diff --git a/crates/macros/src/function.rs b/crates/macros/src/function.rs
index b808e2b22..d24f61fe6 100644
--- a/crates/macros/src/function.rs
+++ b/crates/macros/src/function.rs
@@ -308,7 +308,11 @@ impl<'a> Function<'a> {
 
     /// Returns a constructor metadata object for this function. This doesn't
     /// check if the function is a constructor, however.
-    pub fn constructor_meta(&self, class: &syn::Path) -> TokenStream {
+    pub fn constructor_meta(
+        &self,
+        class: &syn::Path,
+        visibility: Option<&Visibility>,
+    ) -> TokenStream {
         let ident = self.ident;
         let (required, not_required) = self.args.split_args(self.optional.as_ref());
         let required_args = required
@@ -339,6 +343,7 @@ impl<'a> Function<'a> {
             }
         });
         let docs = &self.docs;
+        let flags = visibility.option_tokens();
 
         quote! {
             ::ext_php_rs::class::ConstructorMeta {
@@ -368,7 +373,8 @@ impl<'a> Function<'a> {
                             #variadic
                     }
                     inner
-                }
+                },
+                flags: #flags
             }
         }
     }
diff --git a/crates/macros/src/impl_.rs b/crates/macros/src/impl_.rs
index 039122621..353448eb5 100644
--- a/crates/macros/src/impl_.rs
+++ b/crates/macros/src/impl_.rs
@@ -120,7 +120,7 @@ struct ParsedImpl<'a> {
     change_method_case: RenameRule,
     change_constant_case: RenameRule,
     functions: Vec<FnBuilder>,
-    constructor: Option<Function<'a>>,
+    constructor: Option<(Function<'a>, Option<Visibility>)>,
     constants: Vec<Constant<'a>>,
 }
 
@@ -212,7 +212,7 @@ impl<'a> ParsedImpl<'a> {
                     let mut modifiers: HashSet<MethodModifier> = HashSet::new();
 
                     if matches!(opts.ty, MethodTy::Constructor) {
-                        if self.constructor.replace(func).is_some() {
+                        if self.constructor.replace((func, opts.vis.into())).is_some() {
                             bail!(method => "Only one constructor can be provided per class.");
                         }
                     } else {
@@ -264,7 +264,7 @@ impl<'a> ParsedImpl<'a> {
         let constructor = self
             .constructor
             .as_ref()
-            .map(|func| func.constructor_meta(self.path))
+            .map(|(func, vis)| func.constructor_meta(self.path, vis.as_ref()))
             .option_tokens();
         let constants = self.constants.iter().map(|c| {
             let name = &c.name;
@@ -306,11 +306,8 @@ impl quote::ToTokens for FnBuilder {
         let builder = &self.builder;
         // TODO(cole_d): allow more flags via attributes
         let mut flags = vec![];
-        flags.push(match self.vis {
-            Visibility::Public => quote! { ::ext_php_rs::flags::MethodFlags::Public },
-            Visibility::Protected => quote! { ::ext_php_rs::flags::MethodFlags::Protected },
-            Visibility::Private => quote! { ::ext_php_rs::flags::MethodFlags::Private },
-        });
+        let vis = &self.vis;
+        flags.push(quote! { #vis });
         for flag in &self.modifiers {
             flags.push(quote! { #flag });
         }
diff --git a/crates/macros/src/lib.rs b/crates/macros/src/lib.rs
index 8b7cdbee0..553bb3de8 100644
--- a/crates/macros/src/lib.rs
+++ b/crates/macros/src/lib.rs
@@ -712,8 +712,8 @@ fn php_module_internal(args: TokenStream2, input: TokenStream2) -> TokenStream2
 /// - `#[php(optional = i)]` - Sets the first optional parameter. Note that this
 ///   also sets the remaining parameters as optional, so all optional parameters
 ///   must be a variant of `Option<T>`.
-/// - `#[php(public)]`, `#[php(protected)]` and `#[php(private)]` - Sets the
-///   visibility of the method.
+/// - `#[php(vis = "public")]`, `#[php(vis = "protected")]` and `#[php(vis =
+///   "private")]` - Sets the visibility of the method.
 /// - `#[php(name = "method_name")]` - Renames the PHP method to a different
 ///   identifier, without renaming the Rust method name.
 ///
diff --git a/crates/macros/src/parsing.rs b/crates/macros/src/parsing.rs
index 957740348..d73349e8f 100644
--- a/crates/macros/src/parsing.rs
+++ b/crates/macros/src/parsing.rs
@@ -1,5 +1,6 @@
 use convert_case::{Case, Casing};
 use darling::FromMeta;
+use quote::{quote, ToTokens};
 
 const MAGIC_METHOD: [&str; 17] = [
     "__construct",
@@ -31,6 +32,17 @@ pub enum Visibility {
     Protected,
 }
 
+impl ToTokens for Visibility {
+    fn to_tokens(&self, tokens: &mut proc_macro2::TokenStream) {
+        match self {
+            Visibility::Public => quote! { ::ext_php_rs::flags::MethodFlags::Public },
+            Visibility::Protected => quote! { ::ext_php_rs::flags::MethodFlags::Protected },
+            Visibility::Private => quote! { ::ext_php_rs::flags::MethodFlags::Private },
+        }
+        .to_tokens(tokens);
+    }
+}
+
 pub trait Rename {
     fn rename(&self, rule: RenameRule) -> String;
 }
diff --git a/guide/src/macros/impl.md b/guide/src/macros/impl.md
index bd1a3f433..878e9c484 100644
--- a/guide/src/macros/impl.md
+++ b/guide/src/macros/impl.md
@@ -42,7 +42,7 @@ The rest of the options are passed as separate attributes:
 - `#[php(optional = i)]` - Sets the first optional parameter. Note that this also sets
   the remaining parameters as optional, so all optional parameters must be a
   variant of `Option<T>`.
-- `#[php(public)]`, `#[php(protected)]` and `#[php(private)]` - Sets the visibility of the
+- `#[php(vis = "public")]`, `#[php(vis = "protected")]` and `#[php(vis = "private")]` - Sets the visibility of the
   method.
 - `#[php(name = "method_name")]` - Renames the PHP method to a different identifier,
   without renaming the Rust method name.
diff --git a/src/builders/class.rs b/src/builders/class.rs
index 453d9efa7..daa006177 100644
--- a/src/builders/class.rs
+++ b/src/builders/class.rs
@@ -238,16 +238,21 @@ impl ClassBuilder {
             "Class name in builder does not match class name in `impl RegisteredClass`."
         );
         self.object_override = Some(create_object::<T>);
-        self.method(
-            {
-                let mut func = FunctionBuilder::new("__construct", constructor::<T>);
-                if let Some(ConstructorMeta { build_fn, .. }) = T::constructor() {
-                    func = build_fn(func);
-                }
-                func
-            },
-            MethodFlags::Public,
-        )
+
+        let (func, visibility) = if let Some(ConstructorMeta {
+            build_fn, flags, ..
+        }) = T::constructor()
+        {
+            let func = FunctionBuilder::new("__construct", constructor::<T>);
+            (build_fn(func), flags.unwrap_or(MethodFlags::Public))
+        } else {
+            (
+                FunctionBuilder::new("__construct", constructor::<T>),
+                MethodFlags::Public,
+            )
+        };
+
+        self.method(func, visibility)
     }
 
     /// Function to register the class with PHP. This function is called after
diff --git a/src/class.rs b/src/class.rs
index 42673ac8e..ad6846c9f 100644
--- a/src/class.rs
+++ b/src/class.rs
@@ -82,6 +82,8 @@ pub struct ConstructorMeta<T> {
     /// Function called to build the constructor function. Usually adds
     /// arguments.
     pub build_fn: fn(FunctionBuilder) -> FunctionBuilder,
+    /// Add constructor modification
+    pub flags: Option<MethodFlags>,
 }
 
 /// Result returned from a constructor of a class.
diff --git a/tests/src/integration/class/class.php b/tests/src/integration/class/class.php
index a4d2b9126..d6c6ee6c1 100644
--- a/tests/src/integration/class/class.php
+++ b/tests/src/integration/class/class.php
@@ -43,3 +43,11 @@
 assert_exception_thrown(fn() => $arrayAccess['foo']);
 assert($arrayAccess[0] === true);
 assert($arrayAccess[1] === false);
+
+$classReflection = new ReflectionClass(TestClassMethodVisibility::class);
+assert($classReflection->getMethod('__construct')->isPrivate());
+assert($classReflection->getMethod('private')->isPrivate());
+assert($classReflection->getMethod('protected')->isProtected());
+
+$classReflection = new ReflectionClass(TestClassProtectedConstruct::class);
+assert($classReflection->getMethod('__construct')->isProtected());
diff --git a/tests/src/integration/class/mod.rs b/tests/src/integration/class/mod.rs
index c9774be61..fe1aae7ae 100644
--- a/tests/src/integration/class/mod.rs
+++ b/tests/src/integration/class/mod.rs
@@ -144,12 +144,45 @@ impl TestClassExtendsImpl {
     }
 }
 
+#[php_class]
+struct TestClassMethodVisibility;
+
+#[php_impl]
+impl TestClassMethodVisibility {
+    #[php(vis = "private")]
+    fn __construct() -> Self {
+        Self
+    }
+
+    #[php(vis = "private")]
+    fn private() -> u32 {
+        3
+    }
+
+    #[php(vis = "protected")]
+    fn protected() -> u32 {
+        3
+    }
+}
+#[php_class]
+struct TestClassProtectedConstruct;
+
+#[php_impl]
+impl TestClassProtectedConstruct {
+    #[php(vis = "protected")]
+    fn __construct() -> Self {
+        Self
+    }
+}
+
 pub fn build_module(builder: ModuleBuilder) -> ModuleBuilder {
     builder
         .class::<TestClass>()
         .class::<TestClassArrayAccess>()
         .class::<TestClassExtends>()
         .class::<TestClassExtendsImpl>()
+        .class::<TestClassMethodVisibility>()
+        .class::<TestClassProtectedConstruct>()
         .function(wrap_function!(test_class))
         .function(wrap_function!(throw_exception))
 }