diff --git a/plugins/node/opentelemetry-instrumentation-pg/src/instrumentation.ts b/plugins/node/opentelemetry-instrumentation-pg/src/instrumentation.ts
index f0f68c86b1..42de6e28b2 100644
--- a/plugins/node/opentelemetry-instrumentation-pg/src/instrumentation.ts
+++ b/plugins/node/opentelemetry-instrumentation-pg/src/instrumentation.ts
@@ -297,16 +297,18 @@ export class PgInstrumentation extends InstrumentationBase<PgInstrumentationConf
 
         // Modify query text w/ a tracing comment before invoking original for
         // tracing, but only if args[0] has one of our expected shapes.
-        // Also omit the tracing comment if args[0] is a prepared query object.
         if (instrumentationConfig.addSqlCommenterCommentToQueries) {
-          args[0] = firstArgIsString
-            ? addSqlCommenterComment(span, arg0)
-            : firstArgIsQueryObjectWithText && !('name' in arg0)
-            ? {
-                ...arg0,
-                text: addSqlCommenterComment(span, arg0.text),
-              }
-            : args[0];
+          if (firstArgIsString) {
+            args[0] = addSqlCommenterComment(span, arg0);
+          } else if (firstArgIsQueryObjectWithText && !('name' in arg0)) {
+            // In the case of a query object, we need to ensure there's no name field
+            // as this indicates a prepared query, where the comment would remain the same
+            // for every invocation and contain an outdated trace context.
+            args[0] = {
+              ...arg0,
+              text: addSqlCommenterComment(span, arg0.text),
+            };
+          }
         }
 
         // Bind callback (if any) to parent span (if any)
diff --git a/plugins/node/opentelemetry-instrumentation-pg/test/pg.test.ts b/plugins/node/opentelemetry-instrumentation-pg/test/pg.test.ts
index 706cc9b43a..17a72ecfa2 100644
--- a/plugins/node/opentelemetry-instrumentation-pg/test/pg.test.ts
+++ b/plugins/node/opentelemetry-instrumentation-pg/test/pg.test.ts
@@ -849,15 +849,9 @@ describe('pg', () => {
           const [span] = memoryExporter.getFinishedSpans();
           assert.ok(span);
 
-          const commentedQuery = addSqlCommenterComment(
-            trace.wrapSpanContext(span.spanContext()),
-            query
-          );
-
           const executedQueries = getExecutedQueries();
           assert.equal(executedQueries.length, 1);
           assert.equal(executedQueries[0].text, query);
-          assert.notEqual(query, commentedQuery);
         } catch (e: any) {
           assert.ok(false, e.message);
         }
@@ -875,15 +869,11 @@ describe('pg', () => {
             assert.ok(res);
 
             const [span] = memoryExporter.getFinishedSpans();
-            const commentedQuery = addSqlCommenterComment(
-              trace.wrapSpanContext(span.spanContext()),
-              query
-            );
+            assert.ok(span);
 
             const executedQueries = getExecutedQueries();
             assert.equal(executedQueries.length, 1);
             assert.equal(executedQueries[0].text, query);
-            assert.notEqual(query, commentedQuery);
             done();
           },
         } as pg.QueryConfig);
@@ -964,15 +954,11 @@ describe('pg', () => {
           assert.ok(resPromise);
 
           const [span] = memoryExporter.getFinishedSpans();
-          const commentedQuery = addSqlCommenterComment(
-            trace.wrapSpanContext(span.spanContext()),
-            query
-          );
+          assert.ok(span);
 
           const executedQueries = getExecutedQueries();
           assert.equal(executedQueries.length, 1);
           assert.equal(executedQueries[0].text, query);
-          assert.notEqual(query, commentedQuery);
         } catch (e: any) {
           assert.ok(false, e.message);
         }