diff --git a/examples/koa/README.md b/examples/koa/README.md
new file mode 100644
index 0000000000..194542b9e7
--- /dev/null
+++ b/examples/koa/README.md
@@ -0,0 +1,76 @@
+# Overview
+
+OpenTelemetry Koa Instrumentation allows the user to automatically collect trace data and export them to the backend of choice (we can use Zipkin or Jaeger for this example), to give observability to distributed systems.
+
+This is a simple example that demonstrates tracing calls made in a Koa application. 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
+```
+
+Setup [Zipkin Tracing](https://zipkin.io/pages/quickstart.html)
+or
+Setup [Jaeger Tracing](https://www.jaegertracing.io/docs/latest/getting-started/#all-in-one)
+
+## Run the Application
+
+### Zipkin
+
+ - Run the server
+
+   ```sh
+   # from this directory
+   $ npm run zipkin:server
+   ```
+
+ - Run the client
+
+   ```sh
+   # from this directory
+   npm run zipkin:client
+   ```
+
+#### Zipkin UI
+`zipkin:server` script should output the `traceid` in the terminal (e.g `traceid: 4815c3d576d930189725f1f1d1bdfcc6`).
+Go to Zipkin with your browser [http://localhost:9411/zipkin/traces/(your-trace-id)]() (e.g http://localhost:9411/zipkin/traces/4815c3d576d930189725f1f1d1bdfcc6)
+
+<p align="center"><img src="./images/zipkin.jpg?raw=true"/></p>
+
+### Jaeger
+
+ - Run the server
+
+   ```sh
+   # from this directory
+   $ npm run jaeger:server
+   ```
+
+ - Run the client
+
+   ```sh
+   # from this directory
+   npm run jaeger:client
+   ```
+
+#### Jaeger UI
+
+`jaeger:server` script should output the `traceid` in the terminal (e.g `traceid: 4815c3d576d930189725f1f1d1bdfcc6`).
+Go to Jaeger with your browser [http://localhost:16686/trace/(your-trace-id)]() (e.g http://localhost:16686/trace/4815c3d576d930189725f1f1d1bdfcc6)
+
+<p align="center"><img src="images/jaeger.jpg?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/master/packages/opentelemetry-node>
+
+## LICENSE
+
+Apache License 2.0
diff --git a/examples/koa/client.js b/examples/koa/client.js
new file mode 100644
index 0000000000..26ba69ea48
--- /dev/null
+++ b/examples/koa/client.js
@@ -0,0 +1,28 @@
+'use strict';
+
+// eslint-disable-next-line import/order
+const tracer = require('./tracer')('example-koa-client');
+const api = require('@opentelemetry/api');
+const axios = require('axios').default;
+
+function makeRequest() {
+  const span = tracer.startSpan('client.makeRequest()', {
+    parent: tracer.getCurrentSpan(),
+    kind: api.SpanKind.CLIENT,
+  });
+
+  tracer.withSpan(span, async () => {
+    try {
+      const res = await axios.get('http://localhost:8081/run_test');
+      span.setStatus({ code: api.CanonicalCode.OK });
+      console.log(res.statusText);
+    } catch (e) {
+      span.setStatus({ code: api.CanonicalCode.UNKNOWN, message: e.message });
+    }
+    span.end();
+    console.log('Sleeping 5 seconds before shutdown to ensure all records are flushed.');
+    setTimeout(() => { console.log('Completed.'); }, 5000);
+  });
+}
+
+makeRequest();
diff --git a/examples/koa/images/jaeger.jpg b/examples/koa/images/jaeger.jpg
new file mode 100644
index 0000000000..a4fd826d6a
Binary files /dev/null and b/examples/koa/images/jaeger.jpg differ
diff --git a/examples/koa/images/zipkin.jpg b/examples/koa/images/zipkin.jpg
new file mode 100644
index 0000000000..5f6fea25d4
Binary files /dev/null and b/examples/koa/images/zipkin.jpg differ
diff --git a/examples/koa/package.json b/examples/koa/package.json
new file mode 100644
index 0000000000..23a3c5197a
--- /dev/null
+++ b/examples/koa/package.json
@@ -0,0 +1,50 @@
+{
+  "name": "koa-example",
+  "private": true,
+  "version": "0.9.0",
+  "description": "Example of Koa and @koa/router integration with OpenTelemetry",
+  "main": "index.js",
+  "scripts": {
+    "zipkin:server": "cross-env EXPORTER=zipkin node ./server.js",
+    "zipkin:client": "cross-env EXPORTER=zipkin node ./client.js",
+    "jaeger:server": "cross-env EXPORTER=jaeger node ./server.js",
+    "jaeger:client": "cross-env EXPORTER=jaeger node ./client.js",
+    "lint": "eslint . --ext .js",
+    "lint:fix": "eslint . --ext .js --fix"
+  },
+  "repository": {
+    "type": "git",
+    "url": "git+ssh://git@github.com/open-telemetry/opentelemetry-js-contrib.git"
+  },
+  "keywords": [
+    "opentelemetry",
+    "koa",
+    "tracing",
+    "instrumentation"
+  ],
+  "engines": {
+    "node": ">=8"
+  },
+  "author": "OpenTelemetry Authors",
+  "license": "Apache-2.0",
+  "bugs": {
+    "url": "https://github.com/open-telemetry/opentelemetry-js-contrib/issues"
+  },
+  "dependencies": {
+    "@koa/router": "^9.3.1",
+    "@opentelemetry/api": "^0.10.2",
+    "@opentelemetry/exporter-jaeger": "^0.10.2",
+    "@opentelemetry/exporter-zipkin": "^0.10.2",
+    "@opentelemetry/node": "^0.10.2",
+    "@opentelemetry/plugin-http": "^0.10.2",
+    "@opentelemetry/koa-instrumentation": "^0.9.0",
+    "@opentelemetry/tracing": "^0.10.2",
+    "axios": "^0.19.0",
+    "koa": "^2.13.0"
+  },
+  "homepage": "https://github.com/open-telemetry/opentelemetry-js-contrib#readme",
+  "devDependencies": {
+    "cross-env": "^6.0.0",
+    "eslint": "^7.4.0"
+  }
+}
diff --git a/examples/koa/server.js b/examples/koa/server.js
new file mode 100644
index 0000000000..7bd3a1b2f1
--- /dev/null
+++ b/examples/koa/server.js
@@ -0,0 +1,69 @@
+'use strict';
+
+// eslint-disable-next-line
+const tracer = require('./tracer')('example-koa-server');
+
+// Adding Koa router (if desired)
+const router = require('@koa/router')();
+const Koa = require('koa');
+
+// Setup koa
+const app = new Koa();
+const PORT = 8081;
+
+// route definitions
+router.get('/run_test', runTest)
+  .get('/post/new', addPost)
+  .get('/post/:id', showNewPost);
+
+async function setUp() {
+  app.use(noOp);
+  app.use(router.routes());
+}
+
+/**
+ *  Router functions: list, add, or show posts
+*/
+const posts = ['post 0', 'post 1', 'post 2'];
+
+function addPost(ctx) {
+  posts.push(`post ${posts.length}`);
+  const currentSpan = tracer.getCurrentSpan();
+  currentSpan.addEvent('Added post');
+  currentSpan.setAttribute('Date', new Date());
+  ctx.body = `Added post: ${posts[posts.length - 1]}`;
+  ctx.redirect('/post/3');
+}
+
+async function showNewPost(ctx) {
+  const { id } = ctx.params;
+  console.log(`showNewPost with id: ${id}`);
+  const post = posts[id];
+  if (!post) ctx.throw(404, 'Invalid post id');
+  const syntheticDelay = 500;
+  await new Promise((r) => setTimeout(r, syntheticDelay));
+  ctx.body = post;
+}
+
+function runTest(ctx) {
+  console.log('runTest');
+  const currentSpan = tracer.getCurrentSpan();
+  const { traceId } = currentSpan.context();
+  console.log(`traceid: ${traceId}`);
+  console.log(`Jaeger URL: http://localhost:16686/trace/${traceId}`);
+  console.log(`Zipkin URL: http://localhost:9411/zipkin/traces/${traceId}`);
+  ctx.body = `All posts: ${posts}`;
+  ctx.redirect('/post/new');
+}
+
+async function noOp(ctx, next) {
+  console.log('Sample basic koa middleware');
+  const syntheticDelay = 100;
+  await new Promise((r) => setTimeout(r, syntheticDelay));
+  next();
+}
+
+setUp().then(() => {
+  app.listen(PORT);
+  console.log(`Listening on http://localhost:${PORT}`);
+});
diff --git a/examples/koa/tracer.js b/examples/koa/tracer.js
new file mode 100644
index 0000000000..fec566dd21
--- /dev/null
+++ b/examples/koa/tracer.js
@@ -0,0 +1,38 @@
+'use strict';
+
+const opentelemetry = require('@opentelemetry/api');
+const { NodeTracerProvider } = require('@opentelemetry/node');
+const { SimpleSpanProcessor } = require('@opentelemetry/tracing');
+const { JaegerExporter } = require('@opentelemetry/exporter-jaeger');
+const { ZipkinExporter } = require('@opentelemetry/exporter-zipkin');
+
+const EXPORTER = process.env.EXPORTER || '';
+
+module.exports = (serviceName) => {
+  const provider = new NodeTracerProvider({
+    plugins: {
+      koa: {
+        enabled: true,
+        path: '@opentelemetry/koa-instrumentation',
+        enhancedDatabaseReporting: true,
+      },
+      http: {
+        enabled: true,
+        path: '@opentelemetry/plugin-http',
+      },
+    },
+  });
+
+  let exporter;
+  if (EXPORTER === 'jaeger') {
+    exporter = new JaegerExporter({ serviceName });
+  } else {
+    exporter = new ZipkinExporter({ serviceName });
+  }
+  provider.addSpanProcessor(new SimpleSpanProcessor(exporter));
+
+  // Initialize the OpenTelemetry APIs to use the NodeTracerProvider bindings
+  provider.register();
+
+  return opentelemetry.trace.getTracer('koa-example');
+};
diff --git a/plugins/node/opentelemetry-koa-instrumentation/.eslintignore b/plugins/node/opentelemetry-koa-instrumentation/.eslintignore
new file mode 100644
index 0000000000..378eac25d3
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/.eslintignore
@@ -0,0 +1 @@
+build
diff --git a/plugins/node/opentelemetry-koa-instrumentation/.eslintrc.js b/plugins/node/opentelemetry-koa-instrumentation/.eslintrc.js
new file mode 100644
index 0000000000..f756f4488b
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/.eslintrc.js
@@ -0,0 +1,7 @@
+module.exports = {
+    "env": {
+        "mocha": true,
+        "node": true
+    },
+    ...require('../../../eslint.config.js')
+}
diff --git a/plugins/node/opentelemetry-koa-instrumentation/.npmignore b/plugins/node/opentelemetry-koa-instrumentation/.npmignore
new file mode 100644
index 0000000000..9505ba9450
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/.npmignore
@@ -0,0 +1,4 @@
+/bin
+/coverage
+/doc
+/test
diff --git a/plugins/node/opentelemetry-koa-instrumentation/LICENSE b/plugins/node/opentelemetry-koa-instrumentation/LICENSE
new file mode 100644
index 0000000000..261eeb9e9f
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/LICENSE
@@ -0,0 +1,201 @@
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diff --git a/plugins/node/opentelemetry-koa-instrumentation/README.md b/plugins/node/opentelemetry-koa-instrumentation/README.md
new file mode 100644
index 0000000000..e1f17a9acb
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/README.md
@@ -0,0 +1,68 @@
+# OpenTelemetry Koa Instrumentation for Node.js
+[![Gitter chat][gitter-image]][gitter-url]
+[![dependencies][dependencies-image]][dependencies-url]
+[![devDependencies][devDependencies-image]][devDependencies-url]
+[![Apache License][license-image]][license-image]
+
+This module provides automatic instrumentation for [`Koa`](https://github.com/koajs/koa).
+
+For automatic instrumentation see the
+[@opentelemetry/node](https://github.com/open-telemetry/opentelemetry-js/tree/master/packages/opentelemetry-node) package.
+
+## Installation
+
+```bash
+npm install --save @opentelemetry/koa-instrumentation
+```
+### Supported Versions
+ - Koa `^2.0.0`
+
+## Usage
+
+OpenTelemetry Koa 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 a specific instrumentation (Koa in this case), specify it in the Node Tracer's configuration.
+```js
+const { NodeTracerProvider } = require('@opentelemetry/node');
+
+const provider = new NodeTracerProvider({
+  plugins: {
+    koa: {
+      enabled: true,
+      // You may use a package name or absolute path to the file.
+      path: '@opentelemetry/koa-instrumentation',
+    }
+  }
+});
+```
+
+To load all of the [supported instrumentations](https://github.com/open-telemetry/opentelemetry-js#plugins), use below approach. Each instrumentation is only loaded when the module that it patches is loaded; in other words, there is no computational overhead for listing instrumentations for unused modules.
+```js
+const { NodeTracerProvider } = require('@opentelemetry/node');
+
+const provider = new NodeTracerProvider();
+```
+
+See [examples/koa](https://github.com/open-telemetry/opentelemetry-js-contrib/tree/master/examples/koa) for a short example using both Koa and @koa/router
+
+## Koa Packages
+
+This package provides automatic tracing for middleware added using either the core [`Koa`](https://github.com/koajs/koa) package or the [`@koa/router`](https://github.com/koajs/router) package. 
+
+## 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 on [gitter][gitter-url]
+
+## License
+
+Apache 2.0 - See [LICENSE][license-url] for more information.
+
+[gitter-image]: https://badges.gitter.im/open-telemetry/opentelemetry-js.svg
+[gitter-url]: https://gitter.im/open-telemetry/opentelemetry-node?utm_source=badge&utm_medium=badge&utm_campaign=pr-badge&utm_content=badge
+[license-url]: https://github.com/open-telemetry/opentelemetry-js-contrib/blob/master/LICENSE
+[license-image]: https://img.shields.io/badge/license-Apache_2.0-green.svg?style=flat
+[dependencies-image]: https://david-dm.org/open-telemetry/opentelemetry-js-contrib/status.svg?path=plugins/node/opentelemetry-koa-instrumentation
+[dependencies-url]: https://david-dm.org/open-telemetry/opentelemetry-js-contrib?path=plugins/node/opentelemetry-koa-instrumentation
+[devDependencies-image]: https://david-dm.org/open-telemetry/opentelemetry-js-contrib/dev-status.svg?path=plugins/node/opentelemetry-koa-instrumentation
+[devDependencies-url]: https://david-dm.org/open-telemetry/opentelemetry-js-contrib?path=plugins/node/opentelemetry-koa-instrumentation&type=dev
diff --git a/plugins/node/opentelemetry-koa-instrumentation/package.json b/plugins/node/opentelemetry-koa-instrumentation/package.json
new file mode 100644
index 0000000000..7479e38697
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/package.json
@@ -0,0 +1,74 @@
+{
+  "name": "@opentelemetry/koa-instrumentation",
+  "version": "0.9.0",
+  "description": "OpenTelemetry Koa automatic instrumentation package.",
+  "main": "build/src/index.js",
+  "types": "build/src/index.d.ts",
+  "repository": "open-telemetry/opentelemetry-js-contrib",
+  "scripts": {
+    "test": "nyc ts-mocha -p tsconfig.json 'test/**/*.ts'",
+    "codecov": "nyc report --reporter=json && codecov -f coverage/*.json -p ../../",
+    "tdd": "yarn test -- --watch-extensions ts --watch",
+    "clean": "rimraf build/*",
+    "lint": "eslint . --ext .ts",
+    "lint:fix": "eslint . --ext .ts --fix",
+    "precompile": "tsc --version",
+    "version:update": "node ../../../scripts/version-update.js",
+    "compile": "npm run version:update && tsc -p .",
+    "prepare": "npm run compile"
+  },
+  "keywords": [
+    "opentelemetry",
+    "koa",
+    "nodejs",
+    "tracing",
+    "profiling",
+    "plugin",
+    "instrumentation"
+  ],
+  "author": "OpenTelemetry Authors",
+  "license": "Apache-2.0",
+  "engines": {
+    "node": ">=8.0.0"
+  },
+  "files": [
+    "build/src/**/*.js",
+    "build/src/**/*.d.ts",
+    "doc",
+    "LICENSE",
+    "README.md"
+  ],
+  "publishConfig": {
+    "access": "public"
+  },
+  "devDependencies": {
+    "@koa/router": "^9.3.1",
+    "@opentelemetry/context-async-hooks": "0.10.2",
+    "@opentelemetry/node": "0.10.2",
+    "@opentelemetry/tracing": "0.10.2",
+    "@types/koa": "^2.11.3",
+    "@types/koa__router": "^8.0.2",
+    "@types/mocha": "7.0.2",
+    "@types/node": "12.12.47",
+    "@types/shimmer": "1.0.1",
+    "codecov": "3.7.1",
+    "eslint": "^7.6.0",
+    "eslint-plugin-header": "^3.0.0",
+    "gts": "2.0.2",
+    "koa": "^2.13.0",
+    "mocha": "7.2.0",
+    "nyc": "15.1.0",
+    "rimraf": "3.0.2",
+    "ts-mocha": "7.0.0",
+    "ts-node": "8.10.2",
+    "tslint-consistent-codestyle": "1.16.0",
+    "tslint-microsoft-contrib": "6.2.0",
+    "typescript": "3.9.6"
+  },
+  "dependencies": {
+    "@opentelemetry/api": "^0.10.2",
+    "@opentelemetry/core": "^0.10.2",
+    "@opentelemetry/semantic-conventions": "^0.10.2",
+    "shimmer": "^1.2.1"
+  }
+}
diff --git a/plugins/node/opentelemetry-koa-instrumentation/src/index.ts b/plugins/node/opentelemetry-koa-instrumentation/src/index.ts
new file mode 100644
index 0000000000..a1c84a557f
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/src/index.ts
@@ -0,0 +1,17 @@
+/*
+ * 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 './koa';
diff --git a/plugins/node/opentelemetry-koa-instrumentation/src/koa.ts b/plugins/node/opentelemetry-koa-instrumentation/src/koa.ts
new file mode 100644
index 0000000000..73fe921f76
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/src/koa.ts
@@ -0,0 +1,139 @@
+/*
+ * 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 { BasePlugin } from '@opentelemetry/core';
+import type * as koa from 'koa';
+import * as shimmer from 'shimmer';
+import {
+  KoaMiddleware,
+  KoaContext,
+  KoaComponentName,
+  kLayerPatched,
+} from './types';
+import { VERSION } from './version';
+import { getMiddlewareMetadata } from './utils';
+
+/** Koa instrumentation for OpenTelemetry */
+export class KoaInstrumentation extends BasePlugin<typeof koa> {
+  static readonly component = KoaComponentName;
+  readonly supportedVersions = ['^2.0.0'];
+
+  constructor(readonly moduleName: string) {
+    super('@opentelemetry/koa-instrumentation', VERSION);
+  }
+
+  /**
+   * Patches Koa operations by wrapping the Koa.use function
+   */
+  protected patch(): typeof koa {
+    this._logger.debug('Patching Koa');
+    if (this._moduleExports == null) {
+      return this._moduleExports;
+    }
+    this._logger.debug('Patching Koa.use');
+    shimmer.wrap(this._moduleExports.prototype, 'use', this._getKoaUsePatch);
+
+    return this._moduleExports;
+  }
+
+  /**
+   * Unpatches all Koa operations
+   */
+  protected unpatch(): void {
+    this._logger.debug('Unpatching Koa');
+    shimmer.unwrap(this._moduleExports.prototype, 'use');
+  }
+
+  /**
+   * Patches the Koa.use function in order to instrument each original
+   * middleware layer which is introduced
+   * @param {KoaMiddleware} middleware - the original middleware function
+   */
+  private _getKoaUsePatch(original: (middleware: KoaMiddleware) => koa) {
+    return function use(this: koa, middlewareFunction: KoaMiddleware) {
+      let patchedFunction: KoaMiddleware;
+      if (middlewareFunction.router) {
+        patchedFunction = plugin._patchRouterDispatch(middlewareFunction);
+      } else {
+        patchedFunction = plugin._patchLayer(middlewareFunction, false);
+      }
+      return original.apply(this, [patchedFunction]);
+    };
+  }
+
+  /**
+   * Patches the dispatch function used by @koa/router. This function
+   * goes through each routed middleware and adds instrumentation via a call
+   * to the @function _patchLayer function.
+   * @param {KoaMiddleware} dispatchLayer - the original dispatch function which dispatches
+   * routed middleware
+   */
+  private _patchRouterDispatch(dispatchLayer: KoaMiddleware): KoaMiddleware {
+    this._logger.debug('Patching @koa/router dispatch');
+
+    const router = dispatchLayer.router;
+
+    const routesStack = router?.stack ?? [];
+    for (const pathLayer of routesStack) {
+      const path = pathLayer.path;
+      const pathStack = pathLayer.stack;
+      for (let j = 0; j < pathStack.length; j++) {
+        const routedMiddleware: KoaMiddleware = pathStack[j];
+        pathStack[j] = this._patchLayer(routedMiddleware, true, path);
+      }
+    }
+
+    return dispatchLayer;
+  }
+
+  /**
+   * Patches each individual @param middlewareLayer function in order to create the
+   * span and propagate context. It does not create spans when there is no parent span.
+   * @param {KoaMiddleware} middlewareLayer - the original middleware function.
+   * @param {boolean} isRouter - tracks whether the original middleware function
+   * was dispatched by the router originally
+   * @param {string?} layerPath - if present, provides additional data from the
+   * router about the routed path which the middleware is attached to
+   */
+  private _patchLayer(
+    middlewareLayer: KoaMiddleware,
+    isRouter: boolean,
+    layerPath?: string
+  ): KoaMiddleware {
+    if (middlewareLayer[kLayerPatched] === true) return middlewareLayer;
+    middlewareLayer[kLayerPatched] = true;
+    this._logger.debug('patching Koa middleware layer');
+    return async (context: KoaContext, next: koa.Next) => {
+      if (this._tracer.getCurrentSpan() === undefined) {
+        return middlewareLayer(context, next);
+      }
+      const metadata = getMiddlewareMetadata(
+        context,
+        middlewareLayer,
+        isRouter,
+        layerPath
+      );
+      const span = this._tracer.startSpan(metadata.name, {
+        attributes: metadata.attributes,
+      });
+      const result = await middlewareLayer(context, next);
+      span.end();
+      return result;
+    };
+  }
+}
+
+export const plugin = new KoaInstrumentation(KoaComponentName);
diff --git a/plugins/node/opentelemetry-koa-instrumentation/src/types.ts b/plugins/node/opentelemetry-koa-instrumentation/src/types.ts
new file mode 100644
index 0000000000..4e3db9307c
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/src/types.ts
@@ -0,0 +1,43 @@
+/*
+ * 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 type { Middleware, ParameterizedContext, DefaultState } from 'koa';
+import type { RouterParamContext } from '@koa/router';
+import type * as Router from '@koa/router';
+
+/**
+ * This symbol is used to mark a Koa layer as being already instrumented
+ * since its possible to use a given layer multiple times (ex: middlewares)
+ */
+export const kLayerPatched: unique symbol = Symbol('koa-layer-patched');
+
+export type KoaMiddleware = Middleware<DefaultState, KoaContext> & {
+  [kLayerPatched]?: boolean;
+  router?: Router;
+};
+
+export type KoaContext = ParameterizedContext<DefaultState, RouterParamContext>;
+
+export enum AttributeNames {
+  KOA_TYPE = 'koa.type',
+  KOA_NAME = 'koa.name',
+}
+
+export enum KoaLayerType {
+  ROUTER = 'router',
+  MIDDLEWARE = 'middleware',
+}
+
+export const KoaComponentName = 'koa';
diff --git a/plugins/node/opentelemetry-koa-instrumentation/src/utils.ts b/plugins/node/opentelemetry-koa-instrumentation/src/utils.ts
new file mode 100644
index 0000000000..148cfcbec4
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/src/utils.ts
@@ -0,0 +1,52 @@
+/*
+ * 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 {
+  AttributeNames,
+  KoaContext,
+  KoaMiddleware,
+  KoaLayerType,
+} from './types';
+import { Attributes } from '@opentelemetry/api';
+import { HttpAttribute } from '@opentelemetry/semantic-conventions';
+
+export const getMiddlewareMetadata = (
+  context: KoaContext,
+  layer: KoaMiddleware,
+  isRouter: boolean,
+  layerPath?: string
+): {
+  attributes: Attributes;
+  name: string;
+} => {
+  if (isRouter) {
+    return {
+      attributes: {
+        [AttributeNames.KOA_NAME]: layerPath,
+        [AttributeNames.KOA_TYPE]: KoaLayerType.ROUTER,
+        [HttpAttribute.HTTP_ROUTE]: layerPath,
+      },
+      name: `router - ${layerPath}`,
+    };
+  } else {
+    return {
+      attributes: {
+        [AttributeNames.KOA_NAME]: layer.name ?? 'middleware',
+        [AttributeNames.KOA_TYPE]: KoaLayerType.MIDDLEWARE,
+      },
+      name: `middleware - ${layer.name}`,
+    };
+  }
+};
diff --git a/plugins/node/opentelemetry-koa-instrumentation/src/version.ts b/plugins/node/opentelemetry-koa-instrumentation/src/version.ts
new file mode 100644
index 0000000000..d42e22554c
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/src/version.ts
@@ -0,0 +1,16 @@
+/*
+ * 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 VERSION = '0.9.0';
diff --git a/plugins/node/opentelemetry-koa-instrumentation/test/koa-router.test.ts b/plugins/node/opentelemetry-koa-instrumentation/test/koa-router.test.ts
new file mode 100644
index 0000000000..0a93852cf8
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/test/koa-router.test.ts
@@ -0,0 +1,203 @@
+/*
+ * 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 } from '@opentelemetry/api';
+import { NoopLogger } from '@opentelemetry/core';
+import { NodeTracerProvider } from '@opentelemetry/node';
+import { AsyncHooksContextManager } from '@opentelemetry/context-async-hooks';
+import {
+  InMemorySpanExporter,
+  SimpleSpanProcessor,
+} from '@opentelemetry/tracing';
+import * as assert from 'assert';
+import * as koa from 'koa';
+import * as KoaRouter from '@koa/router';
+import * as http from 'http';
+import { AddressInfo } from 'net';
+import { plugin } from '../src';
+import { AttributeNames, KoaLayerType } from '../src/types';
+import { HttpAttribute } from '@opentelemetry/semantic-conventions';
+
+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);
+        });
+      });
+    });
+  },
+};
+
+describe('Koa Instrumentation - Router Tests', () => {
+  const logger = new NoopLogger();
+  const provider = new NodeTracerProvider();
+  const memoryExporter = new InMemorySpanExporter();
+  const spanProcessor = new SimpleSpanProcessor(memoryExporter);
+  provider.addSpanProcessor(spanProcessor);
+  const tracer = provider.getTracer('default');
+  let contextManager: AsyncHooksContextManager;
+  let app: koa;
+  let server: http.Server;
+  let port: number;
+
+  before(() => {
+    plugin.enable(koa, provider, logger);
+  });
+
+  beforeEach(async () => {
+    contextManager = new AsyncHooksContextManager();
+    context.setGlobalContextManager(contextManager.enable());
+
+    app = new koa();
+    server = http.createServer(app.callback());
+    await new Promise(resolve => server.listen(0, resolve));
+    port = (server.address() as AddressInfo).port;
+    assert.strictEqual(memoryExporter.getFinishedSpans().length, 0);
+  });
+
+  afterEach(() => {
+    memoryExporter.reset();
+    context.disable();
+    server.close();
+  });
+
+  describe('Instrumenting @koa/router calls', () => {
+    it('should create a child span for middlewares', async () => {
+      const rootSpan = tracer.startSpan('rootSpan');
+      app.use((ctx, next) => tracer.withSpan(rootSpan, next));
+
+      const router = new KoaRouter();
+      router.get('/post/:id', ctx => {
+        ctx.body = `Post id: ${ctx.params.id}`;
+      });
+
+      app.use(router.routes());
+
+      await tracer.withSpan(rootSpan, async () => {
+        await httpRequest.get(`http://localhost:${port}/post/0`);
+        rootSpan.end();
+
+        assert.deepStrictEqual(memoryExporter.getFinishedSpans().length, 2);
+        const requestHandlerSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name.includes('router - /post/:id'));
+        assert.notStrictEqual(requestHandlerSpan, undefined);
+
+        assert.strictEqual(
+          requestHandlerSpan?.attributes[AttributeNames.KOA_TYPE],
+          KoaLayerType.ROUTER
+        );
+
+        assert.strictEqual(
+          requestHandlerSpan?.attributes[HttpAttribute.HTTP_ROUTE],
+          '/post/:id'
+        );
+
+        const exportedRootSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name === 'rootSpan');
+        assert.notStrictEqual(exportedRootSpan, undefined);
+      });
+    });
+
+    it('should correctly instrument nested routers', async () => {
+      const rootSpan = tracer.startSpan('rootSpan');
+      app.use((ctx, next) => tracer.withSpan(rootSpan, next));
+
+      const router = new KoaRouter();
+      const nestedRouter = new KoaRouter();
+      nestedRouter.get('/post/:id', ctx => {
+        ctx.body = `Post id: ${ctx.params.id}`;
+      });
+
+      router.use('/:first', nestedRouter.routes());
+      app.use(router.routes());
+
+      await tracer.withSpan(rootSpan, async () => {
+        await httpRequest.get(`http://localhost:${port}/test/post/0`);
+        rootSpan.end();
+
+        assert.deepStrictEqual(memoryExporter.getFinishedSpans().length, 2);
+        const requestHandlerSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name.includes('router - /:first/post/:id'));
+        assert.notStrictEqual(requestHandlerSpan, undefined);
+
+        assert.strictEqual(
+          requestHandlerSpan?.attributes[AttributeNames.KOA_TYPE],
+          KoaLayerType.ROUTER
+        );
+
+        assert.strictEqual(
+          requestHandlerSpan?.attributes[HttpAttribute.HTTP_ROUTE],
+          '/:first/post/:id'
+        );
+
+        const exportedRootSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name === 'rootSpan');
+        assert.notStrictEqual(exportedRootSpan, undefined);
+      });
+    });
+
+    it('should correctly instrument prefixed routers', async () => {
+      const rootSpan = tracer.startSpan('rootSpan');
+      app.use((ctx, next) => tracer.withSpan(rootSpan, next));
+
+      const router = new KoaRouter();
+      router.get('/post/:id', ctx => {
+        ctx.body = `Post id: ${ctx.params.id}`;
+      });
+      router.prefix('/:first');
+      app.use(router.routes());
+
+      await tracer.withSpan(rootSpan, async () => {
+        await httpRequest.get(`http://localhost:${port}/test/post/0`);
+        rootSpan.end();
+
+        assert.deepStrictEqual(memoryExporter.getFinishedSpans().length, 2);
+        const requestHandlerSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name.includes('router - /:first/post/:id'));
+        assert.notStrictEqual(requestHandlerSpan, undefined);
+
+        assert.strictEqual(
+          requestHandlerSpan?.attributes[AttributeNames.KOA_TYPE],
+          KoaLayerType.ROUTER
+        );
+
+        assert.strictEqual(
+          requestHandlerSpan?.attributes[HttpAttribute.HTTP_ROUTE],
+          '/:first/post/:id'
+        );
+
+        const exportedRootSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name === 'rootSpan');
+        assert.notStrictEqual(exportedRootSpan, undefined);
+      });
+    });
+  });
+});
diff --git a/plugins/node/opentelemetry-koa-instrumentation/test/koa.test.ts b/plugins/node/opentelemetry-koa-instrumentation/test/koa.test.ts
new file mode 100644
index 0000000000..df90119227
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/test/koa.test.ts
@@ -0,0 +1,193 @@
+/*
+ * 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 } from '@opentelemetry/api';
+import { NoopLogger } from '@opentelemetry/core';
+import { NodeTracerProvider } from '@opentelemetry/node';
+import { AsyncHooksContextManager } from '@opentelemetry/context-async-hooks';
+import {
+  InMemorySpanExporter,
+  SimpleSpanProcessor,
+} from '@opentelemetry/tracing';
+import * as assert from 'assert';
+import * as koa from 'koa';
+import * as http from 'http';
+import { AddressInfo } from 'net';
+import { plugin } from '../src';
+import { AttributeNames, KoaLayerType } from '../src/types';
+
+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);
+        });
+      });
+    });
+  },
+};
+
+describe('Koa Instrumentation - Core Tests', () => {
+  const logger = new NoopLogger();
+  const provider = new NodeTracerProvider();
+  const memoryExporter = new InMemorySpanExporter();
+  const spanProcessor = new SimpleSpanProcessor(memoryExporter);
+  provider.addSpanProcessor(spanProcessor);
+  const tracer = provider.getTracer('default');
+  let contextManager: AsyncHooksContextManager;
+  let app: koa;
+  let server: http.Server;
+  let port: number;
+
+  before(() => {
+    plugin.enable(koa, provider, logger);
+  });
+
+  beforeEach(async () => {
+    contextManager = new AsyncHooksContextManager();
+    context.setGlobalContextManager(contextManager.enable());
+
+    app = new koa();
+    server = http.createServer(app.callback());
+    await new Promise(resolve => server.listen(0, resolve));
+    port = (server.address() as AddressInfo).port;
+    assert.strictEqual(memoryExporter.getFinishedSpans().length, 0);
+  });
+
+  afterEach(() => {
+    memoryExporter.reset();
+    context.disable();
+    server.close();
+  });
+
+  const simpleResponse: koa.Middleware = async (ctx, next) => {
+    ctx.body = 'test';
+    await next();
+  };
+
+  const customMiddleware: koa.Middleware = async (ctx, next) => {
+    for (let i = 0; i < 1000000; i++) {
+      continue;
+    }
+    await next();
+  };
+
+  const asyncMiddleware: koa.Middleware = async (ctx, next) => {
+    const start = Date.now();
+    await next();
+    const ms = Date.now() - start;
+    ctx.body = `${ctx.method} ${ctx.url} - ${ms}ms`;
+  };
+
+  describe('Instrumenting core middleware calls', () => {
+    it('should create a child span for middlewares', async () => {
+      const rootSpan = tracer.startSpan('rootSpan');
+      app.use((ctx, next) => tracer.withSpan(rootSpan, next));
+      app.use(customMiddleware);
+      app.use(simpleResponse);
+
+      await tracer.withSpan(rootSpan, async () => {
+        await httpRequest.get(`http://localhost:${port}`);
+        rootSpan.end();
+        assert.deepStrictEqual(memoryExporter.getFinishedSpans().length, 5);
+
+        assert.notStrictEqual(
+          memoryExporter
+            .getFinishedSpans()
+            .find(span => span.name.includes('customMiddleware')),
+          undefined
+        );
+
+        const simpleResponseSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name.includes('simpleResponse'));
+        assert.notStrictEqual(simpleResponseSpan, undefined);
+
+        const requestHandlerSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name.includes('middleware'));
+        assert.notStrictEqual(requestHandlerSpan, undefined);
+
+        assert.strictEqual(
+          requestHandlerSpan?.attributes[AttributeNames.KOA_TYPE],
+          KoaLayerType.MIDDLEWARE
+        );
+        const exportedRootSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name === 'rootSpan');
+        assert.notStrictEqual(exportedRootSpan, undefined);
+      });
+    });
+
+    it('should not create span if there is no parent span', async () => {
+      app.use(customMiddleware);
+      app.use(simpleResponse);
+
+      const res = await httpRequest.get(`http://localhost:${port}`);
+      assert.strictEqual(memoryExporter.getFinishedSpans().length, 0);
+      assert.strictEqual(res, 'test');
+    });
+
+    it('should handle async middleware functions', async () => {
+      const rootSpan = tracer.startSpan('rootSpan');
+      app.use((ctx, next) => tracer.withSpan(rootSpan, next));
+      app.use(asyncMiddleware);
+
+      await tracer.withSpan(rootSpan, async () => {
+        await httpRequest.get(`http://localhost:${port}`);
+        rootSpan.end();
+        assert.deepStrictEqual(memoryExporter.getFinishedSpans().length, 3);
+
+        const requestHandlerSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name.includes('asyncMiddleware'));
+        assert.notStrictEqual(requestHandlerSpan, undefined);
+
+        assert.strictEqual(
+          requestHandlerSpan?.attributes[AttributeNames.KOA_TYPE],
+          KoaLayerType.MIDDLEWARE
+        );
+        const exportedRootSpan = memoryExporter
+          .getFinishedSpans()
+          .find(span => span.name === 'rootSpan');
+        assert.notStrictEqual(exportedRootSpan, undefined);
+      });
+    });
+  });
+
+  describe('Disabling koa instrumentation', () => {
+    it('should not create new spans', async () => {
+      plugin.disable();
+      const rootSpan = tracer.startSpan('rootSpan');
+      app.use(customMiddleware);
+
+      await tracer.withSpan(rootSpan, async () => {
+        await httpRequest.get(`http://localhost:${port}`);
+        rootSpan.end();
+        assert.deepStrictEqual(memoryExporter.getFinishedSpans().length, 1);
+        assert.notStrictEqual(memoryExporter.getFinishedSpans()[0], undefined);
+      });
+    });
+  });
+});
diff --git a/plugins/node/opentelemetry-koa-instrumentation/tsconfig.json b/plugins/node/opentelemetry-koa-instrumentation/tsconfig.json
new file mode 100644
index 0000000000..ec22e03b9e
--- /dev/null
+++ b/plugins/node/opentelemetry-koa-instrumentation/tsconfig.json
@@ -0,0 +1,11 @@
+{
+    "extends": "../../../tsconfig.base",
+    "compilerOptions": {
+      "rootDir": ".",
+      "outDir": "build"
+    },
+    "include": [
+      "src/**/*.ts",
+      "test/**/*.ts"
+    ]
+  }