment
+    #     variable.
     # @option options [ Hash ] :auto_encryption_options Auto-encryption related
     #   options.
     #   - :key_vault_client => Client | nil, a client connected to the MongoDB
@@ -574,8 +589,12 @@ def initialize(addresses_or_uri, options = nil)
 
       @connect_lock = Mutex.new
       @connect_lock.synchronize do
-        @cluster = Cluster.new(addresses, @monitoring,
-          cluster_options.merge(srv_uri: srv_uri))
+        @cluster = Cluster.new(
+          addresses,
+          @monitoring,
+          tracer,
+          cluster_options.merge(srv_uri: srv_uri)
+        )
       end
 
       begin
@@ -1195,6 +1214,15 @@ def timeout_sec
       end
     end
 
+    def tracer
+      tracing_opts = @options[:tracing] || {}
+      @tracer ||= Tracing.create_tracer(
+        enabled: tracing_opts[:enabled],
+        query_text_max_length: tracing_opts[:query_text_max_length],
+        otel_tracer: tracing_opts[:tracer],
+      )
+    end
+
     private
 
     # Attempts to parse the given list of addresses, using the provided options.
diff --git a/lib/mongo/cluster.rb b/lib/mongo/cluster.rb
index 46e9f556f1..30a7e56583 100644
--- a/lib/mongo/cluster.rb
+++ b/lib/mongo/cluster.rb
@@ -117,7 +117,7 @@ class Cluster
     #   - *:deprecation_errors* -- boolean
     #
     # @since 2.0.0
-    def initialize(seeds, monitoring, options = Options::Redacted.new)
+    def initialize(seeds, monitoring, tracer = nil, options = Options::Redacted.new)
       if seeds.nil?
         raise ArgumentError, 'Seeds cannot be nil'
       end
@@ -136,6 +136,7 @@ def initialize(seeds, monitoring, options = Options::Redacted.new)
       @update_lock = Mutex.new
       @servers = []
       @monitoring = monitoring
+      @tracer = tracer
       @event_listeners = Event::Listeners.new
       @app_metadata = Server::AppMetadata.new(@options.merge(purpose: :application))
       @monitor_app_metadata = Server::Monitor::AppMetadata.new(@options.merge(purpose: :monitor))
@@ -309,6 +310,8 @@ def self.create(client, monitoring: nil)
     # @return [ Monitoring ] monitoring The monitoring.
     attr_reader :monitoring
 
+    attr_reader :tracer
+
     # @return [ Object ] The cluster topology.
     attr_reader :topology
 
diff --git a/lib/mongo/collection.rb b/lib/mongo/collection.rb
index b9cbefee0c..dee8a85da6 100644
--- a/lib/mongo/collection.rb
+++ b/lib/mongo/collection.rb
@@ -57,6 +57,8 @@ class Collection
     # Delegate to the cluster for the next primary.
     def_delegators :cluster, :next_primary
 
+    def_delegators :client, :tracer
+
     # Options that can be updated on a new Collection instance via the #with method.
     #
     # @since 2.1.0
@@ -865,19 +867,22 @@ def insert_one(document, opts = {})
           session: session,
           operation_timeouts: operation_timeouts(opts)
           )
-        write_with_retry(write_concern, context: context) do |connection, txn_num, context|
-          Operation::Insert.new(
-            :documents => [ document ],
-            :db_name => database.name,
-            :coll_name => name,
-            :write_concern => write_concern,
-            :bypass_document_validation => !!opts[:bypass_document_validation],
-            :options => opts,
-            :id_generator => client.options[:id_generator],
-            :session => session,
-            :txn_num => txn_num,
-            :comment => opts[:comment]
-          ).execute_with_connection(connection, context: context)
+        operation = Operation::Insert.new(
+              :documents => [ document ],
+              :db_name => database.name,
+              :coll_name => name,
+              :write_concern => write_concern,
+              :bypass_document_validation => !!opts[:bypass_document_validation],
+              :options => opts,
+              :id_generator => client.options[:id_generator],
+              :session => session,
+              :comment => opts[:comment]
+            )
+        tracer.trace_operation(operation, context) do
+          write_with_retry(write_concern, context: context) do |connection, txn_num, context|
+            operation.txn_num = txn_num
+            operation.execute_with_connection(connection, context: context)
+          end
         end
       end
     end
diff --git a/lib/mongo/collection/view.rb b/lib/mongo/collection/view.rb
index fc33d85b75..e7c221f0a8 100644
--- a/lib/mongo/collection/view.rb
+++ b/lib/mongo/collection/view.rb
@@ -72,6 +72,8 @@ class View
       # Delegate to the cluster for the next primary.
       def_delegators :cluster, :next_primary
 
+      def_delegators :client, :tracer
+
       alias :selector :filter
 
       # @return [ Integer | nil | The timeout_ms value that was passed as an
diff --git a/lib/mongo/collection/view/aggregation.rb b/lib/mongo/collection/view/aggregation.rb
index f80a4f491b..5c263faeda 100644
--- a/lib/mongo/collection/view/aggregation.rb
+++ b/lib/mongo/collection/view/aggregation.rb
@@ -25,11 +25,14 @@ class View
       #
       # @since 2.0.0
       class Aggregation
+        extend Forwardable
         include Behavior
 
         # @return [ Array<Hash> ] pipeline The aggregation pipeline.
         attr_reader :pipeline
 
+        def_delegators :view, :tracer
+
         # Initialize the aggregation for the provided collection view, pipeline
         # and options.
         #
@@ -80,7 +83,7 @@ def new(options)
           Aggregation.new(view, pipeline, options)
         end
 
-        def initial_query_op(session, read_preference)
+        def initial_query_op(session, read_preference = nil)
           Operation::Aggregate.new(aggregate_spec(session, read_preference))
         end
 
diff --git a/lib/mongo/collection/view/aggregation/behavior.rb b/lib/mongo/collection/view/aggregation/behavior.rb
index 349b82e4bc..db881106a7 100644
--- a/lib/mongo/collection/view/aggregation/behavior.rb
+++ b/lib/mongo/collection/view/aggregation/behavior.rb
@@ -88,7 +88,7 @@ def server_selector
             @view.send(:server_selector)
           end
 
-          def aggregate_spec(session, read_preference)
+          def aggregate_spec(session, read_preference = nil)
             Builder::Aggregation.new(
               pipeline,
               view,
diff --git a/lib/mongo/collection/view/iterable.rb b/lib/mongo/collection/view/iterable.rb
index 99133c5e9f..0f88e8eec7 100644
--- a/lib/mongo/collection/view/iterable.rb
+++ b/lib/mongo/collection/view/iterable.rb
@@ -88,19 +88,21 @@ def select_cursor(session)
             operation_timeouts: operation_timeouts,
             view: self
           )
-
-          if respond_to?(:write?, true) && write?
-            server = server_selector.select_server(cluster, nil, session, write_aggregation: true)
-            result = send_initial_query(server, context)
-
-            if use_query_cache?
-              CachingCursor.new(view, result, server, session: session, context: context)
+          op = initial_query_op(session)
+          tracer.trace_operation(op, context) do
+            if respond_to?(:write?, true) && write?
+              server = server_selector.select_server(cluster, nil, session, write_aggregation: true)
+              result = send_initial_query(server, context)
+
+              if use_query_cache?
+                CachingCursor.new(view, result, server, session: session, context: context)
+              else
+                Cursor.new(view, result, server, session: session, context: context)
+              end
             else
-              Cursor.new(view, result, server, session: session, context: context)
-            end
-          else
-            read_with_retry_cursor(session, server_selector, view, context: context) do |server|
-              send_initial_query(server, context)
+              read_with_retry_cursor(session, server_selector, view, context: context) do |server|
+                send_initial_query(server, context)
+              end
             end
           end
         end
diff --git a/lib/mongo/operation/insert/op_msg.rb b/lib/mongo/operation/insert/op_msg.rb
index 39b299ef76..4f5acec971 100644
--- a/lib/mongo/operation/insert/op_msg.rb
+++ b/lib/mongo/operation/insert/op_msg.rb
@@ -34,8 +34,10 @@ class OpMsg < OpMsgBase
         private
 
         def get_result(connection, context, options = {})
-          # This is a Mongo::Operation::Insert::Result
-          Result.new(*dispatch_message(connection, context), @ids, context: context)
+          message = build_message(connection, context)
+          connection.tracer.trace_command(message, context, connection) do
+            Result.new(*dispatch_message(message, connection, context), @ids, context: context)
+          end
         end
 
         def selector(connection)
diff --git a/lib/mongo/operation/shared/executable.rb b/lib/mongo/operation/shared/executable.rb
index 041e4d1e5b..85865c989a 100644
--- a/lib/mongo/operation/shared/executable.rb
+++ b/lib/mongo/operation/shared/executable.rb
@@ -104,12 +104,14 @@ def result_class
       end
 
       def get_result(connection, context, options = {})
-        result_class.new(*dispatch_message(connection, context, options), context: context, connection: connection)
+        message = build_message(connection, context)
+        connection.tracer.trace_command(message, context, connection) do
+          result_class.new(*dispatch_message(message, connection, context, options), context: context, connection: connection)
+        end
       end
 
       # Returns a Protocol::Message or nil as reply.
-      def dispatch_message(connection, context, options = {})
-        message = build_message(connection, context)
+      def dispatch_message(message, connection, context, options = {})
         message = message.maybe_encrypt(connection, context)
         reply = connection.dispatch([ message ], context, options)
         [reply, connection.description, connection.global_id]
diff --git a/lib/mongo/operation/shared/specifiable.rb b/lib/mongo/operation/shared/specifiable.rb
index afc799f46e..dd2e37369e 100644
--- a/lib/mongo/operation/shared/specifiable.rb
+++ b/lib/mongo/operation/shared/specifiable.rb
@@ -233,7 +233,7 @@ def documents
       #
       # @since 2.0.0
       def coll_name
-        spec.fetch(COLL_NAME)
+        spec[COLL_NAME]
       end
 
       # The id of the cursor created on the server.
@@ -526,6 +526,10 @@ def txn_num
         @spec[:txn_num]
       end
 
+      def txn_num=(num)
+        @spec[:txn_num] = num
+      end
+
       # The command.
       #
       # @return [ Hash ] The command.
diff --git a/lib/mongo/server.rb b/lib/mongo/server.rb
index c00285034e..edf2eb3b4f 100644
--- a/lib/mongo/server.rb
+++ b/lib/mongo/server.rb
@@ -218,7 +218,8 @@ def compressor
     # @api private
     def_delegators :cluster,
                    :monitor_app_metadata,
-                   :push_monitor_app_metadata
+                   :push_monitor_app_metadata,
+                   :tracer
 
     def_delegators :features,
                    :check_driver_support!
diff --git a/lib/mongo/server/connection.rb b/lib/mongo/server/connection.rb
index f9874764cf..4c0024c529 100644
--- a/lib/mongo/server/connection.rb
+++ b/lib/mongo/server/connection.rb
@@ -139,6 +139,8 @@ def initialize(server, options = {})
       # across all connections.
       attr_reader :global_id
 
+      def_delegators :server, :tracer
+
       # The connection pool from which this connection was created.
       # May be nil.
       #
@@ -388,6 +390,17 @@ def record_checkin!
         self
       end
 
+      def transport
+        return nil if @socket.nil?
+
+        case @socket
+        when Mongo::Socket::Unix
+          :unix
+        else
+          :tcp
+        end
+      end
+
       private
 
       def deliver(message, client, options = {})
diff --git a/lib/mongo/session.rb b/lib/mongo/session.rb
index be9c1f2a42..f9cf3de279 100644
--- a/lib/mongo/session.rb
+++ b/lib/mongo/session.rb
@@ -130,6 +130,8 @@ def snapshot?
     # @since 2.5.0
     attr_reader :operation_time
 
+    def_delegators :client, :tracer
+
     # Sets the dirty state to the given value for the underlying server
     # session. If there is no server session, this does nothing.
     #
diff --git a/lib/mongo/tracing.rb b/lib/mongo/tracing.rb
new file mode 100644
index 0000000000..25a0e7eeac
--- /dev/null
+++ b/lib/mongo/tracing.rb
@@ -0,0 +1,16 @@
+# frozen_string_literal: true
+
+module Mongo
+  module Tracing
+    def create_tracer(enabled: nil, query_text_max_length: nil, otel_tracer: nil)
+      OpenTelemetry::Tracer.new(
+        enabled: enabled,
+        query_text_max_length: query_text_max_length,
+        otel_tracer: otel_tracer,
+      )
+    end
+    module_function :create_tracer
+  end
+end
+
+require 'mongo/tracing/open_telemetry'
diff --git a/lib/mongo/tracing/open_telemetry.rb b/lib/mongo/tracing/open_telemetry.rb
new file mode 100644
index 0000000000..702d2885c4
--- /dev/null
+++ b/lib/mongo/tracing/open_telemetry.rb
@@ -0,0 +1,26 @@
+# frozen_string_literal: true
+
+# Copyright (C) 2025-present MongoDB Inc.
+#
+# Licensed under the Apache License, Version 2.0 (the 'License');
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#   http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an 'AS IS' BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+
+module Mongo
+  module Tracing
+    module OpenTelemetry
+    end
+  end
+end
+
+require 'mongo/tracing/open_telemetry/command_tracer'
+require 'mongo/tracing/open_telemetry/operation_tracer'
+require 'mongo/tracing/open_telemetry/tracer'
diff --git a/lib/mongo/tracing/open_telemetry/command_tracer.rb b/lib/mongo/tracing/open_telemetry/command_tracer.rb
new file mode 100644
index 0000000000..9157c97b78
--- /dev/null
+++ b/lib/mongo/tracing/open_telemetry/command_tracer.rb
@@ -0,0 +1,140 @@
+# frozen_string_literal: true
+
+# Copyright (C) 2025-present MongoDB Inc.
+#
+# Licensed under the Apache License, Version 2.0 (the 'License');
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#   http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an 'AS IS' BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+
+module Mongo
+  module Tracing
+    module OpenTelemetry
+      # CommandTracer is responsible for tracing MongoDB server commands using OpenTelemetry.
+      #
+      # @api private
+      class CommandTracer
+        extend Forwardable
+
+        def_delegators :@parent_tracer,
+          :cursor_context_map,
+          :parent_context_for,
+          :transaction_context_map,
+          :transaction_map_key
+
+        def initialize(otel_tracer, parent_tracer, query_text_max_length: 0)
+          @otel_tracer = otel_tracer
+          @parent_tracer = parent_tracer
+          @query_text_max_length = query_text_max_length
+        end
+
+        def trace_command(message, operation_context, connection)
+          parent_context = parent_context_for(operation_context, cursor_id(message))
+          span = @otel_tracer.start_span(
+            command_span_name(message),
+            attributes: span_attributes(message, connection),
+            with_parent: parent_context,
+            kind: :client
+          )
+          ::OpenTelemetry::Trace.with_span(span) do |s, c|
+            # TODO: process cursor context if applicable
+            yield.tap do |result|
+              process_cursor_context(result, cursor_id(message), c, s)
+            end
+          end
+        rescue Exception => e
+          span&.record_exception(e)
+          span&.status = ::OpenTelemetry::Trace::Status.error("Unhandled exception of type: #{e.class}")
+          raise e
+        ensure
+          span&.finish
+        end
+
+        private
+
+        def span_attributes(message, connection)
+          {
+            'db.system' => 'mongodb',
+            'db.namespace' => database(message),
+            'db.collection.name' => collection_name(message),
+            'db.command.name' => command_name(message),
+            'db.query.summary' => command_span_name(message),
+            'server.port' => connection.address.port,
+            'server.address' => connection.address.host,
+            'network.transport' => connection.transport.to_s,
+            'db.mongodb.server_connection_id' => connection.server.description.server_connection_id,
+            'db.mongodb.driver_connection_id' => connection.id,
+            'db.mongodb.cursor_id' => cursor_id(message),
+            'db.query.text' => query_text(message)
+          }.compact
+        end
+
+        def process_cursor_context(result, cursor_id, context, span)
+          if result.has_cursor_id? && result.cursor_id.positive?
+            span.set_attribute('db.mongodb.cursor_id', result.cursor_id)
+          end
+        end
+
+        def command_span_name(message)
+          if (coll_name = collection_name(message))
+            "#{command_name(message)} #{database(message)}.#{coll_name}"
+          else
+            "#{command_name(message)} #{database(message)}"
+          end
+        end
+
+        def collection_name(message)
+          case message.documents.first.keys.first
+          when 'getMore'
+            message.documents.first['collection'].to_s
+          else
+            message.documents.first.values.first.to_s
+          end
+        end
+
+        def command_name(message)
+          message.documents.first.keys.first.to_s
+        end
+
+        def database(message)
+          message.documents.first['$db'].to_s
+        end
+
+        def query_text?
+          @query_text_max_length.positive?
+        end
+
+        def cursor_id(message)
+          if command_name(message) == 'getMore'
+            message.documents.first['getMore'].value
+          end
+        end
+
+        EXCLUDED_KEYS = %w[lsid $db $clusterTime signature].freeze
+        ELLIPSES = '...'
+
+        def query_text(message)
+          return unless query_text?
+
+          text = message
+                 .documents
+                 .first
+                 .reject { |key, _| EXCLUDED_KEYS.include?(key) }
+                 .to_json
+          if text.length > @query_text_max_length
+            "#{text[0...@query_text_max_length]}#{ELLIPSES}"
+          else
+            text
+          end
+        end
+      end
+    end
+  end
+end
diff --git a/lib/mongo/tracing/open_telemetry/operation_tracer.rb b/lib/mongo/tracing/open_telemetry/operation_tracer.rb
new file mode 100644
index 0000000000..1db2b68a73
--- /dev/null
+++ b/lib/mongo/tracing/open_telemetry/operation_tracer.rb
@@ -0,0 +1,98 @@
+# frozen_string_literal: true
+
+# Copyright (C) 2025-present MongoDB Inc.
+#
+# Licensed under the Apache License, Version 2.0 (the 'License');
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#   http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an 'AS IS' BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+
+module Mongo
+  module Tracing
+    module OpenTelemetry
+      # OperationTracer is responsible for tracing MongoDB driver operations using OpenTelemetry.
+      #
+      # @api private
+      class OperationTracer
+        extend Forwardable
+
+        def_delegators :@parent_tracer,
+          :cursor_context_map,
+          :parent_context_for,
+          :transaction_context_map,
+          :transaction_map_key
+
+        def initialize(otel_tracer, parent_tracer)
+          @otel_tracer = otel_tracer
+          @parent_tracer = parent_tracer
+        end
+
+        def trace_operation(operation, operation_context)
+          parent_context = parent_context_for(operation_context, operation.cursor_id)
+          span = @otel_tracer.start_span(
+            operation_span_name(operation),
+            attributes: span_attributes(operation),
+            with_parent: parent_context,
+            kind: :client
+          )
+          ::OpenTelemetry::Trace.with_span(span) do |s, c|
+            yield.tap do |result|
+              process_cursor_context(result, operation.cursor_id, c, s)
+            end
+          end
+        rescue Exception => e
+          span&.record_exception(e)
+          span&.status = ::OpenTelemetry::Trace::Status.error("Unhandled exception of type: #{e.class}")
+          raise e
+        ensure
+          span&.finish
+        end
+
+        private
+
+        def operation_name(operation)
+          operation.class.name.split('::').last.downcase
+        end
+
+        def span_attributes(operation)
+          {
+            'db.system' => 'mongodb',
+            'db.namespace' => operation.db_name.to_s,
+            'db.collection.name' => operation.coll_name.to_s,
+            'db.operation.name' => operation_name(operation),
+            'db.operation.summary' => operation_span_name(operation),
+            'db.mongodb.cursor_id' => operation.cursor_id,
+          }.compact
+        end
+
+        def process_cursor_context(result, cursor_id, context, span)
+          return unless result.is_a?(Cursor)
+
+          if result.id.zero?
+            # If the cursor is closed, remove it from the context map.
+            cursor_context_map.delete(cursor_id)
+          elsif result.id && cursor_id.nil?
+            # New cursor created, store its context.
+            cursor_context_map[result.id] = context
+            span.set_attribute('db.mongodb.cursor_id', result.id)
+          end
+        end
+
+        def operation_span_name(operation)
+          if operation.coll_name
+            "#{operation_name(operation)} #{operation.db_name}.#{operation.coll_name}"
+          else
+            "#{operation_name(operation)} #{operation.db_name}"
+          end
+        end
+      end
+    end
+  end
+end
diff --git a/lib/mongo/tracing/open_telemetry/tracer.rb b/lib/mongo/tracing/open_telemetry/tracer.rb
new file mode 100644
index 0000000000..f9b61bb7f8
--- /dev/null
+++ b/lib/mongo/tracing/open_telemetry/tracer.rb
@@ -0,0 +1,117 @@
+# frozen_string_literal: true
+
+# Copyright (C) 2025-present MongoDB Inc.
+#
+# Licensed under the Apache License, Version 2.0 (the 'License');
+# you may not use this file except in compliance with the License.
+# You may obtain a copy of the License at
+#
+#   http://www.apache.org/licenses/LICENSE-2.0
+#
+# Unless required by applicable law or agreed to in writing, software
+# distributed under the License is distributed on an 'AS IS' BASIS,
+# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+# See the License for the specific language governing permissions and
+# limitations under the License.
+
+module Mongo
+  module Tracing
+    module OpenTelemetry
+      class Tracer
+        # @return [ OpenTelemetry::Trace::Tracer ] the OpenTelemetry tracer implementation
+        #   used to create spans for MongoDB operations and commands.
+        #
+        # @api private
+        attr_reader :otel_tracer
+
+        # Initializes a new OpenTelemetry tracer.
+        #
+        # @param enabled [ Boolean | nil ] whether OpenTelemetry is enabled or not.
+        #   If nil, it will check the environment variable
+        #   OTEL_RUBY_INSTRUMENTATION_MONGODB_ENABLED.
+        # @param otel_tracer [ OpenTelemetry::Trace::Tracer | nil ] the OpenTelemetry tracer
+        #   implementation to use. If nil, it will use the default tracer from
+        #   OpenTelemetry's tracer provider.
+        def initialize(enabled: nil, query_text_max_length: nil, otel_tracer: nil)
+          @enabled = if enabled.nil?
+                       %w[true 1 yes].include?(ENV['OTEL_RUBY_INSTRUMENTATION_MONGODB_ENABLED']&.downcase)
+                     else
+                       enabled
+                     end
+          @query_text_max_length = if query_text_max_length.nil?
+                                     ENV['OTEL_RUBY_INSTRUMENTATION_MONGODB_QUERY_TEXT_MAX_LENGTH'].to_i
+                                   else
+                                     query_text_max_length
+                                   end
+          @otel_tracer = otel_tracer || initialize_tracer
+          @operation_tracer = OperationTracer.new(@otel_tracer, self)
+          @command_tracer = CommandTracer.new(@otel_tracer, self, query_text_max_length: @query_text_max_length)
+        end
+
+        # Whether OpenTelemetry is enabled or not.
+        #
+        # # @return [Boolean] true if OpenTelemetry is enabled, false otherwise.
+        def enabled?
+          @enabled
+        end
+
+        def trace_operation(operation, operation_context, &block)
+          return yield unless enabled?
+
+          @operation_tracer.trace_operation(operation, operation_context, &block)
+        end
+
+        def trace_command(message, operation_context, connection, &block)
+          return yield unless enabled?
+
+          @command_tracer.trace_command(message, operation_context, connection, &block)
+        end
+
+        def cursor_context_map
+          @cursor_context_map ||= {}
+        end
+
+        def cursor_map_key(session, cursor_id)
+          return if cursor_id.nil? || session.nil?
+
+          "#{session.session_id['id'].to_uuid}-#{cursor_id}"
+        end
+
+        def parent_context_for(operation_context, cursor_id)
+          if (key = transaction_map_key(operation_context.session))
+            transaction_context_map[key]
+          elsif (_key = cursor_map_key(operation_context.session, cursor_id))
+            # We return nil here unless we decide how to nest cursor operations.
+            nil
+            # cursor_context_map[key]
+          end
+        end
+
+        def transaction_context_map
+          @transaction_context_map ||= {}
+        end
+
+        def transaction_map_key(session)
+          return if session.nil? || session.implicit? || !session.in_transaction?
+
+          "#{session.session_id['id'].to_uuid}-#{session.txn_num}"
+        end
+
+        private
+
+        def initialize_tracer
+          if enabled?
+            # Obtain the proper tracer from OpenTelemetry's tracer provider.
+            ::OpenTelemetry.tracer_provider.tracer(
+              'mongo-ruby-driver',
+              Mongo::VERSION
+            )
+          else
+            # No-op tracer when OpenTelemetry is not enabled.
+            ::OpenTelemetry::Trace::Tracer.new
+          end
+        end
+      end
+    end
+  end
+end
diff --git a/spec/lite_spec_helper.rb b/spec/lite_spec_helper.rb
index 486d9c4235..ddd8b25efd 100644
--- a/spec/lite_spec_helper.rb
+++ b/spec/lite_spec_helper.rb
@@ -94,6 +94,7 @@ module Mrss
 require 'support/json_ext_formatter'
 require 'support/sdam_formatter_integration'
 require 'support/background_thread_registry'
+require 'support/tracing'
 require 'mrss/session_registry'
 require 'support/local_resource_registry'
 
diff --git a/spec/mongo/tracer/open_telemetry_spec.rb b/spec/mongo/tracer/open_telemetry_spec.rb
new file mode 100644
index 0000000000..a7d115a9a0
--- /dev/null
+++ b/spec/mongo/tracer/open_telemetry_spec.rb
@@ -0,0 +1,26 @@
+# frozen_string_literal: true
+
+require 'spec_helper'
+
+describe Mongo::Tracer::OpenTelemetry do
+  describe '#initialize' do
+    it 'disables OpenTelemetry by default' do
+      tracer = described_class.new
+      expect(tracer.enabled?).to be false
+    end
+
+    it 'disables OpenTelemetry when the environment variable is not set' do
+      allow(ENV).to receive(:[]).with('OTEL_RUBY_INSTRUMENTATION_MONGODB_ENABLED').and_return(nil)
+      tracer = described_class.new
+      expect(tracer.enabled?).to be false
+    end
+
+    %w[ true 1 yes  ].each do |value|
+      it "enables OpenTelemetry when the environment variable is set to '#{value}'" do
+        allow(ENV).to receive(:[]).with('OTEL_RUBY_INSTRUMENTATION_MONGODB_ENABLED').and_return(value)
+        tracer = described_class.new
+        expect(tracer.enabled?).to be true
+      end
+    end
+  end
+end
diff --git a/spec/runners/unified.rb b/spec/runners/unified.rb
index 042b1c3947..a58a469d9c 100644
--- a/spec/runners/unified.rb
+++ b/spec/runners/unified.rb
@@ -99,6 +99,7 @@ def define_unified_spec_tests(base_path, paths, expect_failure: false)
               test.run
               test.assert_outcome
               test.assert_events
+              test.assert_tracing_messages
               test.cleanup
             end
           end
diff --git a/spec/runners/unified/assertions.rb b/spec/runners/unified/assertions.rb
index 69cb2282ad..98850dcd56 100644
--- a/spec/runners/unified/assertions.rb
+++ b/spec/runners/unified/assertions.rb
@@ -140,9 +140,14 @@ def assert_documents_match(actual, expected)
       end
     end
 
-    def assert_document_matches(actual, expected, msg)
-      unless actual == expected
-        raise Error::ResultMismatch, "#{msg} does not match"
+    def assert_document_matches(actual, expected, msg, as_root: false)
+      if !as_root && actual.keys.to_set != expected.keys.to_set
+        raise Error::ResultMismatch, "#{msg} keys do not match: expected #{expected.keys}, actual #{actual.keys}"
+      end
+      expected.each do |key, expected_value|
+        raise Error::ResultMismatch, "#{msg} has no key #{key}" unless actual.key?(key)
+        actual_value = actual[key]
+        assert_value_matches(actual_value, expected_value, "#{msg} key #{key}")
       end
     end
 
@@ -383,6 +388,14 @@ def assert_value_matches(actual, expected, msg)
           if actual.nil? || actual >= expected_v
             raise Error::ResultMismatch, "Actual value #{actual} should be less than #{expected_v}"
           end
+        when '$$matchAsDocument'
+          actual_v = BSON::ExtJSON.parse(actual)
+          match_as_root = false
+          if expected_v.keys.first == '$$matchAsRoot'
+            expected_v = expected_v.values.first
+            match_as_root = true
+          end
+          assert_document_matches(actual_v, expected_v, msg, as_root: match_as_root)
         else
           raise NotImplementedError, "Unknown operator #{operator}"
         end
@@ -392,5 +405,44 @@ def assert_value_matches(actual, expected, msg)
         end
       end
     end
+
+    def assert_tracing_messages
+      return unless @expected_tracing_messages
+      @expected_tracing_messages.each do |spec|
+        spec = UsingHash[spec]
+        client_id = spec.use!('client')
+        client = entities.get(:client, client_id)
+        tracer = @tracers.fetch(client)
+        expected_spans = spec.use!('spans')
+        ignore_extra_spans = if ignore = spec.use('ignoreExtraSpans')
+          # Ruby treats 0 as truthy, whereas the spec tests use it as falsy.
+          ignore == 0 ? false : ignore
+        else
+          false
+        end
+        actual_spans = tracer.span_hierarchy
+        if (!ignore_extra_spans && actual_spans.length != expected_spans.length) ||
+            (ignore_extra_spans && actual_spans.length < expected_spans.length)
+          raise Error::ResultMismatch, "Span count mismatch: expected #{expected_spans.length}, actual #{actual_spans.length}\nExpected: #{expected_spans}\nActual: #{actual_spans}"
+        end
+        expected_spans.each_with_index do |expected, i|
+          assert_span_matches(actual_spans[i], expected)
+        end
+      end
+    end
+
+    def assert_span_matches(actual, expected)
+      assert_eq(actual.name, expected.use!('name'), 'Span name does not match')
+      expected_attributes = UsingHash[expected.use!('tags')]
+      expected_attributes.each do |key, value|
+        actual_value = actual.attributes[key]
+        assert_value_matches(actual_value, value, "Span attribute #{key}")
+      end
+
+      expected_nested_spans = expected.use('nested') || []
+      expected_nested_spans.each_with_index do |nested_expected, i|
+        assert_span_matches(actual.nested[i], nested_expected)
+      end
+    end
   end
 end
diff --git a/spec/runners/unified/test.rb b/spec/runners/unified/test.rb
index 32b0ba0a82..8c40a37579 100644
--- a/spec/runners/unified/test.rb
+++ b/spec/runners/unified/test.rb
@@ -37,6 +37,8 @@ def initialize(spec, **opts)
       @description = @test_spec.use('description')
       @outcome = @test_spec.use('outcome')
       @expected_events = @test_spec.use('expectEvents')
+      @expected_tracing_messages = @test_spec.use('expectTracingMessages')
+      @expected_spans = @test_spec.use('expectSpans')
       @skip_reason = @test_spec.use('skipReason')
       if req = @test_spec.use('runOnRequirements')
         @reqs = req.map { |r| Mongo::CRUD::Requirement.new(r) }
@@ -54,6 +56,7 @@ def initialize(spec, **opts)
       end
       @test_spec.freeze
       @subscribers = {}
+      @tracers = {}
       @observe_sensitive = {}
       @options = opts
     end
@@ -195,9 +198,24 @@ def generate_entities(es)
             end
           end
 
+          observe_tracing_messages = spec.use('observeTracingMessages')
+          tracer = ::Tracing::Tracer.new
+          if observe_tracing_messages
+            opts[:tracing] = {
+              enabled: true,
+              tracer: tracer,
+            }
+            if observe_tracing_messages['enableCommandPayload']
+              # Set the maximum length of the query text to reasonably high
+              # value so that we can capture the full query text
+              opts[:tracing][:query_text_max_length] = 4096
+            end
+          end
+
           create_client(**opts).tap do |client|
             @observe_sensitive[id] = spec.use('observeSensitiveCommands')
             @subscribers[client] ||= subscriber
+            @tracers[client] ||= tracer
           end
         when 'database'
           client = entities.get(:client, spec.use!('client'))
diff --git a/spec/spec_tests/data/open_telemetry/README.md b/spec/spec_tests/data/open_telemetry/README.md
new file mode 100644
index 0000000000..c3d14f6c93
--- /dev/null
+++ b/spec/spec_tests/data/open_telemetry/README.md
@@ -0,0 +1,34 @@
+# OpenTelemetry Tests
+
+______________________________________________________________________
+
+## Testing
+
+### Automated Tests
+
+The YAML and JSON files in this directory are platform-independent tests meant to exercise a driver's implementation of
+the OpenTelemetry specification. These tests utilize the
+[Unified Test Format](../../unified-test-format/unified-test-format.md).
+
+For each test, create a MongoClient, configure it to enable tracing.
+
+```yaml
+createEntities:
+  - client:
+      id: client0
+      observeTracingMessages:
+        enableCommandPayload: true
+```
+
+These tests require the ability to collect tracing [spans](../open-telemetry.md#span) data in a structured form as
+described in the
+[Unified Test Format specification.expectTracingMessages](../../unified-test-format/unified-test-format.md#expectTracingMessages).
+For example the Java driver uses [Micrometer](https://jira.mongodb.org/browse/JAVA-5732) to collect tracing spans.
+
+```yaml
+expectTracingMessages:
+  client: client0
+  ignoreExtraSpans: false
+  spans:
+   ...
+```
diff --git a/spec/spec_tests/data/open_telemetry/cursor/cursor.yml b/spec/spec_tests/data/open_telemetry/cursor/cursor.yml
new file mode 100644
index 0000000000..54675a8a67
--- /dev/null
+++ b/spec/spec_tests/data/open_telemetry/cursor/cursor.yml
@@ -0,0 +1,131 @@
+description: cursor retrieval
+schemaVersion: '1.26'
+createEntities:
+  - client:
+      id: &client0 client0
+      useMultipleMongoses: false
+      observeTracingMessages:
+        enableCommandPayload: true
+  - database:
+      id: &database0 database0
+      client: *client0
+      databaseName: cursor
+  - collection:
+      id: &collection0 collection0
+      database: *database0
+      collectionName: test
+initialData:
+  - collectionName: test
+    databaseName: cursor
+    documents:
+      - { _id: 1 }
+      - { _id: 2 }
+      - { _id: 3 }
+      - { _id: 4 }
+      - { _id: 5 }
+      - { _id: 6 }
+tests:
+  - description: find with a cursor
+    operations:
+      - name: find
+        object: *collection0
+        arguments:
+          filter: { _id: { $gt: 1 } }
+          batchSize: 2
+        expectResult:
+          - { _id: 2 }
+          - { _id: 3 }
+          - { _id: 4 }
+          - { _id: 5 }
+          - { _id: 6 }
+    expectTracingMessages:
+      client: *client0
+      ignoreExtraSpans: false
+      spans:
+        - name: find cursor.test
+          tags:
+            db.system: mongodb
+            db.namespace: cursor
+            db.collection.name: test
+            db.operation.name: find
+            db.operation.summary: find cursor.test
+          nested:
+            - name: command find
+              tags:
+                db.system: mongodb
+                db.namespace: cursor
+                db.collection.name: cursor.$cmd
+                db.command.name: find
+                network.transport: tcp
+                db.mongodb.cursor_id: { $$exists: false }
+                db.response.status_code: { $$exists: false }
+                exception.message: { $$exists: false }
+                exception.type: { $$exists: false }
+                exception.stacktrace: { $$exists: false }
+                server.address: { $$type: string }
+                server.port: { $$type: ['int', 'long'] }
+                server.type: { $$type: string }
+                db.query.summary: find
+                db.query.text:
+                  $$matchAsDocument:
+                    $$matchAsRoot:
+                      find: test
+                      filter: { _id: { $gt: 1 } }
+                      batchSize: 2
+                db.mongodb.server_connection_id:
+                  $$type: [ 'int', 'long' ]
+                db.mongodb.driver_connection_id:
+                  $$type: [ 'int', 'long' ]
+
+            - name: command getMore
+              tags:
+                db.system: mongodb
+                db.namespace: cursor
+                db.collection.name: cursor.$cmd
+                db.command.name: getMore
+                network.transport: tcp
+                db.mongodb.cursor_id: { $$type: [ 'int', 'long' ] }
+                db.response.status_code: { $$exists: false }
+                exception.message: { $$exists: false }
+                exception.type: { $$exists: false }
+                exception.stacktrace: { $$exists: false }
+                server.address: { $$type: string }
+                server.port: { $$type: ['int', 'long'] }
+                server.type: { $$type: string }
+                db.query.summary: getMore
+                db.query.text:
+                  $$matchAsDocument:
+                    $$matchAsRoot:
+                      getMore: { $$type: long }
+                      collection: test
+                      batchSize: 2
+                db.mongodb.server_connection_id:
+                  $$type: [ 'int', 'long' ]
+                db.mongodb.driver_connection_id:
+                  $$type: [ 'int', 'long' ]
+            - name: command getMore
+              tags:
+                db.system: mongodb
+                db.namespace: cursor
+                db.collection.name: cursor.$cmd
+                db.command.name: getMore
+                network.transport: tcp
+                db.mongodb.cursor_id: { $$type: [ 'int', 'long' ] }
+                db.response.status_code: { $$exists: false }
+                exception.message: { $$exists: false }
+                exception.type: { $$exists: false }
+                exception.stacktrace: { $$exists: false }
+                server.address: { $$type: string }
+                server.port: { $$type: ['int', 'long'] }
+                server.type: { $$type: string }
+                db.query.summary: getMore
+                db.query.text:
+                  $$matchAsDocument:
+                    $$matchAsRoot:
+                      getMore: { $$type: long }
+                      collection: test
+                      batchSize: 2
+                db.mongodb.server_connection_id:
+                  $$type: [ 'int', 'long' ]
+                db.mongodb.driver_connection_id:
+                  $$type: [ 'int', 'long' ]
diff --git a/spec/spec_tests/data/open_telemetry/operation/find.yml b/spec/spec_tests/data/open_telemetry/operation/find.yml
new file mode 100644
index 0000000000..292c641755
--- /dev/null
+++ b/spec/spec_tests/data/open_telemetry/operation/find.yml
@@ -0,0 +1,64 @@
+description: operation find
+schemaVersion: '1.26'
+createEntities:
+  - client:
+      id: &client0 client0
+      useMultipleMongoses: false
+      observeTracingMessages:
+        enableCommandPayload: true
+  - database:
+      id: &database0 database0
+      client: *client0
+      databaseName: operation-find
+  - collection:
+      id: &collection0 collection0
+      database: database0
+      collectionName: &collection0Name test
+initialData:
+  - collectionName: test
+    databaseName: operation-find
+    documents: []
+tests:
+  - description: find an element
+    operations:
+      - name: find
+        object: *collection0
+        arguments: { filter: { x: 1 } }
+
+    expectTracingMessages:
+      - client: *client0
+        ignoreExtraSpans: false
+        spans:
+          - name: find operation-find.test
+            tags:
+              db.system: mongodb
+              db.namespace: operation-find
+              db.collection.name: test
+              db.operation.name: find
+              db.operation.summary: find operation-find.test
+            nested:
+              - name: find operation-find.test
+                tags:
+                  db.system: mongodb
+                  db.namespace: operation-find
+                  db.collection.name: *collection0Name
+                  db.command.name: find
+                  network.transport: tcp
+                  db.mongodb.cursor_id: { $$exists: false }
+                  db.response.status_code: { $$exists: false }
+                  exception.message: { $$exists: false }
+                  exception.type: { $$exists: false }
+                  exception.stacktrace: { $$exists: false }
+                  server.address: { $$type: string }
+                  server.port: { $$type: ['int', 'long'] }
+                  db.query.summary: find operation-find.test
+                  db.query.text:
+                    $$matchAsDocument:
+                      $$matchAsRoot:
+                        find: test
+                        filter:
+                          x: 1
+                  db.mongodb.server_connection_id:
+                    $$type: [ 'int', 'long' ]
+                  db.mongodb.driver_connection_id:
+                    $$type: [ 'int', 'long' ]
diff --git a/spec/spec_tests/data/open_telemetry/operation/find_retries.yml b/spec/spec_tests/data/open_telemetry/operation/find_retries.yml
new file mode 100644
index 0000000000..5daebe5fdb
--- /dev/null
+++ b/spec/spec_tests/data/open_telemetry/operation/find_retries.yml
@@ -0,0 +1,104 @@
+description: operation find retrying failed command
+schemaVersion: '1.26'
+createEntities:
+  - client:
+      id: &client0 client0
+      useMultipleMongoses: false
+      observeTracingMessages:
+        enableCommandPayload: true
+  - database:
+      id: &database0 database0
+      client: *client0
+      databaseName: operation-find-retries
+  - collection:
+      id: &collection0 collection0
+      database: *database0
+      collectionName: test
+initialData:
+  - collectionName: test
+    databaseName: operation-find-retries
+    documents: []
+tests:
+  - description: find an element
+    operations:
+    - name: failPoint
+      object: testRunner
+      arguments:
+        client: *client0
+        failPoint:
+          configureFailPoint: failCommand
+          mode: { times: 1 }
+          data:
+            failCommands: [ find ]
+            errorCode: 89
+            errorLabels: [ RetryableWriteError ]
+
+    - name: find
+      object: *collection0
+      arguments:
+        filter: { x: 1 }
+    expectTracingMessages:
+      client: *client0
+      ignoreExtraSpans: true
+      spans:
+        - name: find operation-find-retries.test
+          tags:
+            db.system: mongodb
+            db.namespace: operation-find-retries
+            db.collection.name: test
+            db.operation.name: find
+            db.operation.summary: find operation-find-retries.test
+          nested:
+            - name: command find
+              tags:
+                db.system: mongodb
+                db.namespace: operation-find-retries
+                db.collection.name: operation-find-retries.$cmd
+                db.command.name: find
+                network.transport: tcp
+                db.mongodb.cursor_id: { $$exists: false }
+                db.response.status_code: { $$exists: false }
+                exception.message: { $$type: string }
+                exception.type: { $$type: string }
+                exception.stacktrace: { $$type: string }
+                server.address: { $$type: string }
+                server.port: { $$type: ['long', 'string'] }
+                server.type: { $$type: string }
+                db.query.summary: find
+                db.query.text:
+                  $$matchAsDocument:
+                    $$matchAsRoot:
+                      find: test
+                      filter:
+                        x: 1
+                db.mongodb.server_connection_id:
+                  $$type: [ 'int', 'long' ]
+                db.mongodb.driver_connection_id:
+                  $$type: [ 'int', 'long' ]
+            - name: command find
+              tags:
+                db.system: mongodb
+                db.namespace: operation-find-retries
+                db.collection.name: operation-find-retries.$cmd
+                db.command.name: find
+                network.transport: tcp
+                db.mongodb.cursor_id: { $$exists: false }
+                db.response.status_code: { $$exists: false }
+                exception.message: { $$exists: false }
+                exception.type: { $$exists: false }
+                exception.stacktrace: { $$exists: false }
+                server.address: { $$type: string }
+                server.port: { $$type: ['int', 'long'] }
+                server.type: { $$type: string }
+                db.query.summary: find
+                db.query.text:
+                  $$matchAsDocument:
+                    $$matchAsRoot:
+                      find: test
+                      filter:
+                        x: 1
+                db.mongodb.server_connection_id:
+                  $$type: [ 'int', 'long' ]
+                db.mongodb.driver_connection_id:
+                  $$type: [ 'int', 'long' ]
+
diff --git a/spec/spec_tests/data/open_telemetry/operation/insert.yml b/spec/spec_tests/data/open_telemetry/operation/insert.yml
new file mode 100644
index 0000000000..0a02a6128b
--- /dev/null
+++ b/spec/spec_tests/data/open_telemetry/operation/insert.yml
@@ -0,0 +1,61 @@
+description: operation insert
+schemaVersion: '1.26'
+createEntities:
+  - client:
+      id: &client0 client0
+      useMultipleMongoses: false
+      observeTracingMessages:
+        enableCommandPayload: true
+  - database:
+      id: &database0 database0
+      client: *client0
+      databaseName: operation-insert
+  - collection:
+      id: &collection0 collection0
+      database: *database0
+      collectionName: test
+initialData:
+  - collectionName: test
+    databaseName: operation-insert
+    documents: [ ]
+tests:
+  - description: insert one element
+    operations:
+      - object: *collection0
+        name: insertOne
+        arguments: { document: { _id: 1 } }
+
+    expectTracingMessages:
+      client: *client0
+      ignoreExtraSpans: false
+      spans:
+        - name: insert operation-insert.test
+          tags:
+            db.system: mongodb
+            db.namespace: operation-insert
+            db.collection.name: test
+            db.operation.name: insert
+            db.operation.summary: insert operation-insert.test
+          nested:
+            - name: command insert
+              tags:
+                db.system: mongodb
+                db.namespace: operation-insert
+                server.address: { $$type: string }
+                server.port: { $$type: [ 'long', 'string' ] }
+                server.type: { $$type: string }
+                db.query.summary: insert
+                db.query.text:
+                  $$matchAsDocument:
+                    $$matchAsRoot:
+                      insert: test
+                      ordered: true
+                      txnNumber: 1
+                      documents:
+                        - _id: 1
+
+    outcome:
+      - collectionName: test
+        databaseName: operation-insert
+        documents:
+          - _id: 1
diff --git a/spec/spec_tests/data/open_telemetry/transaction/transaction.yml b/spec/spec_tests/data/open_telemetry/transaction/transaction.yml
new file mode 100644
index 0000000000..eb76cc5fd7
--- /dev/null
+++ b/spec/spec_tests/data/open_telemetry/transaction/transaction.yml
@@ -0,0 +1,112 @@
+description: transaction spans
+schemaVersion: '1.26'
+runOnRequirements:
+  - minServerVersion: '4.0'
+    topologies:
+      - replicaset
+  - minServerVersion: '4.1.8'
+    topologies:
+      - sharded
+      - load-balanced
+createEntities:
+  - client:
+      id: &client0 client0
+      useMultipleMongoses: false
+      observeTracingMessages:
+        enableCommandPayload: true
+  - database:
+      id: &database0 database0
+      client: *client0
+      databaseName: transaction-tests
+  - collection:
+      id: &collection0 collection0
+      database: *database0
+      collectionName: test
+  - session:
+      id: &session0 session0
+      client: client0
+initialData:
+  - collectionName: test
+    databaseName: transaction-tests
+    documents: []
+tests:
+  - description: observeTracingMessages around transaction
+    operations:
+      - object: *session0
+        name: startTransaction
+      - object: *collection0
+        name: insertOne
+        arguments:
+          session: *session0
+          document:
+            _id: 1
+      - object: *session0
+        name: commitTransaction
+      - name: find
+        object: *collection0
+        arguments: { filter: { x: 1 } }
+
+    expectTracingMessages:
+      client: *client0
+      ignoreExtraSpans: false
+      spans:
+        - name: transaction
+          tags:
+            db.system: mongodb
+          nested:
+            - name: insert transaction-tests.test
+              tags:
+                db.system: mongodb
+                db.namespace: transaction-tests
+                db.collection.name: test
+                db.operation.name: insert
+                db.operation.summary: insert transaction-tests.test
+              nested:
+                - name: command insert
+                  tags:
+                    db.system: mongodb
+                    db.namespace: transaction-tests
+                    server.address: { $$type: string }
+                    server.port: { $$type: ['long', 'string'] }
+                    server.type: { $$type: string }
+                    db.query.summary: insert
+                    db.query.text:
+                      $$matchAsDocument:
+                        $$matchAsRoot:
+                          insert: test
+                          ordered: true
+                          txnNumber: 1
+                          startTransaction: true
+                          autocommit: false
+                          documents:
+                            - _id: 1
+                    db.mongodb.lsid: { $$sessionLsid: *session0 }
+            - name: commitTransaction admin.$cmd
+              tags:
+                db.system: mongodb
+              nested:
+                - name: command commitTransaction
+                  tags:
+                    db.system: mongodb
+                    db.query.text:
+                      $$matchAsDocument:
+                        $$matchAsRoot:
+                            commitTransaction: 1
+                            txnNumber: 1
+                            autocommit: false
+        - name: find transaction-tests.test
+          tags: {}
+          nested:
+            - name: command find
+              tags:
+                db.system: mongodb
+                db.namespace: transaction-tests
+                server.address: { $$type: string }
+                server.port: { $$type: ['long', 'string'] }
+                server.type: { $$type: string }
+                db.query.summary: find
+    outcome:
+      - collectionName: test
+        databaseName: transaction-tests
+        documents:
+          - _id: 1
diff --git a/spec/spec_tests/open_telemetry_spec.rb b/spec/spec_tests/open_telemetry_spec.rb
new file mode 100644
index 0000000000..040574597d
--- /dev/null
+++ b/spec/spec_tests/open_telemetry_spec.rb
@@ -0,0 +1,13 @@
+# frozen_string_literal: true
+# rubocop:todo all
+
+require 'spec_helper'
+
+require 'runners/unified'
+
+base = "#{CURRENT_PATH}/spec_tests/data/open_telemetry"
+OTEL_UNIFIED_TESTS = Dir.glob("#{base}/**/*.yml").sort
+
+describe 'OpenTelemetry unified spec tests' do
+  define_unified_spec_tests(base, OTEL_UNIFIED_TESTS)
+end
diff --git a/spec/support/tracing.rb b/spec/support/tracing.rb
new file mode 100644
index 0000000000..ec542bafc0
--- /dev/null
+++ b/spec/support/tracing.rb
@@ -0,0 +1,90 @@
+# frozen_string_literal: true
+
+module Tracing
+  Error = Class.new(StandardError)
+
+  class Span
+
+    attr_reader :tracer, :name, :attributes, :events, :with_parent, :kind, :finished, :nested
+
+    attr_accessor :status
+
+    def initialize(tracer, name, attributes = {}, with_parent: nil, kind: :internal)
+      @tracer = tracer
+      @name = name
+      @attributes = attributes
+      @events = []
+      @with_parent = with_parent
+      @kind = kind
+      @finished = false
+      @nested = []
+    end
+
+    def set_attribute(key, value)
+      @attributes[key] = value
+    end
+
+    def add_event(name, attributes: {})
+      event_attributes = { 'event.name' => name }
+      event_attributes.merge!(attributes) unless attributes.nil?
+      @events << event_attributes
+    end
+
+    def record_exception(exception, attributes: nil)
+      event_attributes = {
+        'exception.type' => exception.class.to_s,
+        'exception.message' => exception.message,
+        'exception.stacktrace' => exception.full_message(highlight: false, order: :top).encode('UTF-8', invalid: :replace, undef: :replace, replace: '�')
+      }
+      event_attributes.merge!(attributes) unless attributes.nil?
+      add_event('exception', attributes: event_attributes)
+    end
+
+    def finish
+      raise Tracing::Error, 'Span already finished' if @finished
+      @finished = true
+      tracer.finish_span(self)
+    end
+  end
+
+  class Tracer
+
+    attr_reader :spans
+
+    def initialize
+      @spans = []
+      @stack = []
+    end
+
+    def start_span(name, attributes: {}, with_parent: nil, kind: :internal)
+      parent = if with_parent.nil?
+                 @stack.last
+               else
+                 with_parent
+               end
+      Span.new(self, name, attributes, with_parent: parent, kind: kind).tap do |span|
+        @spans << span
+        @stack << span
+      end
+    end
+
+    def finish_span(span)
+      raise Error, 'Span not found' unless @spans.include?(span)
+      @stack.pop if @stack.last == span
+    end
+
+    def span_hierarchy
+      hierarchy = {}
+      @spans.each do |span|
+        if span.with_parent.nil?
+          hierarchy[span.object_id] = span
+        elsif (parent = hierarchy[span.with_parent.object_id])
+          parent.nested << span
+        else
+          raise Error, "Parent span not found for span #{span.name}"
+        end
+      end
+      hierarchy.values
+    end
+  end
+end