diff --git a/examples/connect/client.js b/examples/connect/client.js
index dc34f77e6c..265710d3b1 100644
--- a/examples/connect/client.js
+++ b/examples/connect/client.js
@@ -2,7 +2,8 @@
 
 // eslint-disable-next-line import/order
 const tracing = require('./tracing')('example-connect-client');
-const tracer = tracing.tracer;
+
+const { tracer } = tracing;
 const api = require('@opentelemetry/api');
 const axios = require('axios').default;
 
diff --git a/examples/connect/server.js b/examples/connect/server.js
index a92bb092f6..0c70584891 100644
--- a/examples/connect/server.js
+++ b/examples/connect/server.js
@@ -11,6 +11,7 @@ const axios = require('axios');
 const app = connect();
 const PORT = 8080;
 
+// eslint-disable-next-line prefer-arrow-callback
 app.use(function middleware1(req, res, next) {
   next();
 });
@@ -32,7 +33,6 @@ app.use('/run_test', async (req, res) => {
     tracing.log('enabling connect');
     tracing.connectInstrumentation.enable();
   }
-
 });
 
 app.listen(PORT);
diff --git a/examples/connect/tracing.js b/examples/connect/tracing.js
index 9564e85a16..d711b935d1 100644
--- a/examples/connect/tracing.js
+++ b/examples/connect/tracing.js
@@ -48,5 +48,5 @@ module.exports = (serviceName) => {
     connectInstrumentation,
     provider,
     tracer: opentelemetry.trace.getTracer('connect-example'),
-  }
+  };
 };
diff --git a/examples/fastify/README.md b/examples/fastify/README.md
new file mode 100644
index 0000000000..bde7fff0bc
--- /dev/null
+++ b/examples/fastify/README.md
@@ -0,0 +1,56 @@
+# Overview
+
+OpenTelemetry Fastify Instrumentation allows the user to automatically collect trace data and export them to the backend of choice (Collector Exporter), to give observability to distributed systems.
+
+This is a simple example that demonstrates tracing calls made to Fastify API. The example shows key aspects of tracing such as
+- Root Span (on Client)
+- Child Span (on Client)
+- Span Events
+- Span Attributes
+
+## Installation
+
+```sh
+$ # from this directory
+$ npm install
+```
+
+## Run the Application
+
+### Collector - docker container
+
+ - Run docker container with collector
+
+   ```sh
+   # from this directory
+   $ npm run docker:start
+   ```
+
+### Server
+
+ - Run the server
+
+   ```sh
+   # from this directory
+   $ npm run server
+   ```
+
+ - Run the client
+
+   ```sh
+   # from this directory
+   npm run client
+   ```
+
+#### Zipkin UI
+Go to Zipkin with your browser [http://localhost:9411/]()
+
+<p align="center"><img src="images/trace1.png?raw=true"/></p>
+
+## Useful links
+- For more information on OpenTelemetry, visit: <https://opentelemetry.io/>
+- For more information on OpenTelemetry for Node.js, visit: <https://github.com/open-telemetry/opentelemetry-js/tree/main/packages/opentelemetry-node>
+
+## LICENSE
+
+Apache License 2.0
diff --git a/examples/fastify/client.js b/examples/fastify/client.js
new file mode 100644
index 0000000000..32f460ab4f
--- /dev/null
+++ b/examples/fastify/client.js
@@ -0,0 +1,39 @@
+'use strict';
+
+// eslint-disable-next-line import/order
+const tracing = require('./tracing')('example-fastify-client');
+
+const { tracer } = tracing;
+const api = require('@opentelemetry/api');
+const axios = require('axios').default;
+
+function makeRequest() {
+  tracing.log('starting');
+  const span = tracer.startSpan('client.makeRequest()', {
+    kind: api.SpanKind.CLIENT,
+  });
+
+  api.context.with(api.trace.setSpan(api.ROOT_CONTEXT, span), async () => {
+    try {
+      const res = await axios.post('http://localhost:8080/run_test/1', {
+      // testing
+      // const res = await axios.post('http://localhost:8080/run_test2/1', {
+        headers: {
+          'Content-Type': 'application/json',
+        },
+        timeout: 3000,
+      });
+      tracing.log('status:', res.statusText);
+      span.setStatus({ code: api.SpanStatusCode.OK });
+    } catch (e) {
+      tracing.log('failed:', e.message);
+      span.setStatus({ code: api.SpanStatusCode.ERROR, message: e.message });
+    }
+    span.end();
+    tracing.log('forcing spans to be exported');
+    await tracing.provider.shutdown();
+    tracing.log('all spans exported successfully.');
+  });
+}
+
+makeRequest();
diff --git a/examples/fastify/docker/collector-config.yaml b/examples/fastify/docker/collector-config.yaml
new file mode 100644
index 0000000000..04d65a6ba2
--- /dev/null
+++ b/examples/fastify/docker/collector-config.yaml
@@ -0,0 +1,28 @@
+receivers:
+  otlp:
+    protocols:
+      grpc:
+      http:
+        cors_allowed_origins:
+        - http://*
+        - https://*
+
+exporters:
+  zipkin:
+    endpoint: "http://zipkin-all-in-one:9411/api/v2/spans"
+  prometheus:
+    endpoint: "0.0.0.0:9464"
+
+processors:
+  batch:
+
+service:
+  pipelines:
+    traces:
+      receivers: [otlp]
+      exporters: [zipkin]
+      processors: [batch]
+    metrics:
+      receivers: [otlp]
+      exporters: [prometheus]
+      processors: [batch]
diff --git a/examples/fastify/docker/docker-compose.yaml b/examples/fastify/docker/docker-compose.yaml
new file mode 100644
index 0000000000..396ca636ec
--- /dev/null
+++ b/examples/fastify/docker/docker-compose.yaml
@@ -0,0 +1,21 @@
+version: "3"
+services:
+  # Collector
+  collector:
+    image: otel/opentelemetry-collector:0.30.0
+#    image: otel/opentelemetry-collector:latest
+    command: ["--config=/conf/collector-config.yaml", "--log-level=DEBUG"]
+    volumes:
+      - ./collector-config.yaml:/conf/collector-config.yaml
+    ports:
+      - "9464:9464"
+      - "4317:4317"
+      - "55681:55681"
+    depends_on:
+      - zipkin-all-in-one
+
+  # Zipkin
+  zipkin-all-in-one:
+    image: openzipkin/zipkin:latest
+    ports:
+      - "9411:9411"
diff --git a/examples/fastify/images/trace1.png b/examples/fastify/images/trace1.png
new file mode 100644
index 0000000000..c850b1f72a
Binary files /dev/null and b/examples/fastify/images/trace1.png differ
diff --git a/examples/fastify/package.json b/examples/fastify/package.json
new file mode 100644
index 0000000000..822fbe4eb8
--- /dev/null
+++ b/examples/fastify/package.json
@@ -0,0 +1,59 @@
+{
+  "name": "example-fastify",
+  "private": true,
+  "version": "0.25.0",
+  "description": "Example of Fastify integration with OpenTelemetry",
+  "main": "index.js",
+  "scripts": {
+    "client": "node ./client.js",
+    "docker:start": "cd ./docker && docker-compose down && docker-compose up",
+    "docker:stop": "cd ./docker && docker-compose down",
+    "server": "node ./server.js"
+  },
+  "repository": {
+    "type": "git",
+    "url": "git+ssh://git@github.com/open-telemetry/opentelemetry-js.git"
+  },
+  "keywords": [
+    "opentelemetry",
+    "express",
+    "tracing"
+  ],
+  "engines": {
+    "node": ">=8"
+  },
+  "files": [
+    "build/src/**/*.js",
+    "build/src/**/*.map",
+    "build/src/**/*.d.ts",
+    "doc",
+    "LICENSE",
+    "README.md"
+  ],
+  "author": "OpenTelemetry Authors",
+  "license": "Apache-2.0",
+  "bugs": {
+    "url": "https://github.com/open-telemetry/opentelemetry-js/issues"
+  },
+  "dependencies": {
+    "@opentelemetry/api": "^1.0.2",
+    "@opentelemetry/exporter-jaeger": "^1.0.0",
+    "@opentelemetry/exporter-zipkin": "^1.0.0",
+    "@opentelemetry/exporter-collector": "^0.25.0",
+    "@opentelemetry/instrumentation": "^0.26.0",
+    "@opentelemetry/instrumentation-fastify": "^0.25.0",
+    "@opentelemetry/instrumentation-http": "^0.26.0",
+    "@opentelemetry/sdk-trace-node": "^1.0.0",
+    "@opentelemetry/resources": "^1.0.0",
+    "@opentelemetry/semantic-conventions": "^1.0.0",
+    "@opentelemetry/sdk-trace-base": "^1.0.0",
+    "axios": "^0.21.1",
+    "cross-env": "^7.0.3",
+    "fastify": "^3.19.2",
+    "fastify-cors": "^6.0.2",
+    "fastify-express": "^0.3.3",
+    "middie": "^5.3.0"
+  },
+  "homepage": "https://github.com/open-telemetry/opentelemetry-js#readme",
+  "devDependencies": {}
+}
diff --git a/examples/fastify/server.js b/examples/fastify/server.js
new file mode 100644
index 0000000000..deb99a4cd7
--- /dev/null
+++ b/examples/fastify/server.js
@@ -0,0 +1,76 @@
+'use strict';
+
+// eslint-disable-next-line
+const tracing = require('./tracing')('example-fastify-server');
+const opentelemetry = require('@opentelemetry/api');
+
+const { context, trace } = opentelemetry;
+const Fastify = require('fastify');
+const axios = require('axios');
+
+const PORT = 8080;
+const app = Fastify({ logger: true });
+app
+  .register(require('fastify-express'))
+  .register(subsystem);
+
+async function subsystem(fastify) {
+  fastify.addHook('onRequest', async () => {
+    const span = trace.getSpan(context.active());
+    span.setAttribute('order', 2);
+  });
+
+  // eslint-disable-next-line prefer-arrow-callback
+  fastify.addHook('onRequest', async function onRequestHook() {
+    const span = trace.getSpan(context.active());
+    span.setAttribute('order', 3);
+
+    const newSpan = tracing.tracer.startSpan('foo');
+    newSpan.setAttribute('foo', 'bar');
+    newSpan.end();
+  });
+
+  fastify.use((req, res, next) => {
+    const span = trace.getSpan(context.active());
+    span.setAttribute('order', 1);
+    next();
+  });
+
+  fastify.post('/run_test2/:id', async (req, res) => {
+    const span = trace.getSpan(context.active());
+    span.setAttribute('order', 4);
+
+    const result = await axios.get('https://raw.githubusercontent.com/open-telemetry/opentelemetry-js/main/package.json');
+    const result2 = await axios.get('https://raw.githubusercontent.com/open-telemetry/opentelemetry-js/main/package.json');
+
+    tracing.log('sending response');
+    // throw Error('boom  lala');
+    res.send(`OK ${result.data.version} ${result2.data.version}`);
+  });
+
+  fastify.addHook('onRequest', (req, reply, done) => {
+    const span = trace.getSpan(context.active());
+    console.log('first', span);
+    console.log('kuku1');
+    span.setAttribute('kuku1', 'lala');
+
+    setTimeout(() => {
+      console.log('kuku2');
+      span.setAttribute('kuku2', 'lala');
+      const newSpan = tracing.tracer.startSpan('tada');
+      newSpan.end();
+
+      reply.send('foo');
+      done();
+    }, 2000);
+  });
+
+}
+
+app.post('/run_test/:id', async (req, res) => {
+  const result = await axios.get('https://raw.githubusercontent.com/open-telemetry/opentelemetry-js/main/package.json');
+  tracing.log('sending response');
+  res.send(`OK ${result.data.version}`);
+});
+
+app.listen(PORT);
diff --git a/examples/fastify/tracing.js b/examples/fastify/tracing.js
new file mode 100644
index 0000000000..fdc4337f24
--- /dev/null
+++ b/examples/fastify/tracing.js
@@ -0,0 +1,52 @@
+'use strict';
+
+const opentelemetry = require('@opentelemetry/api');
+
+const { diag, DiagConsoleLogger, DiagLogLevel } = opentelemetry;
+diag.setLogger(new DiagConsoleLogger(), DiagLogLevel.INFO);
+
+const { Resource } = require('@opentelemetry/resources');
+const { SemanticResourceAttributes } = require('@opentelemetry/semantic-conventions');
+const { registerInstrumentations } = require('@opentelemetry/instrumentation');
+const { NodeTracerProvider } = require('@opentelemetry/sdk-trace-node');
+const { SimpleSpanProcessor } = require('@opentelemetry/sdk-trace-base');
+const { CollectorTraceExporter } = require('@opentelemetry/exporter-collector');
+
+const { FastifyInstrumentation } = require('@opentelemetry/instrumentation-fastify');
+const { HttpInstrumentation } = require('@opentelemetry/instrumentation-http');
+
+function log() {
+  // eslint-disable-next-line prefer-rest-params
+  const args = Array.from(arguments) || [];
+  args.unshift(new Date());
+  console.log.apply(this, args);
+}
+
+module.exports = (serviceName) => {
+  const provider = new NodeTracerProvider({
+    resource: new Resource({
+      [SemanticResourceAttributes.SERVICE_NAME]: serviceName,
+    }),
+  });
+  const fastifyInstrumentation = new FastifyInstrumentation();
+  registerInstrumentations({
+    tracerProvider: provider,
+    instrumentations: [
+      // Fastify instrumentation expects HTTP layer to be instrumented
+      HttpInstrumentation,
+      fastifyInstrumentation,
+    ],
+  });
+
+  const exporter = new CollectorTraceExporter();
+  provider.addSpanProcessor(new SimpleSpanProcessor(exporter));
+
+  // Initialize the OpenTelemetry APIs to use the NodeTracerProvider bindings
+  provider.register({});
+  return {
+    log,
+    fastifyInstrumentation,
+    provider,
+    tracer: opentelemetry.trace.getTracer('fastify-example'),
+  };
+};
diff --git a/examples/grpc_dynamic_codegen/tracer.js b/examples/grpc_dynamic_codegen/tracer.js
index 99931ef264..768edfab1e 100644
--- a/examples/grpc_dynamic_codegen/tracer.js
+++ b/examples/grpc_dynamic_codegen/tracer.js
@@ -8,7 +8,6 @@ const { ZipkinExporter } = require('@opentelemetry/exporter-zipkin');
 const { registerInstrumentations } = require('@opentelemetry/instrumentation');
 const { GrpcInstrumentation } = require('@opentelemetry/instrumentation-grpc');
 
-
 const EXPORTER = process.env.EXPORTER || '';
 
 module.exports = (serviceName) => {
diff --git a/examples/mongodb/server.js b/examples/mongodb/server.js
index c97b354178..082f599976 100644
--- a/examples/mongodb/server.js
+++ b/examples/mongodb/server.js
@@ -68,6 +68,7 @@ function handleInsertQuery(response) {
     } else {
       console.log('1 document inserted');
       // find document to test context propagation using callback
+      // eslint-disable-next-line prefer-arrow-callback
       collection.findOne({}, function () {
         response.end();
       });
diff --git a/examples/web/webpack.config.js b/examples/web/webpack.config.js
index a431e9e2b6..fd3de03bb4 100644
--- a/examples/web/webpack.config.js
+++ b/examples/web/webpack.config.js
@@ -10,7 +10,7 @@ const common = {
   mode: 'development',
   entry: {
     'document-load': 'examples/document-load/index.js',
-    'meta': 'examples/meta/index.js',
+    meta: 'examples/meta/index.js',
     'user-interaction': 'examples/user-interaction/index.js',
   },
   output: {
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/.eslintignore b/plugins/node/opentelemetry-instrumentation-fastify/.eslintignore
new file mode 100644
index 0000000000..5498e0f48a
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/.eslintignore
@@ -0,0 +1,2 @@
+build
+coverage
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/.eslintrc.js b/plugins/node/opentelemetry-instrumentation-fastify/.eslintrc.js
new file mode 100644
index 0000000000..f756f4488b
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/.eslintrc.js
@@ -0,0 +1,7 @@
+module.exports = {
+    "env": {
+        "mocha": true,
+        "node": true
+    },
+    ...require('../../../eslint.config.js')
+}
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/.npmignore b/plugins/node/opentelemetry-instrumentation-fastify/.npmignore
new file mode 100644
index 0000000000..9505ba9450
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/.npmignore
@@ -0,0 +1,4 @@
+/bin
+/coverage
+/doc
+/test
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/LICENSE b/plugins/node/opentelemetry-instrumentation-fastify/LICENSE
new file mode 100644
index 0000000000..261eeb9e9f
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/LICENSE
@@ -0,0 +1,201 @@
+                                 Apache License
+                           Version 2.0, January 2004
+                        http://www.apache.org/licenses/
+
+   TERMS AND CONDITIONS FOR USE, REPRODUCTION, AND DISTRIBUTION
+
+   1. Definitions.
+
+      "License" shall mean the terms and conditions for use, reproduction,
+      and distribution as defined by Sections 1 through 9 of this document.
+
+      "Licensor" shall mean the copyright owner or entity authorized by
+      the copyright owner that is granting the License.
+
+      "Legal Entity" shall mean the union of the acting entity and all
+      other entities that control, are controlled by, or are under common
+      control with that entity. For the purposes of this definition,
+      "control" means (i) the power, direct or indirect, to cause the
+      direction or management of such entity, whether by contract or
+      otherwise, or (ii) ownership of fifty percent (50%) or more of the
+      outstanding shares, or (iii) beneficial ownership of such entity.
+
+      "You" (or "Your") shall mean an individual or Legal Entity
+      exercising permissions granted by this License.
+
+      "Source" form shall mean the preferred form for making modifications,
+      including but not limited to software source code, documentation
+      source, and configuration files.
+
+      "Object" form shall mean any form resulting from mechanical
+      transformation or translation of a Source form, including but
+      not limited to compiled object code, generated documentation,
+      and conversions to other media types.
+
+      "Work" shall mean the work of authorship, whether in Source or
+      Object form, made available under the License, as indicated by a
+      copyright notice that is included in or attached to the work
+      (an example is provided in the Appendix below).
+
+      "Derivative Works" shall mean any work, whether in Source or Object
+      form, that is based on (or derived from) the Work and for which the
+      editorial revisions, annotations, elaborations, or other modifications
+      represent, as a whole, an original work of authorship. For the purposes
+      of this License, Derivative Works shall not include works that remain
+      separable from, or merely link (or bind by name) to the interfaces of,
+      the Work and Derivative Works thereof.
+
+      "Contribution" shall mean any work of authorship, including
+      the original version of the Work and any modifications or additions
+      to that Work or Derivative Works thereof, that is intentionally
+      submitted to Licensor for inclusion in the Work by the copyright owner
+      or by an individual or Legal Entity authorized to submit on behalf of
+      the copyright owner. For the purposes of this definition, "submitted"
+      means any form of electronic, verbal, or written communication sent
+      to the Licensor or its representatives, including but not limited to
+      communication on electronic mailing lists, source code control systems,
+      and issue tracking systems that are managed by, or on behalf of, the
+      Licensor for the purpose of discussing and improving the Work, but
+      excluding communication that is conspicuously marked or otherwise
+      designated in writing by the copyright owner as "Not a Contribution."
+
+      "Contributor" shall mean Licensor and any individual or Legal Entity
+      on behalf of whom a Contribution has been received by Licensor and
+      subsequently incorporated within the Work.
+
+   2. Grant of Copyright License. Subject to the terms and conditions of
+      this License, each Contributor hereby grants to You a perpetual,
+      worldwide, non-exclusive, no-charge, royalty-free, irrevocable
+      copyright license to reproduce, prepare Derivative Works of,
+      publicly display, publicly perform, sublicense, and distribute the
+      Work and such Derivative Works in Source or Object form.
+
+   3. Grant of Patent License. Subject to the terms and conditions of
+      this License, each Contributor hereby grants to You a perpetual,
+      worldwide, non-exclusive, no-charge, royalty-free, irrevocable
+      (except as stated in this section) patent license to make, have made,
+      use, offer to sell, sell, import, and otherwise transfer the Work,
+      where such license applies only to those patent claims licensable
+      by such Contributor that are necessarily infringed by their
+      Contribution(s) alone or by combination of their Contribution(s)
+      with the Work to which such Contribution(s) was submitted. If You
+      institute patent litigation against any entity (including a
+      cross-claim or counterclaim in a lawsuit) alleging that the Work
+      or a Contribution incorporated within the Work constitutes direct
+      or contributory patent infringement, then any patent licenses
+      granted to You under this License for that Work shall terminate
+      as of the date such litigation is filed.
+
+   4. Redistribution. You may reproduce and distribute copies of the
+      Work or Derivative Works thereof in any medium, with or without
+      modifications, and in Source or Object form, provided that You
+      meet the following conditions:
+
+      (a) You must give any other recipients of the Work or
+          Derivative Works a copy of this License; and
+
+      (b) You must cause any modified files to carry prominent notices
+          stating that You changed the files; and
+
+      (c) You must retain, in the Source form of any Derivative Works
+          that You distribute, all copyright, patent, trademark, and
+          attribution notices from the Source form of the Work,
+          excluding those notices that do not pertain to any part of
+          the Derivative Works; and
+
+      (d) If the Work includes a "NOTICE" text file as part of its
+          distribution, then any Derivative Works that You distribute must
+          include a readable copy of the attribution notices contained
+          within such NOTICE file, excluding those notices that do not
+          pertain to any part of the Derivative Works, in at least one
+          of the following places: within a NOTICE text file distributed
+          as part of the Derivative Works; within the Source form or
+          documentation, if provided along with the Derivative Works; or,
+          within a display generated by the Derivative Works, if and
+          wherever such third-party notices normally appear. The contents
+          of the NOTICE file are for informational purposes only and
+          do not modify the License. You may add Your own attribution
+          notices within Derivative Works that You distribute, alongside
+          or as an addendum to the NOTICE text from the Work, provided
+          that such additional attribution notices cannot be construed
+          as modifying the License.
+
+      You may add Your own copyright statement to Your modifications and
+      may provide additional or different license terms and conditions
+      for use, reproduction, or distribution of Your modifications, or
+      for any such Derivative Works as a whole, provided Your use,
+      reproduction, and distribution of the Work otherwise complies with
+      the conditions stated in this License.
+
+   5. Submission of Contributions. Unless You explicitly state otherwise,
+      any Contribution intentionally submitted for inclusion in the Work
+      by You to the Licensor shall be under the terms and conditions of
+      this License, without any additional terms or conditions.
+      Notwithstanding the above, nothing herein shall supersede or modify
+      the terms of any separate license agreement you may have executed
+      with Licensor regarding such Contributions.
+
+   6. Trademarks. This License does not grant permission to use the trade
+      names, trademarks, service marks, or product names of the Licensor,
+      except as required for reasonable and customary use in describing the
+      origin of the Work and reproducing the content of the NOTICE file.
+
+   7. Disclaimer of Warranty. Unless required by applicable law or
+      agreed to in writing, Licensor provides the Work (and each
+      Contributor provides its Contributions) on an "AS IS" BASIS,
+      WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or
+      implied, including, without limitation, any warranties or conditions
+      of TITLE, NON-INFRINGEMENT, MERCHANTABILITY, or FITNESS FOR A
+      PARTICULAR PURPOSE. You are solely responsible for determining the
+      appropriateness of using or redistributing the Work and assume any
+      risks associated with Your exercise of permissions under this License.
+
+   8. Limitation of Liability. In no event and under no legal theory,
+      whether in tort (including negligence), contract, or otherwise,
+      unless required by applicable law (such as deliberate and grossly
+      negligent acts) or agreed to in writing, shall any Contributor be
+      liable to You for damages, including any direct, indirect, special,
+      incidental, or consequential damages of any character arising as a
+      result of this License or out of the use or inability to use the
+      Work (including but not limited to damages for loss of goodwill,
+      work stoppage, computer failure or malfunction, or any and all
+      other commercial damages or losses), even if such Contributor
+      has been advised of the possibility of such damages.
+
+   9. Accepting Warranty or Additional Liability. While redistributing
+      the Work or Derivative Works thereof, You may choose to offer,
+      and charge a fee for, acceptance of support, warranty, indemnity,
+      or other liability obligations and/or rights consistent with this
+      License. However, in accepting such obligations, You may act only
+      on Your own behalf and on Your sole responsibility, not on behalf
+      of any other Contributor, and only if You agree to indemnify,
+      defend, and hold each Contributor harmless for any liability
+      incurred by, or claims asserted against, such Contributor by reason
+      of your accepting any such warranty or additional liability.
+
+   END OF TERMS AND CONDITIONS
+
+   APPENDIX: How to apply the Apache License to your work.
+
+      To apply the Apache License to your work, attach the following
+      boilerplate notice, with the fields enclosed by brackets "[]"
+      replaced with your own identifying information. (Don't include
+      the brackets!)  The text should be enclosed in the appropriate
+      comment syntax for the file format. We also recommend that a
+      file or class name and description of purpose be included on the
+      same "printed page" as the copyright notice for easier
+      identification within third-party archives.
+
+   Copyright [yyyy] [name of copyright owner]
+
+   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.
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/README.md b/plugins/node/opentelemetry-instrumentation-fastify/README.md
new file mode 100644
index 0000000000..fd9c9a96a1
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/README.md
@@ -0,0 +1,70 @@
+# OpenTelemetry Fastify Instrumentation for Node.js
+
+[![NPM Published Version][npm-img]][npm-url]
+[![dependencies][dependencies-image]][dependencies-url]
+[![devDependencies][devDependencies-image]][devDependencies-url]
+[![Apache License][license-image]][license-image]
+
+This module provides automatic instrumentation for [`fastify`](https://www.fastify.io/).
+
+For automatic instrumentation see the
+[@opentelemetry/node](https://github.com/open-telemetry/opentelemetry-js/tree/main/packages/opentelemetry-node) package.
+
+## Installation
+
+This instrumentation relies on HTTP calls to also be instrumented. Make sure you install and enable both, otherwise you will have spans that are not connected with each other.
+
+```bash
+npm install --save @opentelemetry/instrumentation-http @opentelemetry/instrumentation-fastify
+```
+
+### Supported Versions
+
+- `^3.0.0`
+
+## Usage
+
+OpenTelemetry fastify Instrumentation allows the user to automatically collect trace data and export them to their backend of choice, to give observability to distributed systems.
+
+To load the instrumentation, specify it in the Node Tracer's configuration:
+
+```js
+const { NodeTracerProvider } = require('@opentelemetry/node');
+const { registerInstrumentations } = require('@opentelemetry/instrumentation');
+const { HttpInstrumentation } = require('@opentelemetry/instrumentation-http');
+const { FastifyInstrumentation } = require('@opentelemetry/instrumentation-fastify');
+
+const provider = new NodeTracerProvider();
+provider.register();
+
+registerInstrumentations({
+  instrumentations: [
+    // Fastify instrumentation expects HTTP layer to be instrumented
+    new HttpInstrumentation(),
+    new FastifyInstrumentation(),
+  ],
+});
+```
+
+See [examples/fastify](https://github.com/open-telemetry/opentelemetry-js-contrib/tree/main/examples/fastify) for a short example.
+
+
+## Useful links
+
+- For more information on OpenTelemetry, visit: <https://opentelemetry.io/>
+- For more about OpenTelemetry JavaScript: <https://github.com/open-telemetry/opentelemetry-js>
+- For help or feedback on this project, join us in [GitHub Discussions][discussions-url]
+
+## License
+
+Apache 2.0 - See [LICENSE][license-url] for more information.
+
+[discussions-url]: https://github.com/open-telemetry/opentelemetry-js/discussions
+[license-url]: https://github.com/open-telemetry/opentelemetry-js-contrib/blob/main/LICENSE
+[license-image]: https://img.shields.io/badge/license-Apache_2.0-green.svg?style=flat
+[dependencies-image]: https://status.david-dm.org/gh/open-telemetry/opentelemetry-js-contrib.svg?path=plugins%2Fnode%2Fopentelemetry-instrumentation-fastify
+[dependencies-url]: https://david-dm.org/open-telemetry/opentelemetry-js-contrib?path=plugins%2Fnode%2Fopentelemetry-instrumentation-fastify
+[devDependencies-image]: https://status.david-dm.org/gh/open-telemetry/opentelemetry-js-contrib.svg?path=plugins%2Fnode%2Fopentelemetry-instrumentation-fastify&type=dev
+[devDependencies-url]: https://david-dm.org/open-telemetry/opentelemetry-js-contrib?path=plugins%2Fnode%2Fopentelemetry-instrumentation-fastify&type=dev
+[npm-url]: https://www.npmjs.com/package/@opentelemetry/instrumentation-fastify
+[npm-img]: https://badge.fury.io/js/%40opentelemetry%2Finstrumentation-fastify.svg
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/package.json b/plugins/node/opentelemetry-instrumentation-fastify/package.json
new file mode 100644
index 0000000000..a86755e15f
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/package.json
@@ -0,0 +1,71 @@
+{
+  "name": "@opentelemetry/instrumentation-fastify",
+  "version": "0.25.0",
+  "description": "OpenTelemetry fastly automatic instrumentation package.",
+  "main": "build/src/index.js",
+  "types": "build/src/index.d.ts",
+  "repository": "open-telemetry/opentelemetry-js-contrib",
+  "scripts": {
+    "clean": "rimraf build/*",
+    "codecov": "nyc report --reporter=json && codecov -f coverage/*.json -p ../../",
+    "compile": "npm run version:update && tsc -p .",
+    "lint": "eslint . --ext .ts",
+    "lint:fix": "eslint . --ext .ts --fix",
+    "precompile": "tsc --version",
+    "prepare": "npm run compile",
+    "test": "nyc ts-mocha -p tsconfig.json 'test/**/*.test.ts'",
+    "version:update": "node ../../../scripts/version-update.js",
+    "watch": "tsc -w"
+  },
+  "keywords": [
+    "opentelemetry",
+    "fastify",
+    "nodejs",
+    "tracing",
+    "profiling",
+    "instrumentation"
+  ],
+  "author": "OpenTelemetry Authors",
+  "license": "Apache-2.0",
+  "engines": {
+    "node": ">=8.5.0"
+  },
+  "files": [
+    "build/src/**/*.js",
+    "build/src/**/*.js.map",
+    "build/src/**/*.d.ts",
+    "doc",
+    "LICENSE",
+    "README.md"
+  ],
+  "publishConfig": {
+    "access": "public"
+  },
+  "peerDependencies": {
+    "@opentelemetry/api": "^1.0.2"
+  },
+  "devDependencies": {
+    "@opentelemetry/api": "1.0.2",
+    "@opentelemetry/context-async-hooks": "1.0.0",
+    "@opentelemetry/instrumentation-http": "0.26.0",
+    "@opentelemetry/sdk-trace-node": "1.0.0",
+    "@opentelemetry/sdk-trace-base": "1.0.0",
+    "@types/express": "4.17.13",
+    "@types/mocha": "7.0.2",
+    "@types/node": "14.17.4",
+    "codecov": "3.8.2",
+    "fastify-express": "0.3.3",
+    "gts": "3.1.0",
+    "mocha": "7.2.0",
+    "nyc": "15.1.0",
+    "rimraf": "3.0.2",
+    "ts-mocha": "8.0.0",
+    "typescript": "4.3.5"
+  },
+  "dependencies": {
+    "@opentelemetry/core": "^1.0.0",
+    "@opentelemetry/instrumentation": "^0.26.0",
+    "@opentelemetry/semantic-conventions": "^1.0.0",
+    "fastify": "^3.19.2"
+  }
+}
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/src/constants.ts b/plugins/node/opentelemetry-instrumentation-fastify/src/constants.ts
new file mode 100644
index 0000000000..e6e0ebedae
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/src/constants.ts
@@ -0,0 +1,26 @@
+/*
+ * Copyright The OpenTelemetry Authors
+ *
+ * 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
+ *
+ *      https://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.
+ */
+
+export const spanRequestSymbol = Symbol(
+  'opentelemetry.instrumentation.fastify.request_active_span'
+);
+
+export const applicationHookNames = [
+  'onRegister',
+  'onRoute',
+  'onReady',
+  'onClose',
+];
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/src/enums/AttributeNames.ts b/plugins/node/opentelemetry-instrumentation-fastify/src/enums/AttributeNames.ts
new file mode 100644
index 0000000000..3626fb8fab
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/src/enums/AttributeNames.ts
@@ -0,0 +1,32 @@
+/*
+ * Copyright The OpenTelemetry Authors
+ *
+ * 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
+ *
+ *      https://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.
+ */
+
+export enum AttributeNames {
+  FASTIFY_NAME = 'fastify.name',
+  FASTIFY_TYPE = 'fastify.type',
+  HOOK_NAME = 'hook.name',
+  PLUGIN_NAME = 'plugin.name',
+}
+
+export enum FastifyTypes {
+  MIDDLEWARE = 'middleware',
+  REQUEST_HANDLER = 'request_handler',
+}
+
+export enum FastifyNames {
+  MIDDLEWARE = 'middleware',
+  REQUEST_HANDLER = 'request handler',
+}
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/src/index.ts b/plugins/node/opentelemetry-instrumentation-fastify/src/index.ts
new file mode 100644
index 0000000000..34b600dd0c
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/src/index.ts
@@ -0,0 +1,18 @@
+/*
+ * Copyright The OpenTelemetry Authors
+ *
+ * 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
+ *
+ *      https://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.
+ */
+
+export * from './enums/AttributeNames';
+export * from './instrumentation';
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/src/instrumentation.ts b/plugins/node/opentelemetry-instrumentation-fastify/src/instrumentation.ts
new file mode 100644
index 0000000000..985238a0b4
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/src/instrumentation.ts
@@ -0,0 +1,270 @@
+/*
+ * Copyright The OpenTelemetry Authors
+ *
+ * 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
+ *
+ *      https://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.
+ */
+
+import {
+  context,
+  SpanAttributes,
+  SpanStatusCode,
+  trace,
+} from '@opentelemetry/api';
+import { getRPCMetadata, RPCType } from '@opentelemetry/core';
+import {
+  InstrumentationBase,
+  InstrumentationConfig,
+  InstrumentationNodeModuleDefinition,
+  safeExecuteInTheMiddle,
+} from '@opentelemetry/instrumentation';
+import { SemanticAttributes } from '@opentelemetry/semantic-conventions';
+import type { HookHandlerDoneFunction } from 'fastify/types/hooks';
+import type { FastifyInstance } from 'fastify/types/instance';
+import type { FastifyReply } from 'fastify/types/reply';
+import type { FastifyRequest } from 'fastify/types/request';
+import { applicationHookNames } from './constants';
+import {
+  AttributeNames,
+  FastifyNames,
+  FastifyTypes,
+} from './enums/AttributeNames';
+import type { HandlerOriginal, PluginFastifyReply } from './types';
+import {
+  endSpan,
+  safeExecuteInTheMiddleMaybePromise,
+  startSpan,
+} from './utils';
+import { VERSION } from './version';
+
+export const ANONYMOUS_NAME = 'anonymous';
+
+/** Fastify instrumentation for OpenTelemetry */
+export class FastifyInstrumentation extends InstrumentationBase {
+  constructor(config: InstrumentationConfig = {}) {
+    super(
+      '@opentelemetry/instrumentation-fastify',
+      VERSION,
+      Object.assign({}, config)
+    );
+  }
+
+  init() {
+    return [
+      new InstrumentationNodeModuleDefinition<any>(
+        'fastify',
+        ['^3.0.0'],
+        (moduleExports, moduleVersion) => {
+          this._diag.debug(`Applying patch for fastify@${moduleVersion}`);
+          return this._patchConstructor(moduleExports);
+        }
+      ),
+    ];
+  }
+
+  private _hookOnRequest() {
+    const instrumentation = this;
+    return function onRequest(
+      request: FastifyRequest,
+      reply: FastifyReply,
+      done: HookHandlerDoneFunction
+    ) {
+      if (!instrumentation.isEnabled()) {
+        return done();
+      }
+      instrumentation._wrap(reply, 'send', instrumentation._patchSend());
+
+      const rpcMetadata = getRPCMetadata(context.active());
+      const routeName = request.routerPath;
+      if (routeName && rpcMetadata?.type === RPCType.HTTP) {
+        rpcMetadata.span.setAttribute(SemanticAttributes.HTTP_ROUTE, routeName);
+        rpcMetadata.span.updateName(`${request.method} ${routeName || '/'}`);
+      }
+      done();
+    };
+  }
+
+  private _wrapHandler(
+    pluginName: string,
+    hookName: string,
+    original: (...args: unknown[]) => Promise<any> | void,
+    syncFunctionWithDone: boolean
+  ): () => Promise<any> | void {
+    const instrumentation = this;
+    return function (this: any, ...args: unknown[]): Promise<any> | void {
+      if (!instrumentation.isEnabled()) {
+        return original.apply(this, args);
+      }
+
+      const spanName = `${FastifyNames.MIDDLEWARE} - ${
+        original.name || ANONYMOUS_NAME
+      }`;
+
+      const reply = args[1] as PluginFastifyReply;
+
+      const span = startSpan(reply, instrumentation.tracer, spanName, {
+        [AttributeNames.FASTIFY_TYPE]: FastifyTypes.MIDDLEWARE,
+        [AttributeNames.PLUGIN_NAME]: pluginName,
+        [AttributeNames.HOOK_NAME]: hookName,
+      });
+
+      const origDone =
+        syncFunctionWithDone &&
+        (args[args.length - 1] as HookHandlerDoneFunction);
+      if (origDone) {
+        args[args.length - 1] = function (
+          ...doneArgs: Parameters<HookHandlerDoneFunction>
+        ) {
+          endSpan(reply);
+          origDone.apply(this, doneArgs);
+        };
+      }
+
+      return context.with(trace.setSpan(context.active(), span), () => {
+        return safeExecuteInTheMiddleMaybePromise(
+          () => {
+            return original.apply(this, args);
+          },
+          err => {
+            if (err) {
+              span.setStatus({
+                code: SpanStatusCode.ERROR,
+                message: err.message,
+              });
+              span.recordException(err);
+            }
+            // async hooks should end the span as soon as the promise is resolved
+            if (!syncFunctionWithDone) {
+              endSpan(reply);
+            }
+          }
+        );
+      });
+    };
+  }
+
+  private _wrapAddHook(): (
+    original: FastifyInstance['addHook']
+  ) => () => FastifyInstance {
+    const instrumentation = this;
+    return function (
+      original: FastifyInstance['addHook']
+    ): () => FastifyInstance {
+      return function wrappedAddHook(this: any, ...args: any) {
+        const name = args[0] as string;
+        const handler = args[1] as HandlerOriginal;
+        const pluginName = this.pluginName;
+        if (applicationHookNames.includes(name)) {
+          return original.apply(this, [name as any, handler]);
+        }
+
+        const syncFunctionWithDone =
+          typeof args[args.length - 1] === 'function' &&
+          handler.constructor.name !== 'AsyncFunction';
+
+        return original.apply(this, [
+          name as any,
+          instrumentation._wrapHandler(
+            pluginName,
+            name,
+            handler,
+            syncFunctionWithDone
+          ),
+        ]);
+      };
+    };
+  }
+
+  private _patchConstructor(
+    original: () => FastifyInstance
+  ): () => FastifyInstance {
+    const instrumentation = this;
+
+    function fastify(this: FastifyInstance, ...args: any) {
+      const app: FastifyInstance = original.apply(this, args);
+      app.addHook('onRequest', instrumentation._hookOnRequest());
+      app.addHook('preHandler', instrumentation._hookPreHandler());
+
+      instrumentation._wrap(app, 'addHook', instrumentation._wrapAddHook());
+
+      return app;
+    }
+
+    fastify.fastify = fastify;
+    fastify.default = fastify;
+    return fastify;
+  }
+
+  public _patchSend() {
+    const instrumentation = this;
+    return function patchSend(
+      original: () => FastifyReply
+    ): () => FastifyReply {
+      return function send(this: FastifyReply, ...args: any) {
+        const maybeError: any = args[0];
+
+        if (!instrumentation.isEnabled()) {
+          return original.apply(this, args);
+        }
+
+        return safeExecuteInTheMiddle<FastifyReply>(
+          () => {
+            return original.apply(this, args);
+          },
+          err => {
+            if (!err && maybeError instanceof Error) {
+              err = maybeError;
+            }
+            endSpan(this, err);
+          }
+        );
+      };
+    };
+  }
+
+  public _hookPreHandler() {
+    const instrumentation = this;
+    return function preHandler(
+      this: any,
+      request: FastifyRequest,
+      reply: FastifyReply,
+      done: HookHandlerDoneFunction
+    ) {
+      if (!instrumentation.isEnabled()) {
+        return done();
+      }
+      const requestContext = (request as any).context || {};
+      const handlerName = (requestContext.handler?.name || '').substr(6);
+      const spanName = `${FastifyNames.REQUEST_HANDLER} - ${
+        handlerName || ANONYMOUS_NAME
+      }`;
+
+      const spanAttributes: SpanAttributes = {
+        [AttributeNames.PLUGIN_NAME]: this.pluginName,
+        [AttributeNames.FASTIFY_TYPE]: FastifyTypes.REQUEST_HANDLER,
+        [SemanticAttributes.HTTP_ROUTE]: request.routerPath,
+      };
+      if (handlerName) {
+        spanAttributes[AttributeNames.FASTIFY_NAME] = handlerName;
+      }
+      const span = startSpan(
+        reply,
+        instrumentation.tracer,
+        spanName,
+        spanAttributes
+      );
+      return context.with(trace.setSpan(context.active(), span), () => {
+        done();
+      });
+    };
+  }
+}
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/src/types.ts b/plugins/node/opentelemetry-instrumentation-fastify/src/types.ts
new file mode 100644
index 0000000000..ee2e325494
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/src/types.ts
@@ -0,0 +1,25 @@
+/*
+ * Copyright The OpenTelemetry Authors
+ *
+ * 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
+ *
+ *      https://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.
+ */
+
+import { Span } from '@opentelemetry/api';
+import { FastifyReply } from 'fastify';
+import { spanRequestSymbol } from './constants';
+
+export type HandlerOriginal = (() => Promise<unknown>) & (() => void);
+
+export type PluginFastifyReply = FastifyReply & {
+  [spanRequestSymbol]?: Span[];
+};
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/src/utils.ts b/plugins/node/opentelemetry-instrumentation-fastify/src/utils.ts
new file mode 100644
index 0000000000..7b328fea3c
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/src/utils.ts
@@ -0,0 +1,130 @@
+/*
+ * Copyright The OpenTelemetry Authors
+ *
+ * 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
+ *
+ *      https://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.
+ */
+
+import {
+  Span,
+  SpanAttributes,
+  SpanStatusCode,
+  Tracer,
+} from '@opentelemetry/api';
+import { spanRequestSymbol } from './constants';
+
+import type { PluginFastifyReply } from './types';
+
+/**
+ * Starts Span
+ * @param reply - reply function
+ * @param tracer - tracer
+ * @param spanName - span name
+ * @param spanAttributes - span attributes
+ */
+export function startSpan(
+  reply: PluginFastifyReply,
+  tracer: Tracer,
+  spanName: string,
+  spanAttributes: SpanAttributes = {}
+) {
+  const span = tracer.startSpan(spanName, { attributes: spanAttributes });
+
+  const spans: Span[] = reply[spanRequestSymbol] || [];
+  spans.push(span);
+
+  Object.defineProperty(reply, spanRequestSymbol, {
+    enumerable: false,
+    configurable: true,
+    value: spans,
+  });
+
+  return span;
+}
+
+/**
+ * Ends span
+ * @param reply - reply function
+ * @param err - error
+ */
+export function endSpan(reply: PluginFastifyReply, err?: any) {
+  const spans = reply[spanRequestSymbol] || [];
+  // there is no active span, or it has already ended
+  if (!spans.length) {
+    return;
+  }
+  spans.forEach(span => {
+    if (err) {
+      span.setStatus({
+        code: SpanStatusCode.ERROR,
+        message: err.message,
+      });
+      span.recordException(err);
+    }
+    span.end();
+  });
+  delete reply[spanRequestSymbol];
+}
+
+// @TODO after approve add this to instrumentation package and replace usage
+// when it will be released
+
+/**
+ * This function handles the missing case from instrumentation package when
+ * execute can either return a promise or void. And using async is not an
+ * option as it is producing unwanted side effects.
+ * @param execute - function to be executed
+ * @param onFinish - function called when function executed
+ * @param preventThrowingError - prevent to throw error when execute
+ * function fails
+ */
+export function safeExecuteInTheMiddleMaybePromise<T>(
+  execute: () => Promise<T> | T,
+  onFinish: (e: Error | undefined, result?: T) => void,
+  preventThrowingError?: boolean
+): Promise<T> | T | void {
+  let error: Error | undefined;
+  let executeResult: Promise<T> | T | void;
+  let isPromise = false;
+  let result: T | undefined = undefined;
+  try {
+    executeResult = execute();
+    const promiseResult = executeResult as Promise<T>;
+
+    isPromise = promiseResult && typeof promiseResult.then === 'function';
+
+    if (isPromise) {
+      promiseResult.then(
+        res => {
+          onFinish(undefined, res);
+        },
+        (err: Error) => {
+          onFinish(err);
+        }
+      );
+    } else {
+      result = executeResult as T | undefined;
+    }
+  } catch (e) {
+    error = e;
+  } finally {
+    if (!isPromise) {
+      onFinish(error, result);
+      if (error && !preventThrowingError) {
+        // eslint-disable-next-line no-unsafe-finally
+        throw error;
+      }
+    }
+    // eslint-disable-next-line no-unsafe-finally
+    return executeResult;
+  }
+}
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/src/version.ts b/plugins/node/opentelemetry-instrumentation-fastify/src/version.ts
new file mode 100644
index 0000000000..2c1c3f80c6
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/src/version.ts
@@ -0,0 +1,18 @@
+/*
+ * Copyright The OpenTelemetry Authors
+ *
+ * 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
+ *
+ *      https://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.
+ */
+
+// this is autogenerated file, see scripts/version-update.js
+export const VERSION = '0.25.0';
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/test/instrumentation.test.ts b/plugins/node/opentelemetry-instrumentation-fastify/test/instrumentation.test.ts
new file mode 100644
index 0000000000..503606d296
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/test/instrumentation.test.ts
@@ -0,0 +1,426 @@
+/*
+ * Copyright The OpenTelemetry Authors
+ *
+ * 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
+ *
+ *      https://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.
+ */
+
+import * as assert from 'assert';
+import { context, ROOT_CONTEXT, SpanStatusCode } from '@opentelemetry/api';
+import { SemanticAttributes } from '@opentelemetry/semantic-conventions';
+import { AsyncHooksContextManager } from '@opentelemetry/context-async-hooks';
+import { NodeTracerProvider } from '@opentelemetry/sdk-trace-node';
+import {
+  InMemorySpanExporter,
+  ReadableSpan,
+  SimpleSpanProcessor,
+} from '@opentelemetry/sdk-trace-base';
+import { HookHandlerDoneFunction } from 'fastify/types/hooks';
+import { FastifyReply } from 'fastify/types/reply';
+import { FastifyRequest } from 'fastify/types/request';
+import * as http from 'http';
+import { HttpInstrumentation } from '@opentelemetry/instrumentation-http';
+import { ANONYMOUS_NAME } from '../src/instrumentation';
+import { AttributeNames, FastifyInstrumentation } from '../src';
+
+const URL = require('url').URL;
+
+const httpRequest = {
+  get: (options: http.ClientRequestArgs | string) => {
+    return new Promise((resolve, reject) => {
+      return http.get(options, resp => {
+        let data = '';
+        resp.on('data', chunk => {
+          data += chunk;
+        });
+        resp.on('end', () => {
+          resolve(data);
+        });
+        resp.on('error', err => {
+          reject(err);
+        });
+      });
+    });
+  },
+};
+
+const httpInstrumentation = new HttpInstrumentation();
+const instrumentation = new FastifyInstrumentation();
+const contextManager = new AsyncHooksContextManager().enable();
+const memoryExporter = new InMemorySpanExporter();
+const provider = new NodeTracerProvider();
+const spanProcessor = new SimpleSpanProcessor(memoryExporter);
+instrumentation.setTracerProvider(provider);
+httpInstrumentation.setTracerProvider(provider);
+context.setGlobalContextManager(contextManager);
+
+provider.addSpanProcessor(spanProcessor);
+instrumentation.enable();
+httpInstrumentation.enable();
+
+import 'fastify-express';
+import { FastifyInstance } from 'fastify/types/instance';
+
+const Fastify = require('fastify');
+
+function getSpans(): ReadableSpan[] {
+  const spans = memoryExporter.getFinishedSpans().filter(s => {
+    return (
+      s.instrumentationLibrary.name === '@opentelemetry/instrumentation-fastify'
+    );
+  });
+  return spans;
+}
+
+describe('fastify', () => {
+  let PORT: number;
+  let app: FastifyInstance;
+
+  function startServer(): Promise<void> {
+    return new Promise<void>(resolve =>
+      app.listen(0, (err, address) => {
+        const url = new URL(address);
+        PORT = parseInt(url.port, 10);
+        resolve();
+      })
+    );
+  }
+
+  beforeEach(async () => {
+    instrumentation.enable();
+    app = Fastify();
+    app.register(require('fastify-express'));
+  });
+
+  afterEach(async () => {
+    await new Promise<void>(resolve =>
+      app.close(() => {
+        resolve();
+      })
+    );
+
+    contextManager.disable();
+    contextManager.enable();
+    memoryExporter.reset();
+    instrumentation.disable();
+  });
+
+  describe('when fastify is disabled', () => {
+    it('should not generate any spans', async () => {
+      instrumentation.disable();
+      app.get('/test', (req, res) => {
+        res.send('OK');
+      });
+      await startServer();
+
+      await httpRequest.get(`http://localhost:${PORT}/test`);
+
+      const spans = getSpans();
+      assert.strictEqual(spans.length, 0); // http instrumentation only
+    });
+  });
+
+  describe('when fastify is enabled', () => {
+    it('should generate span for anonymous middleware', async () => {
+      app.get('/test', (req, res) => {
+        res.send('OK');
+      });
+
+      await startServer();
+
+      await httpRequest.get(`http://localhost:${PORT}/test`);
+
+      const spans = memoryExporter.getFinishedSpans();
+      assert.strictEqual(spans.length, 5);
+      const span = spans[3];
+      assert.deepStrictEqual(span.attributes, {
+        'fastify.type': 'request_handler',
+        'plugin.name': 'fastify-express',
+        [SemanticAttributes.HTTP_ROUTE]: '/test',
+      });
+      assert.strictEqual(span.name, `request handler - ${ANONYMOUS_NAME}`);
+      const baseSpan = spans[1];
+      assert.strictEqual(span.parentSpanId, baseSpan.spanContext().spanId);
+    });
+
+    it('should generate span for named handler', async () => {
+      // eslint-disable-next-line prefer-arrow-callback
+      app.get('/test', function namedHandler(req, res) {
+        res.send('OK');
+      });
+
+      await startServer();
+
+      await httpRequest.get(`http://localhost:${PORT}/test`);
+
+      const spans = memoryExporter.getFinishedSpans();
+      assert.strictEqual(spans.length, 5);
+      const span = spans[3];
+      assert.deepStrictEqual(span.attributes, {
+        'fastify.type': 'request_handler',
+        'fastify.name': 'namedHandler',
+        'plugin.name': 'fastify-express',
+        [SemanticAttributes.HTTP_ROUTE]: '/test',
+      });
+      assert.strictEqual(span.name, 'request handler - namedHandler');
+
+      const baseSpan = spans[1];
+      assert.strictEqual(span.parentSpanId, baseSpan.spanContext().spanId);
+    });
+
+    describe('when subsystem is registered', () => {
+      beforeEach(async () => {
+        httpInstrumentation.enable();
+
+        async function subsystem(fastify: FastifyInstance) {
+          fastify.addHook(
+            'onRequest',
+            async (
+              req: FastifyRequest,
+              res: FastifyReply,
+              next: HookHandlerDoneFunction
+            ) => {
+              next();
+            }
+          );
+          fastify.use((req, res, next) => {
+            next();
+          });
+          // eslint-disable-next-line prefer-arrow-callback
+          fastify.get('/test/:id', function foo(req, res) {
+            res.send('OK');
+          });
+          fastify.get('/test-error', () => {
+            throw Error('foo');
+          });
+        }
+
+        app.register(subsystem);
+
+        await startServer();
+
+        await httpRequest.get(`http://localhost:${PORT}/test/1`);
+        assert.strictEqual(getSpans().length, 4);
+      });
+
+      it('should change name for parent http route', async () => {
+        const spans = memoryExporter.getFinishedSpans();
+
+        assert.strictEqual(spans.length, 6);
+        const changedRootSpan = spans[2];
+        const span = spans[4];
+        assert.strictEqual(changedRootSpan.name, 'GET /test/:id');
+        assert.strictEqual(span.name, 'request handler - foo');
+        assert.strictEqual(span.parentSpanId, spans[3].spanContext().spanId);
+      });
+
+      it('should create span for fastify express runConnect', async () => {
+        const spans = memoryExporter.getFinishedSpans();
+
+        assert.strictEqual(spans.length, 6);
+        const baseSpan = spans[0];
+        const span = spans[1];
+        assert.strictEqual(span.name, 'middleware - runConnect');
+        assert.deepStrictEqual(span.attributes, {
+          'fastify.type': 'middleware',
+          'plugin.name': 'fastify-express',
+          'hook.name': 'onRequest',
+        });
+
+        assert.strictEqual(span.parentSpanId, baseSpan.spanContext().spanId);
+      });
+
+      it('should create span for fastify express for enhanceRequest', async () => {
+        const spans = memoryExporter.getFinishedSpans();
+
+        assert.strictEqual(spans.length, 6);
+        const baseSpan = spans[2];
+        const span = spans[0];
+        assert.strictEqual(span.name, 'middleware - enhanceRequest');
+        assert.deepStrictEqual(span.attributes, {
+          'fastify.type': 'middleware',
+          'plugin.name': 'fastify-express',
+          'hook.name': 'onRequest',
+        });
+
+        assert.strictEqual(span.parentSpanId, baseSpan.spanContext().spanId);
+      });
+
+      it('should create span for request', async () => {
+        const spans = memoryExporter.getFinishedSpans();
+
+        assert.strictEqual(spans.length, 6);
+        const baseSpan = spans[3];
+        const span = spans[4];
+        assert.strictEqual(span.name, 'request handler - foo');
+        assert.deepStrictEqual(span.attributes, {
+          'plugin.name': 'subsystem',
+          'fastify.type': 'request_handler',
+          'fastify.name': 'foo',
+          'http.route': '/test/:id',
+        });
+
+        assert.strictEqual(span.parentSpanId, baseSpan.spanContext().spanId);
+      });
+
+      it('should update http.route for http span', async () => {
+        const spans = memoryExporter.getFinishedSpans();
+
+        assert.strictEqual(spans.length, 6);
+        const span = spans[2];
+        assert.strictEqual(span.attributes['http.route'], '/test/:id');
+      });
+
+      it('should create span for subsystem anonymous middleware', async () => {
+        const spans = memoryExporter.getFinishedSpans();
+
+        assert.strictEqual(spans.length, 6);
+        const baseSpan = spans[1];
+        const span = spans[3];
+        assert.strictEqual(span.name, `middleware - ${ANONYMOUS_NAME}`);
+        assert.deepStrictEqual(span.attributes, {
+          'fastify.type': 'middleware',
+          'plugin.name': 'subsystem',
+          'hook.name': 'onRequest',
+        });
+
+        assert.strictEqual(span.parentSpanId, baseSpan.spanContext().spanId);
+      });
+
+      it('should update span with error that was raised', async () => {
+        memoryExporter.reset();
+        await httpRequest.get(`http://localhost:${PORT}/test-error`);
+        const spans = memoryExporter.getFinishedSpans();
+
+        assert.strictEqual(spans.length, 6);
+        const span = spans[4];
+        assert.strictEqual(span.name, 'request handler - anonymous');
+        assert.deepStrictEqual(span.status, {
+          code: SpanStatusCode.ERROR,
+          message: 'foo',
+        });
+        assert.deepStrictEqual(span.attributes, {
+          'fastify.type': 'request_handler',
+          'plugin.name': 'subsystem',
+          'http.route': '/test-error',
+        });
+      });
+    });
+
+    describe('spans context', () => {
+      describe('hook callback', () => {
+        it('span should end upon done invocation', async () => {
+          let hookDone: HookHandlerDoneFunction;
+          const hookExecutedPromise = new Promise<void>(resolve => {
+            app.addHook(
+              'onRequest',
+              (_req, _reply, done: HookHandlerDoneFunction) => {
+                hookDone = done;
+                resolve();
+              }
+            );
+          });
+          app.get('/test', (_req, reply: FastifyReply) => {
+            reply.send('request ended in handler');
+          });
+          await startServer();
+          httpRequest.get(`http://localhost:${PORT}/test`);
+          await hookExecutedPromise;
+
+          // done was not yet called from the hook, so it should not end the span
+          const preDoneSpans = getSpans().filter(
+            s => !s.attributes[AttributeNames.PLUGIN_NAME]
+          );
+          assert.strictEqual(preDoneSpans.length, 0);
+          hookDone!();
+          const postDoneSpans = getSpans().filter(
+            s => !s.attributes[AttributeNames.PLUGIN_NAME]
+          );
+          assert.strictEqual(postDoneSpans.length, 1);
+        });
+
+        it('span should end when calling reply.send from hook', async () => {
+          app.addHook(
+            'onRequest',
+            (
+              _req: FastifyRequest,
+              reply: FastifyReply,
+              _done: HookHandlerDoneFunction
+            ) => {
+              reply.send('request ended prematurely in hook');
+            }
+          );
+          app.get('/test', (_req: FastifyRequest, _reply: FastifyReply) => {
+            throw Error(
+              'handler should not be executed as request is ended in onRequest hook'
+            );
+          });
+          await startServer();
+          await httpRequest.get(`http://localhost:${PORT}/test`);
+          const spans = getSpans().filter(
+            s => !s.attributes[AttributeNames.PLUGIN_NAME]
+          );
+          assert.strictEqual(spans.length, 1);
+        });
+      });
+    });
+
+    describe('application hooks', () => {
+      it('onRoute not instrumented', done => {
+        app.addHook('onRoute', () => {
+          assert.strictEqual(context.active(), ROOT_CONTEXT);
+        });
+        // add a route to trigger the 'onRoute' hook
+        app.get('/test', (_req: FastifyRequest, reply: FastifyReply) => {
+          reply.send('OK');
+        });
+
+        startServer()
+          .then(() => done())
+          .catch(err => done(err));
+      });
+
+      it('onRegister is not instrumented', done => {
+        app.addHook('onRegister', () => {
+          assert.strictEqual(context.active(), ROOT_CONTEXT);
+        });
+        // register a plugin to trigger 'onRegister' hook
+        app.register((fastify, options, done) => {
+          done();
+        });
+        startServer()
+          .then(() => done())
+          .catch(err => done(err));
+      });
+
+      it('onReady is not instrumented', done => {
+        app.addHook('onReady', () => {
+          assert.strictEqual(context.active(), ROOT_CONTEXT);
+        });
+        startServer()
+          .then(() => done())
+          .catch(err => done(err));
+      });
+
+      it('onClose is not instrumented', done => {
+        app.addHook('onClose', () => {
+          assert.strictEqual(context.active(), ROOT_CONTEXT);
+        });
+        startServer()
+          .then(() => {
+            app.close().then(() => done());
+          })
+          .catch(err => done(err));
+      });
+    });
+  });
+});
diff --git a/plugins/node/opentelemetry-instrumentation-fastify/tsconfig.json b/plugins/node/opentelemetry-instrumentation-fastify/tsconfig.json
new file mode 100644
index 0000000000..28be80d266
--- /dev/null
+++ b/plugins/node/opentelemetry-instrumentation-fastify/tsconfig.json
@@ -0,0 +1,11 @@
+{
+  "extends": "../../../tsconfig.base",
+  "compilerOptions": {
+    "rootDir": ".",
+    "outDir": "build"
+  },
+  "include": [
+    "src/**/*.ts",
+    "test/**/*.ts"
+  ]
+}