diff --git a/ext/opentelemetry-ext-pymongo/README.rst b/ext/opentelemetry-ext-pymongo/README.rst
new file mode 100644
index 00000000000..1e8011f4c22
--- /dev/null
+++ b/ext/opentelemetry-ext-pymongo/README.rst
@@ -0,0 +1,27 @@
+OpenTelemetry pymongo integration
+=================================
+
+The integration with MongoDB supports the `pymongo`_ library and is specified
+to ``trace_integration`` using ``'pymongo'``.
+
+.. _pymongo: https://pypi.org/project/pymongo
+
+Usage
+-----
+
+.. code:: python
+
+    from pymongo import MongoClient
+    from opentelemetry.trace import tracer
+    from opentelemetry.trace.ext.pymongo import trace_integration
+
+    trace_integration(tracer())
+    client = MongoClient()
+    db = client["MongoDB_Database"]
+    collection = db["MongoDB_Collection"]
+    collection.find_one()
+
+References
+----------
+
+* `OpenTelemetry Project <https://opentelemetry.io/>`_
diff --git a/ext/opentelemetry-ext-pymongo/setup.cfg b/ext/opentelemetry-ext-pymongo/setup.cfg
new file mode 100644
index 00000000000..f9362c75b35
--- /dev/null
+++ b/ext/opentelemetry-ext-pymongo/setup.cfg
@@ -0,0 +1,46 @@
+# Copyright 2019, 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
+#
+#     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.
+#
+[metadata]
+name = opentelemetry-ext-pymongo
+description = OpenTelemetry pymongo integration
+long_description = file: README.rst
+long_description_content_type = text/x-rst
+author = OpenTelemetry Authors
+author_email = cncf-opentelemetry-contributors@lists.cncf.io
+url = https://github.com/open-telemetry/opentelemetry-python/ext/opentelemetry-ext-pymongo
+platforms = any
+license = Apache-2.0
+classifiers =
+    Development Status :: 3 - Alpha
+    Intended Audience :: Developers
+    License :: OSI Approved :: Apache Software License
+    Programming Language :: Python
+    Programming Language :: Python :: 3
+    Programming Language :: Python :: 3.4
+    Programming Language :: Python :: 3.5
+    Programming Language :: Python :: 3.6
+    Programming Language :: Python :: 3.7
+
+[options]
+python_requires = >=3.4
+package_dir=
+    =src
+packages=find_namespace:
+install_requires =
+    opentelemetry-api >= 0.3.dev0
+    pymongo ~= 3.1
+
+[options.packages.find]
+where = src
diff --git a/ext/opentelemetry-ext-pymongo/setup.py b/ext/opentelemetry-ext-pymongo/setup.py
new file mode 100644
index 00000000000..ed63ddf42da
--- /dev/null
+++ b/ext/opentelemetry-ext-pymongo/setup.py
@@ -0,0 +1,26 @@
+# Copyright 2019, 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
+#
+#     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.
+import os
+
+import setuptools
+
+BASE_DIR = os.path.dirname(__file__)
+VERSION_FILENAME = os.path.join(
+    BASE_DIR, "src", "opentelemetry", "ext", "pymongo", "version.py"
+)
+PACKAGE_INFO = {}
+with open(VERSION_FILENAME) as f:
+    exec(f.read(), PACKAGE_INFO)
+
+setuptools.setup(version=PACKAGE_INFO["__version__"])
diff --git a/ext/opentelemetry-ext-pymongo/src/opentelemetry/ext/pymongo/__init__.py b/ext/opentelemetry-ext-pymongo/src/opentelemetry/ext/pymongo/__init__.py
new file mode 100644
index 00000000000..fa1cc1583e1
--- /dev/null
+++ b/ext/opentelemetry-ext-pymongo/src/opentelemetry/ext/pymongo/__init__.py
@@ -0,0 +1,109 @@
+# Copyright 2019, 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
+#
+#     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.
+
+"""
+The opentelemetry-ext-pymongo package allows tracing commands made by the
+pymongo library.
+"""
+
+from pymongo import monitoring
+
+from opentelemetry.trace import SpanKind
+from opentelemetry.trace.status import Status, StatusCanonicalCode
+
+DATABASE_TYPE = "mongodb"
+COMMAND_ATTRIBUTES = ["filter", "sort", "skip", "limit", "pipeline"]
+
+
+def trace_integration(tracer=None):
+    """Integrate with pymongo to trace it using event listener.
+       https://api.mongodb.com/python/current/api/pymongo/monitoring.html
+    """
+
+    monitoring.register(CommandTracer(tracer))
+
+
+class CommandTracer(monitoring.CommandListener):
+    def __init__(self, tracer):
+        if tracer is None:
+            raise ValueError("The tracer is not provided.")
+        self._tracer = tracer
+        self._span_dict = {}
+
+    def started(self, event: monitoring.CommandStartedEvent):
+        command = event.command.get(event.command_name, "")
+        name = DATABASE_TYPE + "." + event.command_name
+        statement = event.command_name
+        if command:
+            name += "." + command
+            statement += " " + command
+
+        try:
+            span = self._tracer.start_span(name, kind=SpanKind.CLIENT)
+            span.set_attribute("component", DATABASE_TYPE)
+            span.set_attribute("db.type", DATABASE_TYPE)
+            span.set_attribute("db.instance", event.database_name)
+            span.set_attribute("db.statement", statement)
+            if event.connection_id is not None:
+                span.set_attribute("peer.hostname", event.connection_id[0])
+                span.set_attribute("peer.port", event.connection_id[1])
+
+            # pymongo specific, not specified by spec
+            span.set_attribute("db.mongo.operation_id", event.operation_id)
+            span.set_attribute("db.mongo.request_id", event.request_id)
+
+            for attr in COMMAND_ATTRIBUTES:
+                _attr = event.command.get(attr)
+                if _attr is not None:
+                    span.set_attribute("db.mongo." + attr, str(_attr))
+
+            # Add Span to dictionary
+            self._span_dict[_get_span_dict_key(event)] = span
+        except Exception as ex:  # noqa pylint: disable=broad-except
+            if span is not None:
+                span.set_status(Status(StatusCanonicalCode.INTERNAL, str(ex)))
+                span.end()
+                self._remove_span(event)
+
+    def succeeded(self, event: monitoring.CommandSucceededEvent):
+        span = self._get_span(event)
+        if span is not None:
+            span.set_attribute(
+                "db.mongo.duration_micros", event.duration_micros
+            )
+            span.set_status(Status(StatusCanonicalCode.OK, event.reply))
+            span.end()
+            self._remove_span(event)
+
+    def failed(self, event: monitoring.CommandFailedEvent):
+        span = self._get_span(event)
+        if span is not None:
+            span.set_attribute(
+                "db.mongo.duration_micros", event.duration_micros
+            )
+            span.set_status(Status(StatusCanonicalCode.UNKNOWN, event.failure))
+            span.end()
+            self._remove_span(event)
+
+    def _get_span(self, event):
+        return self._span_dict.get(_get_span_dict_key(event))
+
+    def _remove_span(self, event):
+        self._span_dict.pop(_get_span_dict_key(event))
+
+
+def _get_span_dict_key(event):
+    if event.connection_id is not None:
+        return (event.request_id, event.connection_id)
+    return event.request_id
diff --git a/ext/opentelemetry-ext-pymongo/src/opentelemetry/ext/pymongo/version.py b/ext/opentelemetry-ext-pymongo/src/opentelemetry/ext/pymongo/version.py
new file mode 100644
index 00000000000..93ef792d051
--- /dev/null
+++ b/ext/opentelemetry-ext-pymongo/src/opentelemetry/ext/pymongo/version.py
@@ -0,0 +1,15 @@
+# Copyright 2019, 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
+#
+#     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.
+
+__version__ = "0.3.dev0"
diff --git a/ext/opentelemetry-ext-pymongo/tests/__init__.py b/ext/opentelemetry-ext-pymongo/tests/__init__.py
new file mode 100644
index 00000000000..e69de29bb2d
diff --git a/ext/opentelemetry-ext-pymongo/tests/test_pymongo_integration.py b/ext/opentelemetry-ext-pymongo/tests/test_pymongo_integration.py
new file mode 100644
index 00000000000..95f0ae3413a
--- /dev/null
+++ b/ext/opentelemetry-ext-pymongo/tests/test_pymongo_integration.py
@@ -0,0 +1,187 @@
+# Copyright 2019, 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
+#
+#     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.
+
+import unittest
+from unittest import mock
+
+from opentelemetry import trace as trace_api
+from opentelemetry.ext.pymongo import CommandTracer, trace_integration
+from opentelemetry.util import time_ns
+
+
+class TestPymongoIntegration(unittest.TestCase):
+    def test_trace_integration(self):
+        mock_register = mock.Mock()
+        patch = mock.patch(
+            "pymongo.monitoring.register", side_effect=mock_register
+        )
+        mock_tracer = MockTracer()
+        with patch:
+            trace_integration(mock_tracer)
+
+        self.assertTrue(mock_register.called)
+
+    def test_started(self):
+        command_attrs = {
+            "filter": "filter",
+            "sort": "sort",
+            "limit": "limit",
+            "pipeline": "pipeline",
+            "command_name": "find",
+        }
+        mock_tracer = MockTracer()
+        command_tracer = CommandTracer(mock_tracer)
+        mock_event = MockEvent(
+            command_attrs, ("test.com", "1234"), "test_request_id"
+        )
+        command_tracer.started(event=mock_event)
+        # pylint: disable=protected-access
+        span = command_tracer._get_span(mock_event)
+        self.assertIs(span.kind, trace_api.SpanKind.CLIENT)
+        self.assertEqual(span.name, "mongodb.command_name.find")
+        self.assertEqual(span.attributes["component"], "mongodb")
+        self.assertEqual(span.attributes["db.type"], "mongodb")
+        self.assertEqual(span.attributes["db.instance"], "database_name")
+        self.assertEqual(span.attributes["db.statement"], "command_name find")
+        self.assertEqual(span.attributes["peer.hostname"], "test.com")
+        self.assertEqual(span.attributes["peer.port"], "1234")
+        self.assertEqual(
+            span.attributes["db.mongo.operation_id"], "operation_id"
+        )
+        self.assertEqual(
+            span.attributes["db.mongo.request_id"], "test_request_id"
+        )
+
+        self.assertEqual(span.attributes["db.mongo.filter"], "filter")
+        self.assertEqual(span.attributes["db.mongo.sort"], "sort")
+        self.assertEqual(span.attributes["db.mongo.limit"], "limit")
+        self.assertEqual(span.attributes["db.mongo.pipeline"], "pipeline")
+
+    def test_succeeded(self):
+        mock_tracer = MockTracer()
+        mock_event = MockEvent({})
+        command_tracer = CommandTracer(mock_tracer)
+        command_tracer.started(event=mock_event)
+        # pylint: disable=protected-access
+        span = command_tracer._get_span(mock_event)
+        command_tracer.succeeded(event=mock_event)
+        self.assertEqual(
+            span.attributes["db.mongo.duration_micros"], "duration_micros"
+        )
+        self.assertIs(
+            span.status.canonical_code, trace_api.status.StatusCanonicalCode.OK
+        )
+        self.assertEqual(span.status.description, "reply")
+        self.assertIsNotNone(span.end_time)
+
+    def test_failed(self):
+        mock_tracer = MockTracer()
+        mock_event = MockEvent({})
+        command_tracer = CommandTracer(mock_tracer)
+        command_tracer.started(event=mock_event)
+        # pylint: disable=protected-access
+        span = command_tracer._get_span(mock_event)
+        command_tracer.failed(event=mock_event)
+        self.assertEqual(
+            span.attributes["db.mongo.duration_micros"], "duration_micros"
+        )
+        self.assertIs(
+            span.status.canonical_code,
+            trace_api.status.StatusCanonicalCode.UNKNOWN,
+        )
+        self.assertEqual(span.status.description, "failure")
+        self.assertIsNotNone(span.end_time)
+
+    def test_multiple_commands(self):
+        mock_tracer = MockTracer()
+        first_mock_event = MockEvent({}, ("firstUrl", "123"), "first")
+        second_mock_event = MockEvent({}, ("secondUrl", "456"), "second")
+        command_tracer = CommandTracer(mock_tracer)
+        command_tracer.started(event=first_mock_event)
+        # pylint: disable=protected-access
+        first_span = command_tracer._get_span(first_mock_event)
+        command_tracer.started(event=second_mock_event)
+        # pylint: disable=protected-access
+        second_span = command_tracer._get_span(second_mock_event)
+        command_tracer.succeeded(event=first_mock_event)
+        command_tracer.failed(event=second_mock_event)
+
+        self.assertEqual(first_span.attributes["db.mongo.request_id"], "first")
+        self.assertIs(
+            first_span.status.canonical_code,
+            trace_api.status.StatusCanonicalCode.OK,
+        )
+        self.assertEqual(
+            second_span.attributes["db.mongo.request_id"], "second"
+        )
+        self.assertIs(
+            second_span.status.canonical_code,
+            trace_api.status.StatusCanonicalCode.UNKNOWN,
+        )
+
+
+class MockCommand:
+    def __init__(self, command_attrs):
+        self.command_attrs = command_attrs
+
+    def get(self, key, default=""):
+        return self.command_attrs.get(key, default)
+
+
+class MockEvent:
+    def __init__(self, command_attrs, connection_id=None, request_id=""):
+        self.command = MockCommand(command_attrs)
+        self.connection_id = connection_id
+        self.request_id = request_id
+
+    def __getattr__(self, item):
+        return item
+
+
+class MockSpan:
+    def __enter__(self):
+        return self
+
+    def __exit__(self, exc_type, exc_val, exc_tb):
+        return False
+
+    def __init__(self):
+        self.status = None
+        self.name = ""
+        self.kind = trace_api.SpanKind.INTERNAL
+        self.attributes = None
+        self.end_time = None
+
+    def set_attribute(self, key, value):
+        self.attributes[key] = value
+
+    def set_status(self, status):
+        self.status = status
+
+    def end(self, end_time=None):
+        self.end_time = end_time if end_time is not None else time_ns()
+
+
+class MockTracer:
+    def __init__(self):
+        self.end_span = mock.Mock()
+
+    # pylint: disable=no-self-use
+    def start_span(self, name, kind):
+        span = MockSpan()
+        span.attributes = {}
+        span.status = None
+        span.name = name
+        span.kind = kind
+        return span
diff --git a/tox.ini b/tox.ini
index 70afcb120ca..600d6b86c5f 100644
--- a/tox.ini
+++ b/tox.ini
@@ -2,8 +2,8 @@
 skipsdist = True
 skip_missing_interpreters = True
 envlist =
-    py3{4,5,6,7,8}-test-{api,sdk,example-app,ext-wsgi,ext-http-requests,ext-jaeger,opentracing-shim}
-    pypy3-test-{api,sdk,example-app,ext-wsgi,ext-http-requests,ext-jaeger,opentracing-shim}
+    py3{4,5,6,7,8}-test-{api,sdk,example-app,ext-wsgi,ext-http-requests,ext-jaeger,ext-pymongo,opentracing-shim}
+    pypy3-test-{api,sdk,example-app,ext-wsgi,ext-http-requests,ext-jaeger,ext-pymongo,opentracing-shim}
     py3{4,5,6,7,8}-coverage
 
     ; Coverage is temporarily disabled for pypy3 due to the pytest bug.
@@ -32,6 +32,7 @@ changedir =
   test-sdk: opentelemetry-sdk/tests
   test-ext-http-requests: ext/opentelemetry-ext-http-requests/tests
   test-ext-jaeger: ext/opentelemetry-ext-jaeger/tests
+  test-ext-pymongo: ext/opentelemetry-ext-pymongo/tests
   test-ext-wsgi: ext/opentelemetry-ext-wsgi/tests
   test-example-app: examples/opentelemetry-example-app/tests
   test-opentracing-shim: ext/opentelemetry-ext-opentracing-shim/tests
@@ -47,6 +48,7 @@ commands_pre =
   example-app: pip install {toxinidir}/examples/opentelemetry-example-app
   ext: pip install {toxinidir}/opentelemetry-api
   wsgi: pip install {toxinidir}/ext/opentelemetry-ext-wsgi
+  pymongo: pip install {toxinidir}/ext/opentelemetry-ext-pymongo
   http-requests: pip install {toxinidir}/ext/opentelemetry-ext-http-requests
   jaeger: pip install {toxinidir}/opentelemetry-sdk
   jaeger: pip install {toxinidir}/ext/opentelemetry-ext-jaeger
@@ -94,6 +96,7 @@ commands_pre =
   pip install -e {toxinidir}/ext/opentelemetry-ext-azure-monitor
   pip install -e {toxinidir}/ext/opentelemetry-ext-http-requests
   pip install -e {toxinidir}/ext/opentelemetry-ext-jaeger
+  pip install -e {toxinidir}/ext/opentelemetry-ext-pymongo
   pip install -e {toxinidir}/ext/opentelemetry-ext-wsgi
   pip install -e {toxinidir}/examples/opentelemetry-example-app
   pip install -e {toxinidir}/ext/opentelemetry-ext-opentracing-shim
@@ -115,6 +118,8 @@ commands =
          ext/opentelemetry-ext-jaeger/tests/ \
          ext/opentelemetry-ext-opentracing-shim/src/ \
          ext/opentelemetry-ext-opentracing-shim/tests/ \
+         ext/opentelemetry-ext-pymongo/src/opentelemetry  \
+         ext/opentelemetry-ext-pymongo/tests/ \
          ext/opentelemetry-ext-wsgi/tests/ \
          examples/opentelemetry-example-app/src/opentelemetry_example_app/ \
          examples/opentelemetry-example-app/tests/