diff --git a/dev-packages/node-integration-tests/suites/tracing-new/auto-instrument/mongodb/test.ts b/dev-packages/node-integration-tests/suites/tracing-new/auto-instrument/mongodb/test.ts
index 7c65cc25df25..d2ce56f314ee 100644
--- a/dev-packages/node-integration-tests/suites/tracing-new/auto-instrument/mongodb/test.ts
+++ b/dev-packages/node-integration-tests/suites/tracing-new/auto-instrument/mongodb/test.ts
@@ -34,7 +34,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'insertOne',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.doc': '{"title":"Rick and Morty"}',
           },
           description: 'insertOne',
           op: 'db',
@@ -45,7 +44,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'findOne',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.query': '{"title":"Back to the Future"}',
           },
           description: 'findOne',
           op: 'db',
@@ -56,8 +54,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'updateOne',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.filter': '{"title":"Back to the Future"}',
-            'db.mongodb.update': '{"$set":{"title":"South Park"}}',
           },
           description: 'updateOne',
           op: 'db',
@@ -68,7 +64,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'findOne',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.query': '{"title":"South Park"}',
           },
           description: 'findOne',
           op: 'db',
@@ -79,7 +74,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'find',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.query': '{"title":"South Park"}',
           },
           description: 'find',
           op: 'db',
diff --git a/dev-packages/node-integration-tests/suites/tracing/auto-instrument/mongodb/test.ts b/dev-packages/node-integration-tests/suites/tracing/auto-instrument/mongodb/test.ts
index 7c65cc25df25..d2ce56f314ee 100644
--- a/dev-packages/node-integration-tests/suites/tracing/auto-instrument/mongodb/test.ts
+++ b/dev-packages/node-integration-tests/suites/tracing/auto-instrument/mongodb/test.ts
@@ -34,7 +34,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'insertOne',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.doc': '{"title":"Rick and Morty"}',
           },
           description: 'insertOne',
           op: 'db',
@@ -45,7 +44,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'findOne',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.query': '{"title":"Back to the Future"}',
           },
           description: 'findOne',
           op: 'db',
@@ -56,8 +54,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'updateOne',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.filter': '{"title":"Back to the Future"}',
-            'db.mongodb.update': '{"$set":{"title":"South Park"}}',
           },
           description: 'updateOne',
           op: 'db',
@@ -68,7 +64,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'findOne',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.query': '{"title":"South Park"}',
           },
           description: 'findOne',
           op: 'db',
@@ -79,7 +74,6 @@ conditionalTest({ min: 12 })('MongoDB Test', () => {
             'db.name': 'admin',
             'db.operation': 'find',
             'db.mongodb.collection': 'movies',
-            'db.mongodb.query': '{"title":"South Park"}',
           },
           description: 'find',
           op: 'db',
diff --git a/packages/tracing-internal/src/node/integrations/mongo.ts b/packages/tracing-internal/src/node/integrations/mongo.ts
index 61001b94c8cd..27646e12b6bf 100644
--- a/packages/tracing-internal/src/node/integrations/mongo.ts
+++ b/packages/tracing-internal/src/node/integrations/mongo.ts
@@ -175,15 +175,21 @@ export class Mongo implements LazyLoadedIntegration<MongoModule> {
       return function (this: unknown, ...args: unknown[]) {
         const lastArg = args[args.length - 1];
         // eslint-disable-next-line deprecation/deprecation
-        const scope = getCurrentHub().getScope();
+        const hub = getCurrentHub();
+        // eslint-disable-next-line deprecation/deprecation
+        const scope = hub.getScope();
+        // eslint-disable-next-line deprecation/deprecation
+        const client = hub.getClient();
         // eslint-disable-next-line deprecation/deprecation
         const parentSpan = scope.getSpan();
 
+        const sendDefaultPii = client?.getOptions().sendDefaultPii;
+
         // Check if the operation was passed a callback. (mapReduce requires a different check, as
         // its (non-callback) arguments can also be functions.)
         if (typeof lastArg !== 'function' || (operation === 'mapReduce' && args.length === 2)) {
           // eslint-disable-next-line deprecation/deprecation
-          const span = parentSpan?.startChild(getSpanContext(this, operation, args));
+          const span = parentSpan?.startChild(getSpanContext(this, operation, args, sendDefaultPii));
           const maybePromiseOrCursor = orig.call(this, ...args);
 
           if (isThenable(maybePromiseOrCursor)) {
@@ -232,6 +238,7 @@ export class Mongo implements LazyLoadedIntegration<MongoModule> {
     collection: MongoCollection,
     operation: Operation,
     args: unknown[],
+    sendDefaultPii: boolean | undefined = false,
   ): SpanContext {
     const data: { [key: string]: string } = {
       'db.system': 'mongodb',
@@ -254,7 +261,7 @@ export class Mongo implements LazyLoadedIntegration<MongoModule> {
       ? this._describeOperations.includes(operation)
       : this._describeOperations;
 
-    if (!signature || !shouldDescribe) {
+    if (!signature || !shouldDescribe || !sendDefaultPii) {
       return spanContext;
     }
 
diff --git a/packages/tracing/test/integrations/node/mongo.test.ts b/packages/tracing/test/integrations/node/mongo.test.ts
index e2ab62ab2e04..8caa5f35750f 100644
--- a/packages/tracing/test/integrations/node/mongo.test.ts
+++ b/packages/tracing/test/integrations/node/mongo.test.ts
@@ -50,13 +50,14 @@ describe('patchOperation()', () => {
   let scope = new Scope();
   let parentSpan: Span;
   let childSpan: Span;
+  let testClient = getTestClient({});
 
   beforeAll(() => {
     new Integrations.Mongo({
       operations: ['insertOne', 'initializeOrderedBulkOp'],
     }).setupOnce(
       () => undefined,
-      () => new Hub(undefined, scope),
+      () => new Hub(testClient, scope),
     );
   });
 
@@ -64,6 +65,7 @@ describe('patchOperation()', () => {
     scope = new Scope();
     parentSpan = new Span();
     childSpan = parentSpan.startChild();
+    testClient = getTestClient({});
     jest.spyOn(scope, 'getSpan').mockReturnValueOnce(parentSpan);
     jest.spyOn(parentSpan, 'startChild').mockReturnValueOnce(childSpan);
     jest.spyOn(childSpan, 'end');
@@ -77,7 +79,6 @@ describe('patchOperation()', () => {
           'db.mongodb.collection': 'mockedCollectionName',
           'db.name': 'mockedDbName',
           'db.operation': 'insertOne',
-          'db.mongodb.doc': JSON.stringify(doc),
           'db.system': 'mongodb',
         },
         op: 'db',
@@ -97,7 +98,25 @@ describe('patchOperation()', () => {
         'db.mongodb.collection': 'mockedCollectionName',
         'db.name': 'mockedDbName',
         'db.operation': 'insertOne',
-        'db.mongodb.doc': JSON.stringify(doc),
+        'db.system': 'mongodb',
+      },
+      op: 'db',
+      origin: 'auto.db.mongo',
+      description: 'insertOne',
+    });
+    expect(childSpan.end).toBeCalled();
+  });
+
+  it('attaches mongodb operation spans if sendDefaultPii is enabled', async () => {
+    testClient.getOptions().sendDefaultPii = true;
+    await collection.insertOne(doc, {});
+    expect(scope.getSpan).toBeCalled();
+    expect(parentSpan.startChild).toBeCalledWith({
+      data: {
+        'db.mongodb.collection': 'mockedCollectionName',
+        'db.mongodb.doc': '{"name":"PickleRick","answer":42}',
+        'db.name': 'mockedDbName',
+        'db.operation': 'insertOne',
         'db.system': 'mongodb',
       },
       op: 'db',