diff --git a/.github/workflows/haskell.yml b/.github/workflows/haskell.yml
index 6e1d58b..4187672 100644
--- a/.github/workflows/haskell.yml
+++ b/.github/workflows/haskell.yml
@@ -4,7 +4,6 @@ on:
   push:
     branches: [ "main" ]
   pull_request:
-    branches: [ "main" ]
     types: [ opened, synchronize, reopened, ready_for_review ]
 
 permissions:
@@ -114,6 +113,8 @@ jobs:
             ${{ runner.os }}-build-
             ${{ runner.os }}-
 
+      - name: Configure cabal flags
+        run: cabal configure -fenable-otel -fenable-pool
       - name: Install dependencies
         run: |
           cabal update
diff --git a/effectful-opaleye/effectful-opaleye.cabal b/effectful-opaleye/effectful-opaleye.cabal
index ba0feb4..3efb39a 100644
--- a/effectful-opaleye/effectful-opaleye.cabal
+++ b/effectful-opaleye/effectful-opaleye.cabal
@@ -17,8 +17,7 @@ extra-doc-files:    README.md
                     CHANGELOG.md
 
 tested-with:
-    GHC == 8.10.7
-  , GHC == 9.0.2
+    GHC == 9.0.2
   , GHC == 9.2.4
   , GHC == 9.2.8
   , GHC == 9.4.2
diff --git a/effectful-postgresql/CHANGELOG.md b/effectful-postgresql/CHANGELOG.md
index 1ed7c19..b8d94df 100644
--- a/effectful-postgresql/CHANGELOG.md
+++ b/effectful-postgresql/CHANGELOG.md
@@ -13,6 +13,7 @@ and this project adheres to [Haskell Package Versioning Policy](https://pvp.hask
 ### Added
 
 - Support `withTransactionX` functions from `postgresql-simple` in [#13](https://github.com/fpringle/effectful-postgresql/pulls/13)
+- Support OpenTelemetry instrumentation in [#16](https://github.com/fpringle/effectful-postgresql/pull/16)
 
 ## [0.1.0.1] - 04.08.2025
 
diff --git a/effectful-postgresql/README.md b/effectful-postgresql/README.md
index 1833112..a14ead4 100644
--- a/effectful-postgresql/README.md
+++ b/effectful-postgresql/README.md
@@ -59,6 +59,13 @@ dischargePostgreSQL :: (WithConnection :> es, IOE :> es) => Eff es [User]
 dischargePostgreSQL = runPostgreSQL insertAndListCarefully
 ```
 
+Alternatively we can use the OpenTelemetry support provided by [hs-opentelemetry-instrumentation-postgresql-simple](https://hackage-content.haskell.org/package/hs-opentelemetry-instrumentation-postgresql-simple/docs/OpenTelemetry-Instrumentation-PostgresqlSimple.html) (note that this requires enabling the `enable-opentel` cabal flag):
+
+```haskell
+dischargePostgreSQLUsingOpenTelemetry :: (WithConnection :> es, IOE :> es) => Eff es [User]
+dischargePostgreSQLUsingOpenTelemetry = runPostgreSQLOT insertAndListCarefully
+```
+
 The simplest way of running the `WithConnection` effect is by just providing a `Connection`, which we can get in the normal ways:
 
 ```haskell
diff --git a/effectful-postgresql/effectful-postgresql.cabal b/effectful-postgresql/effectful-postgresql.cabal
index cdf0b26..d2de569 100644
--- a/effectful-postgresql/effectful-postgresql.cabal
+++ b/effectful-postgresql/effectful-postgresql.cabal
@@ -17,9 +17,7 @@ extra-doc-files:    README.md
                     CHANGELOG.md
 
 tested-with:
-    GHC == 8.8.4
-  , GHC == 8.10.7
-  , GHC == 9.0.2
+    GHC == 9.0.2
   , GHC == 9.2.4
   , GHC == 9.2.8
   , GHC == 9.4.2
@@ -36,12 +34,21 @@ flag enable-pool
   default: True
   manual: False
 
+flag enable-otel
+  description: Enable OpenTelemetry instrumentation support using
+               hs-opentelemetry-instrumentation-postgresql-simple.
+  default: False
+  manual: True
+
 common warnings
   ghc-options: -Wall -Wno-unused-do-bind -Wunused-packages
 
   if flag(enable-pool)
     cpp-options: -DPOOL
 
+  if flag(enable-otel)
+    cpp-options: -DOTEL
+
 common deps
   build-depends:
     , base >= 4 && < 5
@@ -53,6 +60,10 @@ common deps
     build-depends:
       , unliftio-pool >= 0.4.1 && < 0.5
 
+  if flag(enable-otel)
+    build-depends:
+      , hs-opentelemetry-instrumentation-postgresql-simple >= 1.0 && < 1.1
+
 common extensions
   default-extensions:
     DataKinds
diff --git a/effectful-postgresql/src/Effectful/PostgreSQL.hs b/effectful-postgresql/src/Effectful/PostgreSQL.hs
index 0cc71f6..06d779e 100644
--- a/effectful-postgresql/src/Effectful/PostgreSQL.hs
+++ b/effectful-postgresql/src/Effectful/PostgreSQL.hs
@@ -15,6 +15,10 @@ module Effectful.PostgreSQL
 
   , runPostgreSQL
 
+#if OTEL
+  , runPostgreSQLOT
+#endif
+
     -- * Lifted versions of functions from Database.PostgreSQL.Simple
 
     -- ** Queries that return results
diff --git a/effectful-postgresql/src/Effectful/PostgreSQL/Effect.hs b/effectful-postgresql/src/Effectful/PostgreSQL/Effect.hs
index d954652..7ddc5f2 100644
--- a/effectful-postgresql/src/Effectful/PostgreSQL/Effect.hs
+++ b/effectful-postgresql/src/Effectful/PostgreSQL/Effect.hs
@@ -1,3 +1,5 @@
+{-# LANGUAGE CPP #-}
+{-# LANGUAGE PackageImports #-}
 {-# LANGUAGE TemplateHaskell #-}
 
 module Effectful.PostgreSQL.Effect
@@ -6,6 +8,9 @@ module Effectful.PostgreSQL.Effect
 
     -- ** Interpreters
   , runPostgreSQL
+#if OTEL
+  , runPostgreSQLOT
+#endif
 
     -- * Lifted versions of functions from Database.PostgreSQL.Simple
 
@@ -63,6 +68,9 @@ import Effectful
 import Effectful.Dispatch.Dynamic
 import Effectful.PostgreSQL.Connection
 import Effectful.TH
+#if OTEL
+import qualified "hs-opentelemetry-instrumentation-postgresql-simple" OpenTelemetry.Instrumentation.PostgresqlSimple as OT
+#endif
 
 -- | Dynamic effect representing all the Postgres operations we want to perform.
 data PostgreSQL :: Effect where
@@ -293,3 +301,74 @@ runPostgreSQL = interpret $ \env -> \case
     localUnliftWithConn env $ \conn unlift ->
       PSQL.forEachWith_ parser conn q (unlift . forR)
   ReturningWith parser q rows -> withConnection $ \conn -> liftIO $ PSQL.returningWith parser conn q rows
+
+#if OTEL
+{- | An interpreter for the 'PostgreSQL' effect that runs database operations using OpenTelemetry instrumentation.
+
+Basically the same as 'runPostgreSQL' except it uses the functions from
+[OpenTelemetry.Instrumentation.PostgresqlSimple](https://hackage-content.haskell.org/package/hs-opentelemetry-instrumentation-postgresql-simple/docs/OpenTelemetry-Instrumentation-PostgresqlSimple.html).
+
+Note that the @enable-opentel@ cabal flag must be set to enable this functionality.
+-}
+runPostgreSQLOT :: forall es a. (HasCallStack, WithConnection :> es, IOE :> es) => Eff (PostgreSQL : es) a -> Eff es a
+runPostgreSQLOT = interpret $ \env -> \case
+  Query q row ->
+    withConnection $ \conn -> OT.query conn q row
+  QueryWith parser q row ->
+    withConnection $ \conn -> OT.queryWith parser conn q row
+  Query_ row ->
+    withConnection $ \conn -> OT.query_ conn row
+  QueryWith_ parser row ->
+    withConnection $ \conn -> OT.queryWith_ parser conn row
+  Execute q row -> withConnection $ \conn -> OT.execute conn q row
+  Execute_ q -> withConnection $ \conn -> OT.execute_ conn q
+  ExecuteMany q row -> withConnection $ \conn -> OT.executeMany conn q row
+  WithTransaction f -> localUnliftWithConn env $ \conn unlift -> OT.withTransaction conn (unlift f)
+  WithTransactionLevel level f -> localUnliftWithConn env $ \conn unlift -> PSQL.withTransactionLevel level conn (unlift f)
+  WithTransactionMode mode f -> localUnliftWithConn env $ \conn unlift -> PSQL.withTransactionMode mode conn (unlift f)
+  WithTransactionModeRetry mode shouldRetry f -> localUnliftWithConn env $ \conn unlift -> PSQL.withTransactionModeRetry mode shouldRetry conn (unlift f)
+  WithTransactionModeRetry' mode shouldRetry f -> localUnliftWithConn env $ \conn unlift -> PSQL.withTransactionModeRetry' mode shouldRetry conn (unlift f)
+  WithTransactionSerializable f -> localUnliftWithConn env $ \conn unlift -> PSQL.withTransactionSerializable conn (unlift f)
+  WithSavepoint f -> localUnliftWithConn env $ \conn unlift -> OT.withSavepoint conn (unlift f)
+  Begin -> withConnection $ liftIO . OT.begin
+  Commit -> withConnection $ liftIO . OT.commit
+  Rollback -> withConnection $ liftIO . OT.rollback
+  Fold q params a f ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.fold conn q params a (unlift ... f)
+  Fold_ q a f ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.fold_ conn q a (unlift ... f)
+  FoldWithOptions opts q params a f ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.foldWithOptions opts conn q params a (unlift ... f)
+  FoldWithOptions_ opts q a f ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.foldWithOptions_ opts conn q a (unlift ... f)
+  ForEach q row forR ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.forEachWith PSQL.fromRow conn q row (unlift . forR)
+  ForEach_ q forR ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.forEach_ conn q (unlift . forR)
+  Returning q rows -> withConnection $ \conn -> OT.returning conn q rows
+  FoldWith parser q params a f ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.foldWith parser conn q params a (unlift ... f)
+  FoldWithOptionsAndParser opts parser q params a f ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.foldWithOptionsAndParser opts parser conn q params a (unlift ... f)
+  FoldWith_ parser q a f ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.foldWith_ parser conn q a (unlift ... f)
+  FoldWithOptionsAndParser_ opts parser q a f ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.foldWithOptionsAndParser_ opts parser conn q a (unlift ... f)
+  ForEachWith parser q row forR ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.forEachWith parser conn q row (unlift . forR)
+  ForEachWith_ parser q forR ->
+    localUnliftWithConn env $ \conn unlift ->
+      OT.forEachWith_ parser conn q (unlift . forR)
+  ReturningWith parser q rows -> withConnection $ \conn -> OT.returningWith parser conn q rows
+#endif