diff --git a/src/telemetry/instrumentations.ts b/src/telemetry/instrumentations.ts
index 5988746..065bc5e 100644
--- a/src/telemetry/instrumentations.ts
+++ b/src/telemetry/instrumentations.ts
@@ -1,9 +1,12 @@
+import { IncomingMessage} from 'http';
+
+import type { Request } from 'express';
 import type { Instrumentation } from '@opentelemetry/instrumentation';
 import { DnsInstrumentation } from '@opentelemetry/instrumentation-dns';
-import { ExpressInstrumentation } from '@opentelemetry/instrumentation-express';
+import { ExpressInstrumentation, ExpressInstrumentationConfig } from '@opentelemetry/instrumentation-express';
 import { UndiciInstrumentation } from '@opentelemetry/instrumentation-undici';
 import { GenericPoolInstrumentation } from '@opentelemetry/instrumentation-generic-pool';
-import { HttpInstrumentation } from '@opentelemetry/instrumentation-http';
+import { HttpInstrumentation, HttpInstrumentationConfig } from '@opentelemetry/instrumentation-http';
 import { IORedisInstrumentation } from '@opentelemetry/instrumentation-ioredis';
 import { NetInstrumentation } from '@opentelemetry/instrumentation-net';
 import { PgInstrumentation } from '@opentelemetry/instrumentation-pg';
@@ -25,17 +28,56 @@ const InstrumentationMap = {
 type ConfigArg<T> = T extends new (...args: infer U) => unknown ? U[0] : never;
 export type InstrumentationConfigMap = {
   [Name in keyof typeof InstrumentationMap]?: ConfigArg<(typeof InstrumentationMap)[Name]>;
+} & {
+  // Add optional global ignore patterns
+  ignoreIncomingPaths?: string[];
 };
 
+// Add default ignored endpoints
+const DEFAULT_IGNORED_ENDPOINTS = ['/health', '/metrics'];
+
+// Add helper function to create span names
+function createSpanName(method: string, route: string): string {
+  return `${method.toUpperCase()} ${route}`;
+}
+
 export function getAutoInstrumentations(
   inputConfigs: InstrumentationConfigMap = {},
 ): Instrumentation[] {
   const keys = Object.keys(InstrumentationMap) as Array<keyof typeof InstrumentationMap>;
+  const ignorePaths = [...DEFAULT_IGNORED_ENDPOINTS, ...(inputConfigs.ignoreIncomingPaths || [])];
+  
   return keys
     .map((name) => {
       const Instance = InstrumentationMap[name];
-      // Defaults are defined by the instrumentation itself
-      const userConfig = inputConfigs[name] ?? {};
+      // Create a base config from user input or empty object
+      const userConfig = { ...(inputConfigs[name] || {}) };
+
+      // Configure HTTP instrumentation
+      if (name === '@opentelemetry/instrumentation-http') {
+        const httpConfig = userConfig as HttpInstrumentationConfig;
+        httpConfig.ignoreIncomingRequestHook = (request) => {
+          const path = request.url?.split('?')[0] || '/';
+          return ignorePaths.includes(path);
+        };
+        httpConfig.requestHook = (span, request) => {
+          const method = request.method || 'UNKNOWN';
+          const path = (request instanceof IncomingMessage ? request.url : request.path)?.split('?')[0] || '/';
+          span.updateName(createSpanName(method, path));
+        };
+      }
+
+      // Configure Express instrumentation
+      if (name === '@opentelemetry/instrumentation-express') {
+        const expressConfig = userConfig as ExpressInstrumentationConfig;
+        expressConfig.ignoreLayers = ignorePaths;
+        expressConfig.requestHook = (span, req) => {
+          const method = req.request?.method || 'UNKNOWN';
+          // Use the matched route path instead of raw URL if available
+          const route = (req.request as Request).route?.path || req.request?.url?.split('?')[0] || '/';
+          span.updateName(createSpanName(method, route));
+        };
+      }
 
       try {
         return new Instance(userConfig);