diff --git a/src/OpenTelemetry.Instrumentation.SqlClient/.publicApi/net462/PublicAPI.Unshipped.txt b/src/OpenTelemetry.Instrumentation.SqlClient/.publicApi/net462/PublicAPI.Unshipped.txt
index 4958bb839fd..ee167e8afff 100644
--- a/src/OpenTelemetry.Instrumentation.SqlClient/.publicApi/net462/PublicAPI.Unshipped.txt
+++ b/src/OpenTelemetry.Instrumentation.SqlClient/.publicApi/net462/PublicAPI.Unshipped.txt
@@ -13,4 +13,6 @@ OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions.SetDbSta
 OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions.SetDbStatementForText.set -> void
 OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions.SqlClientInstrumentationOptions() -> void
 OpenTelemetry.Trace.TracerProviderBuilderExtensions
-static OpenTelemetry.Trace.TracerProviderBuilderExtensions.AddSqlClientInstrumentation(this OpenTelemetry.Trace.TracerProviderBuilder builder, System.Action<OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions = null) -> OpenTelemetry.Trace.TracerProviderBuilder
+static OpenTelemetry.Trace.TracerProviderBuilderExtensions.AddSqlClientInstrumentation(this OpenTelemetry.Trace.TracerProviderBuilder builder) -> OpenTelemetry.Trace.TracerProviderBuilder
+static OpenTelemetry.Trace.TracerProviderBuilderExtensions.AddSqlClientInstrumentation(this OpenTelemetry.Trace.TracerProviderBuilder builder, string name, System.Action<OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions) -> OpenTelemetry.Trace.TracerProviderBuilder
+static OpenTelemetry.Trace.TracerProviderBuilderExtensions.AddSqlClientInstrumentation(this OpenTelemetry.Trace.TracerProviderBuilder builder, System.Action<OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions) -> OpenTelemetry.Trace.TracerProviderBuilder
diff --git a/src/OpenTelemetry.Instrumentation.SqlClient/.publicApi/netstandard2.0/PublicAPI.Unshipped.txt b/src/OpenTelemetry.Instrumentation.SqlClient/.publicApi/netstandard2.0/PublicAPI.Unshipped.txt
index 4958bb839fd..ee167e8afff 100644
--- a/src/OpenTelemetry.Instrumentation.SqlClient/.publicApi/netstandard2.0/PublicAPI.Unshipped.txt
+++ b/src/OpenTelemetry.Instrumentation.SqlClient/.publicApi/netstandard2.0/PublicAPI.Unshipped.txt
@@ -13,4 +13,6 @@ OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions.SetDbSta
 OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions.SetDbStatementForText.set -> void
 OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions.SqlClientInstrumentationOptions() -> void
 OpenTelemetry.Trace.TracerProviderBuilderExtensions
-static OpenTelemetry.Trace.TracerProviderBuilderExtensions.AddSqlClientInstrumentation(this OpenTelemetry.Trace.TracerProviderBuilder builder, System.Action<OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions = null) -> OpenTelemetry.Trace.TracerProviderBuilder
+static OpenTelemetry.Trace.TracerProviderBuilderExtensions.AddSqlClientInstrumentation(this OpenTelemetry.Trace.TracerProviderBuilder builder) -> OpenTelemetry.Trace.TracerProviderBuilder
+static OpenTelemetry.Trace.TracerProviderBuilderExtensions.AddSqlClientInstrumentation(this OpenTelemetry.Trace.TracerProviderBuilder builder, string name, System.Action<OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions) -> OpenTelemetry.Trace.TracerProviderBuilder
+static OpenTelemetry.Trace.TracerProviderBuilderExtensions.AddSqlClientInstrumentation(this OpenTelemetry.Trace.TracerProviderBuilder builder, System.Action<OpenTelemetry.Instrumentation.SqlClient.SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions) -> OpenTelemetry.Trace.TracerProviderBuilder
diff --git a/src/OpenTelemetry.Instrumentation.SqlClient/CHANGELOG.md b/src/OpenTelemetry.Instrumentation.SqlClient/CHANGELOG.md
index aa7938f49d3..fe76f55e8b6 100644
--- a/src/OpenTelemetry.Instrumentation.SqlClient/CHANGELOG.md
+++ b/src/OpenTelemetry.Instrumentation.SqlClient/CHANGELOG.md
@@ -10,6 +10,11 @@
   Framework.
   ([#3900](https://github.com/open-telemetry/opentelemetry-dotnet/pull/3900))
 
+* Added overloads which accept a name to the `TracerProviderBuilder`
+  `AddSqlClientInstrumentation` extension to allow for more fine-grained options
+  management
+  ([#3994](https://github.com/open-telemetry/opentelemetry-dotnet/pull/3994))
+
 ## 1.0.0-rc9.9
 
 Released 2022-Nov-07
diff --git a/src/OpenTelemetry.Instrumentation.SqlClient/OpenTelemetry.Instrumentation.SqlClient.csproj b/src/OpenTelemetry.Instrumentation.SqlClient/OpenTelemetry.Instrumentation.SqlClient.csproj
index d800a38d9c9..e2d22fad28e 100644
--- a/src/OpenTelemetry.Instrumentation.SqlClient/OpenTelemetry.Instrumentation.SqlClient.csproj
+++ b/src/OpenTelemetry.Instrumentation.SqlClient/OpenTelemetry.Instrumentation.SqlClient.csproj
@@ -16,7 +16,11 @@
   </ItemGroup>
 
   <ItemGroup>
-    <ProjectReference Include="$(RepoRoot)\src\OpenTelemetry.Api\OpenTelemetry.Api.csproj" />
+    <ProjectReference Include="$(RepoRoot)\src\OpenTelemetry.Extensions.DependencyInjection\OpenTelemetry.Extensions.DependencyInjection.csproj" />
+  </ItemGroup>
+
+  <ItemGroup>
+    <PackageReference Include="Microsoft.Extensions.Options" Version="$(MicrosoftExtensionsOptionsPkgVer)" />
   </ItemGroup>
 
 </Project>
diff --git a/src/OpenTelemetry.Instrumentation.SqlClient/TracerProviderBuilderExtensions.cs b/src/OpenTelemetry.Instrumentation.SqlClient/TracerProviderBuilderExtensions.cs
index 2279e97f5fc..5435dd8c1c1 100644
--- a/src/OpenTelemetry.Instrumentation.SqlClient/TracerProviderBuilderExtensions.cs
+++ b/src/OpenTelemetry.Instrumentation.SqlClient/TracerProviderBuilderExtensions.cs
@@ -14,6 +14,8 @@
 // limitations under the License.
 // </copyright>
 
+using Microsoft.Extensions.DependencyInjection;
+using Microsoft.Extensions.Options;
 using OpenTelemetry.Instrumentation.SqlClient;
 using OpenTelemetry.Instrumentation.SqlClient.Implementation;
 using OpenTelemetry.Internal;
@@ -29,18 +31,49 @@ public static class TracerProviderBuilderExtensions
         /// Enables SqlClient instrumentation.
         /// </summary>
         /// <param name="builder"><see cref="TracerProviderBuilder"/> being configured.</param>
-        /// <param name="configureSqlClientInstrumentationOptions">SqlClient configuration options.</param>
+        /// <returns>The instance of <see cref="TracerProviderBuilder"/> to chain the calls.</returns>
+        public static TracerProviderBuilder AddSqlClientInstrumentation(this TracerProviderBuilder builder)
+            => AddSqlClientInstrumentation(builder, name: null, configureSqlClientInstrumentationOptions: null);
+
+        /// <summary>
+        /// Enables SqlClient instrumentation.
+        /// </summary>
+        /// <param name="builder"><see cref="TracerProviderBuilder"/> being configured.</param>
+        /// <param name="configureSqlClientInstrumentationOptions">Callback action for configuring <see cref="SqlClientInstrumentationOptions"/>.</param>
         /// <returns>The instance of <see cref="TracerProviderBuilder"/> to chain the calls.</returns>
         public static TracerProviderBuilder AddSqlClientInstrumentation(
             this TracerProviderBuilder builder,
-            Action<SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions = null)
+            Action<SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions)
+            => AddSqlClientInstrumentation(builder, name: null, configureSqlClientInstrumentationOptions);
+
+        /// <summary>
+        /// Enables SqlClient instrumentation.
+        /// </summary>
+        /// <param name="builder"><see cref="TracerProviderBuilder"/> being configured.</param>
+        /// <param name="name">Name which is used when retrieving options.</param>
+        /// <param name="configureSqlClientInstrumentationOptions">Callback action for configuring <see cref="SqlClientInstrumentationOptions"/>.</param>
+        /// <returns>The instance of <see cref="TracerProviderBuilder"/> to chain the calls.</returns>
+        public static TracerProviderBuilder AddSqlClientInstrumentation(
+            this TracerProviderBuilder builder,
+            string name,
+            Action<SqlClientInstrumentationOptions> configureSqlClientInstrumentationOptions)
         {
             Guard.ThrowIfNull(builder);
 
-            var sqlOptions = new SqlClientInstrumentationOptions();
-            configureSqlClientInstrumentationOptions?.Invoke(sqlOptions);
+            name ??= Options.DefaultName;
+
+            if (configureSqlClientInstrumentationOptions != null)
+            {
+                builder.ConfigureServices(services => services.Configure(name, configureSqlClientInstrumentationOptions));
+            }
+
+            builder.AddInstrumentation(sp =>
+            {
+                var sqlOptions = sp.GetRequiredService<IOptionsMonitor<SqlClientInstrumentationOptions>>().Get(name);
+
+                return new SqlClientInstrumentation(sqlOptions);
+            });
 
-            builder.AddInstrumentation(() => new SqlClientInstrumentation(sqlOptions));
             builder.AddSource(SqlActivitySourceHelper.ActivitySourceName);
 
             return builder;
diff --git a/test/OpenTelemetry.Instrumentation.SqlClient.Tests/SqlClientTests.cs b/test/OpenTelemetry.Instrumentation.SqlClient.Tests/SqlClientTests.cs
index cba60ba6e7a..b72bcbacf5a 100644
--- a/test/OpenTelemetry.Instrumentation.SqlClient.Tests/SqlClientTests.cs
+++ b/test/OpenTelemetry.Instrumentation.SqlClient.Tests/SqlClientTests.cs
@@ -14,12 +14,10 @@
 // limitations under the License.
 // </copyright>
 
-using System;
-using System.Collections.Generic;
 using System.Data;
 using System.Diagnostics;
-using System.Linq;
 using Microsoft.Data.SqlClient;
+using Microsoft.Extensions.DependencyInjection;
 using OpenTelemetry.Instrumentation.SqlClient.Implementation;
 using OpenTelemetry.Tests;
 using OpenTelemetry.Trace;
@@ -62,6 +60,27 @@ public void SqlClient_BadArgs()
             Assert.Throws<ArgumentNullException>(() => builder.AddSqlClientInstrumentation());
         }
 
+        [Fact]
+        public void SqlClient_NamedOptions()
+        {
+            int defaultExporterOptionsConfigureOptionsInvocations = 0;
+            int namedExporterOptionsConfigureOptionsInvocations = 0;
+
+            using var tracerProvider = Sdk.CreateTracerProviderBuilder()
+                .ConfigureServices(services =>
+                {
+                    services.Configure<SqlClientInstrumentationOptions>(o => defaultExporterOptionsConfigureOptionsInvocations++);
+
+                    services.Configure<SqlClientInstrumentationOptions>("Instrumentation2", o => namedExporterOptionsConfigureOptionsInvocations++);
+                })
+                .AddSqlClientInstrumentation()
+                .AddSqlClientInstrumentation("Instrumentation2", configureSqlClientInstrumentationOptions: null)
+                .Build();
+
+            Assert.Equal(1, defaultExporterOptionsConfigureOptionsInvocations);
+            Assert.Equal(1, namedExporterOptionsConfigureOptionsInvocations);
+        }
+
         [Trait("CategoryName", "SqlIntegrationTests")]
         [SkipUnlessEnvVarFoundTheory(SqlConnectionStringEnvVarName)]
         [InlineData(CommandType.Text, "select 1/1", false)]