diff --git a/README.md b/README.md
index b931df6..8be588d 100644
--- a/README.md
+++ b/README.md
@@ -429,6 +429,7 @@ Parameters description:
 - `opentelemetry_instrumentors` - a list of extra instrumentors.
 - `opentelemetry_exclude_urls` - list of ignored urls.
 - `opentelemetry_log_traces` - traces will be logged to stdout.
+- `opentelemetry_generate_health_check_spans` - generate spans for health check handlers if `True`
 
 These settings are subsequently passed to [opentelemetry](https://opentelemetry.io/), finalizing your Opentelemetry integration.
 
diff --git a/microbootstrap/instruments/opentelemetry_instrument.py b/microbootstrap/instruments/opentelemetry_instrument.py
index ca93f3c..962d1bd 100644
--- a/microbootstrap/instruments/opentelemetry_instrument.py
+++ b/microbootstrap/instruments/opentelemetry_instrument.py
@@ -66,6 +66,7 @@ class OpentelemetryConfig(BaseInstrumentConfig):
         ],
     )
     opentelemetry_log_traces: bool = False
+    opentelemetry_generate_health_check_spans: bool = True
 
 
 @typing.runtime_checkable
@@ -169,7 +170,11 @@ def bootstrap(self) -> None:
 class OpentelemetryInstrument(BaseOpentelemetryInstrument[OpentelemetryConfig]):
     def define_exclude_urls(self) -> list[str]:
         exclude_urls = [*self.instrument_config.opentelemetry_exclude_urls]
-        if self.instrument_config.health_checks_path and self.instrument_config.health_checks_path not in exclude_urls:
+        if (
+            not self.instrument_config.opentelemetry_generate_health_check_spans
+            and self.instrument_config.health_checks_path
+            and self.instrument_config.health_checks_path not in exclude_urls
+        ):
             exclude_urls.append(self.instrument_config.health_checks_path)
         return exclude_urls
 
diff --git a/tests/conftest.py b/tests/conftest.py
index 630fd56..79aeb97 100644
--- a/tests/conftest.py
+++ b/tests/conftest.py
@@ -102,6 +102,7 @@ def minimal_opentelemetry_config() -> OpentelemetryConfig:
         opentelemetry_endpoint="/my-engdpoint",
         opentelemetry_namespace="namespace",
         opentelemetry_container_name="container-name",
+        opentelemetry_generate_health_check_spans=False,
     )