diff --git a/src/bson.ts b/src/bson.ts
index 924235aab..6f89776a4 100644
--- a/src/bson.ts
+++ b/src/bson.ts
@@ -15,7 +15,11 @@ import { ObjectId } from './objectid';
 import { BSONError, BSONTypeError } from './error';
 import { calculateObjectSize as internalCalculateObjectSize } from './parser/calculate_size';
 // Parts of the parser
-import { deserialize as internalDeserialize, DeserializeOptions } from './parser/deserializer';
+import {
+  deserialize as internalDeserialize,
+  DeserializeOptions,
+  DefaultDeserializeOptions
+} from './parser/deserializer';
 import { serializeInto as internalSerialize, SerializeOptions } from './parser/serializer';
 import { BSONRegExp } from './regexp';
 import { BSONSymbol } from './symbol';
@@ -77,7 +81,7 @@ export {
   TimestampOverrides
 } from './timestamp';
 export { UUIDExtended } from './uuid';
-export { SerializeOptions, DeserializeOptions };
+export { SerializeOptions, DeserializeOptions, DefaultDeserializeOptions };
 export {
   Code,
   Map,
diff --git a/src/parser/deserializer.ts b/src/parser/deserializer.ts
index 3ba054997..7e39236b1 100644
--- a/src/parser/deserializer.ts
+++ b/src/parser/deserializer.ts
@@ -1,6 +1,6 @@
 import { Buffer } from 'buffer';
 import { Binary } from '../binary';
-import type { Document } from '../bson';
+import { Document, UUID } from '../bson';
 import { Code } from '../code';
 import * as constants from '../constants';
 import { DBRef, DBRefLike, isDBRefLike } from '../db_ref';
@@ -17,6 +17,11 @@ import { BSONSymbol } from '../symbol';
 import { Timestamp } from '../timestamp';
 import { validateUtf8 } from '../validate_utf8';
 
+/** @public */
+export const DefaultDeserializeOptions = {
+  convertUUIDs: false
+};
+
 /** @public */
 export interface DeserializeOptions {
   /** evaluate functions in the BSON document scoped to the object deserialized. */
@@ -45,6 +50,8 @@ export interface DeserializeOptions {
   index?: number;
 
   raw?: boolean;
+  /** Convert Binary values of subtype 4 to UUID */
+  convertUUIDs?: boolean;
 }
 
 // Internal long versions
@@ -120,6 +127,8 @@ function deserializeObject(
   const promoteLongs = options['promoteLongs'] == null ? true : options['promoteLongs'];
   const promoteValues = options['promoteValues'] == null ? true : options['promoteValues'];
 
+  const convertUUIDs = !!(DefaultDeserializeOptions.convertUUIDs || options.convertUUIDs);
+
   // Set the start index
   const startIndex = index;
 
@@ -342,10 +351,12 @@ function deserializeObject(
             throw new BSONError('Binary type with subtype 0x02 contains too short binary size');
         }
 
-        if (promoteBuffers && promoteValues) {
-          value = buffer.slice(index, index + binarySize);
-        } else {
-          value = new Binary(buffer.slice(index, index + binarySize), subType);
+        value = buffer.slice(index, index + binarySize);
+
+        if (convertUUIDs && subType === Binary.SUBTYPE_UUID) {
+          value = new UUID(value);
+        } else if (!(promoteBuffers && promoteValues)) {
+          value = new Binary(value, subType);
         }
       } else {
         const _buffer = Buffer.alloc(binarySize);
diff --git a/src/parser/serializer.ts b/src/parser/serializer.ts
index db9e015a1..2967994eb 100644
--- a/src/parser/serializer.ts
+++ b/src/parser/serializer.ts
@@ -841,6 +841,8 @@ export function serializeInto(
         index = serializeInt32(buffer, key, value, index, true);
       } else if (value['_bsontype'] === 'MinKey' || value['_bsontype'] === 'MaxKey') {
         index = serializeMinMax(buffer, key, value, index, true);
+      } else if (value['_bsontype'] === 'UUID') {
+        index = serializeBinary(buffer, key, value.toBinary(), index);
       } else if (typeof value['_bsontype'] !== 'undefined') {
         throw new BSONTypeError('Unrecognized or invalid _bsontype: ' + value['_bsontype']);
       }
@@ -942,6 +944,8 @@ export function serializeInto(
         index = serializeInt32(buffer, key, value, index);
       } else if (value['_bsontype'] === 'MinKey' || value['_bsontype'] === 'MaxKey') {
         index = serializeMinMax(buffer, key, value, index);
+      } else if (value['_bsontype'] === 'UUID') {
+        index = serializeBinary(buffer, key, value.toBinary(), index);
       } else if (typeof value['_bsontype'] !== 'undefined') {
         throw new BSONTypeError('Unrecognized or invalid _bsontype: ' + value['_bsontype']);
       }
@@ -1048,6 +1052,8 @@ export function serializeInto(
         index = serializeInt32(buffer, key, value, index);
       } else if (value['_bsontype'] === 'MinKey' || value['_bsontype'] === 'MaxKey') {
         index = serializeMinMax(buffer, key, value, index);
+      } else if (value['_bsontype'] === 'UUID') {
+        index = serializeBinary(buffer, key, value.toBinary(), index);
       } else if (typeof value['_bsontype'] !== 'undefined') {
         throw new BSONTypeError('Unrecognized or invalid _bsontype: ' + value['_bsontype']);
       }
diff --git a/test/node/uuid_tests.js b/test/node/uuid_tests.js
index 6598abbe7..ab608152c 100644
--- a/test/node/uuid_tests.js
+++ b/test/node/uuid_tests.js
@@ -1,9 +1,16 @@
 'use strict';
 
 const { Buffer } = require('buffer');
-const { Binary, UUID } = require('../register-bson');
+const {
+  Binary,
+  UUID,
+  serialize,
+  deserialize,
+  DefaultDeserializeOptions
+} = require('../register-bson');
 const { inspect } = require('util');
 const { validate: uuidStringValidate, version: uuidStringVersion } = require('uuid');
+const { afterEach } = require('mocha');
 
 // Test values
 const UPPERCASE_DASH_SEPARATED_UUID_STRING = 'AAAAAAAA-AAAA-4AAA-AAAA-AAAAAAAAAAAA';
@@ -160,4 +167,46 @@ describe('UUID', () => {
     const uuid = new UUID(UPPERCASE_DASH_SEPARATED_UUID_STRING);
     expect(inspect(uuid)).to.equal(`new UUID("${LOWERCASE_DASH_SEPARATED_UUID_STRING}")`);
   });
+
+  describe('when (de)serializing', () => {
+    describe('without specifying any `convertUUIDs` option', () => {
+      it('should (de)serialize as Binary/4', () => {
+        const uuidString = 'bd2d74fe-bad8-430c-aeac-b01d073a1eb6';
+
+        const { value } = deserialize(serialize({ value: new UUID(uuidString) }));
+        expect(value).to.be.instanceOf(Binary);
+        expect(value.toUUID().toHexString()).to.equal(uuidString);
+      });
+    });
+
+    describe('with DeserializationOptions.convertUUIDs set', () => {
+      it('should (de)serialize as actual UUID', () => {
+        const uuidString = 'bd2d74fe-bad8-430c-aeac-b01d073a1eb6';
+
+        const { value } = deserialize(serialize({ value: new UUID(uuidString) }), {
+          convertUUIDs: true
+        });
+        expect(value).to.be.instanceOf(UUID);
+        expect(value.toHexString()).to.equal(uuidString);
+      });
+    });
+
+    describe('with `DefaultDeserializationOption.convertUUIDs` set', () => {
+      beforeEach(() => {
+        DefaultDeserializeOptions.convertUUIDs = true;
+      });
+
+      afterEach(() => {
+        DefaultDeserializeOptions.convertUUIDs = false;
+      });
+
+      it('should (de)serialize as actual UUID', () => {
+        const uuidString = 'bd2d74fe-bad8-430c-aeac-b01d073a1eb6';
+
+        const { value } = deserialize(serialize({ value: new UUID(uuidString) }));
+        expect(value).to.be.instanceOf(UUID);
+        expect(value.toHexString()).to.equal(uuidString);
+      });
+    });
+  });
 });