diff --git a/.husky/pre-commit b/.husky/pre-commit
new file mode 100644
index 0000000..eca1750
--- /dev/null
+++ b/.husky/pre-commit
@@ -0,0 +1,8 @@
+#!/usr/bin/env sh
+. "$(dirname -- "$0")/_/husky.sh"
+
+# Run prettier
+npm run format
+
+# Run eslint
+npm run lint 
\ No newline at end of file
diff --git a/src/features/work-items/create-work-item/feature.spec.int.ts b/src/features/work-items/create-work-item/feature.spec.int.ts
index 5d757cb..0166360 100644
--- a/src/features/work-items/create-work-item/feature.spec.int.ts
+++ b/src/features/work-items/create-work-item/feature.spec.int.ts
@@ -113,4 +113,73 @@ describe('createWorkItem integration', () => {
       expect(result.fields['System.Tags']).toContain('Automated');
     }
   });
+
+  test('should create a child work item with parent-child relationship', async () => {
+    // Skip if no connection is available
+    if (shouldSkipIntegrationTest()) {
+      return;
+    }
+
+    // This connection must be available if we didn't skip
+    if (!connection) {
+      throw new Error(
+        'Connection should be available when test is not skipped',
+      );
+    }
+
+    // For a true integration test, use a real project
+    const projectName =
+      process.env.AZURE_DEVOPS_DEFAULT_PROJECT || 'DefaultProject';
+
+    // First, create a parent work item (User Story)
+    const parentTitle = `Parent Story ${new Date().toISOString()}`;
+    const parentOptions: CreateWorkItemOptions = {
+      title: parentTitle,
+      description: 'This is a parent user story',
+    };
+
+    const parentResult = await createWorkItem(
+      connection,
+      projectName,
+      'User Story', // Assuming User Story type exists
+      parentOptions,
+    );
+
+    expect(parentResult).toBeDefined();
+    expect(parentResult.id).toBeDefined();
+    const parentId = parentResult.id;
+
+    // Now create a child work item (Task) with a link to the parent
+    const childTitle = `Child Task ${new Date().toISOString()}`;
+    const childOptions: CreateWorkItemOptions = {
+      title: childTitle,
+      description: 'This is a child task of a user story',
+      parentId: parentId, // Reference to parent work item
+    };
+
+    const childResult = await createWorkItem(
+      connection,
+      projectName,
+      'Task',
+      childOptions,
+    );
+
+    // Assert the child work item was created
+    expect(childResult).toBeDefined();
+    expect(childResult.id).toBeDefined();
+
+    // Now verify the parent-child relationship
+    // We would need to fetch the relations, but for now we'll just assert
+    // that the response indicates a relationship was created
+    expect(childResult.relations).toBeDefined();
+
+    // Check that at least one relation exists that points to our parent
+    const parentRelation = childResult.relations?.find(
+      (relation) =>
+        relation.rel === 'System.LinkTypes.Hierarchy-Reverse' &&
+        relation.url &&
+        relation.url.includes(`/${parentId}`),
+    );
+    expect(parentRelation).toBeDefined();
+  });
 });
diff --git a/src/features/work-items/create-work-item/feature.ts b/src/features/work-items/create-work-item/feature.ts
index f87ab29..89f12de 100644
--- a/src/features/work-items/create-work-item/feature.ts
+++ b/src/features/work-items/create-work-item/feature.ts
@@ -75,6 +75,18 @@ export async function createWorkItem(
       });
     }
 
+    // Add parent relationship if parentId is provided
+    if (options.parentId) {
+      document.push({
+        op: 'add',
+        path: '/relations/-',
+        value: {
+          rel: 'System.LinkTypes.Hierarchy-Reverse',
+          url: `${connection.serverUrl}/_apis/wit/workItems/${options.parentId}`,
+        },
+      });
+    }
+
     // Add any additional fields
     if (options.additionalFields) {
       for (const [key, value] of Object.entries(options.additionalFields)) {
diff --git a/src/features/work-items/schemas.ts b/src/features/work-items/schemas.ts
index 6d441e9..8175fa6 100644
--- a/src/features/work-items/schemas.ts
+++ b/src/features/work-items/schemas.ts
@@ -44,6 +44,10 @@ export const CreateWorkItemSchema = z.object({
     .optional()
     .describe('The iteration path for the work item'),
   priority: z.number().optional().describe('The priority of the work item'),
+  parentId: z
+    .number()
+    .optional()
+    .describe('The ID of the parent work item to create a relationship with'),
   additionalFields: z
     .record(z.string(), z.any())
     .optional()
diff --git a/src/features/work-items/types.ts b/src/features/work-items/types.ts
index dcbf80f..1c2ee4c 100644
--- a/src/features/work-items/types.ts
+++ b/src/features/work-items/types.ts
@@ -25,6 +25,7 @@ export interface CreateWorkItemOptions {
   areaPath?: string;
   iterationPath?: string;
   priority?: number;
+  parentId?: number;
   additionalFields?: Record<string, string | number | boolean | null>;
 }
 
diff --git a/src/server.ts b/src/server.ts
index 2bb6de0..26082e9 100644
--- a/src/server.ts
+++ b/src/server.ts
@@ -198,6 +198,7 @@ export function createAzureDevOpsServer(config: AzureDevOpsConfig): Server {
               areaPath: args.areaPath,
               iterationPath: args.iterationPath,
               priority: args.priority,
+              parentId: args.parentId,
               additionalFields: args.additionalFields,
             },
           );