diff --git a/instrumentation/base/lib/opentelemetry/instrumentation/base.rb b/instrumentation/base/lib/opentelemetry/instrumentation/base.rb
index dc2abd3ba..ae8aa60f4 100644
--- a/instrumentation/base/lib/opentelemetry/instrumentation/base.rb
+++ b/instrumentation/base/lib/opentelemetry/instrumentation/base.rb
@@ -166,13 +166,44 @@ def option(name, default:, validate:)
         def instance
           @instance || SINGLETON_MUTEX.synchronize do
             @instance ||= new(instrumentation_name, instrumentation_version, install_blk,
-                              present_blk, compatible_blk, options)
+                              present_blk, compatible_blk, options, instrument_configs)
           end
         end
 
+        if defined?(OpenTelemetry::Metrics)
+          %i[
+            counter asynchronous_counter
+            histogram gauge asynchronous_gauge
+            updown_counter asynchronous_updown_counter
+          ].each do |instrument_kind|
+            define_method(instrument_kind) do |name, **opts|
+              register_instrument(instrument_kind, name, **opts)
+            end
+          end
+
+          def register_instrument(kind, name, **opts)
+            @instrument_configs ||= {}
+
+            key = [kind, name]
+            if @instrument_configs.key?(key)
+              warn("Duplicate instrument configured for #{self}: #{key.inspect}")
+            else
+              @instrument_configs[key] = opts
+            end
+          end
+        else
+          def counter(*, **); end
+          def asynchronous_counter(*, **); end
+          def histogram(*, **); end
+          def gauge(*, **); end
+          def asynchronous_gauge(*, **); end
+          def updown_counter(*, **); end
+          def asynchronous_updown_counter(*, **); end
+        end
+
         private
 
-        attr_reader :install_blk, :present_blk, :compatible_blk, :options
+        attr_reader :install_blk, :present_blk, :compatible_blk, :options, :instrument_configs
 
         def infer_name
           @inferred_name ||= if (md = name.match(NAME_REGEX)) # rubocop:disable Naming/MemoizedInstanceVariableName
@@ -192,13 +223,13 @@ def infer_version
         end
       end
 
-      attr_reader :name, :version, :config, :installed, :tracer, :meter
+      attr_reader :name, :version, :config, :installed, :tracer, :meter, :instrument_configs
 
       alias installed? installed
 
       # rubocop:disable Metrics/ParameterLists
       def initialize(name, version, install_blk, present_blk,
-                     compatible_blk, options)
+                     compatible_blk, options, instrument_configs)
         @name = name
         @version = version
         @install_blk = install_blk
@@ -209,7 +240,8 @@ def initialize(name, version, install_blk, present_blk,
         @options = options
         @tracer = OpenTelemetry::Trace::Tracer.new # default no-op tracer
 
-        @meter = OpenTelemetry::Metrics::Meter.new if defined?(OpenTelemetry::Meter) # default no-op meter
+        @meter = OpenTelemetry::Metrics::Meter.new if defined?(OpenTelemetry::Metrics::Meter) # default no-op meter
+        @instrument_configs = instrument_configs || {}
       end
       # rubocop:enable Metrics/ParameterLists
 
@@ -277,6 +309,7 @@ def metrics_enabled?
       end
 
       # @api private
+      # ONLY yields if the meter is enabled.
       def with_meter
         yield @meter if metrics_enabled?
       end
diff --git a/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/instrumentation.rb b/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/instrumentation.rb
index eff8e8e29..40f19dc48 100644
--- a/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/instrumentation.rb
+++ b/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/instrumentation.rb
@@ -109,26 +109,61 @@ class Instrumentation < OpenTelemetry::Instrumentation::Base
         option :peer_service,                default: nil,   validate: :string
         option :metrics,                     default: false, validate: :boolean
 
+        # FIXME: descriptions?
+
+        if defined?(OpenTelemetry::Metrics)
+          counter 'messaging.client.sent.messages'
+          histogram 'messaging.client.operation.duration', unit: 's' # FIXME: UCUM::S
+          counter 'messaging.client.consumed.messages'
+          histogram 'messaging.process.duration', unit: 's'
+
+          # FIXME: not semconv
+          gauge 'messaging.queue.latency', unit: 's'
+        end
+
         # FIXME: upstream
-        def get_counter(name, description: nil)
-          return unless metrics_enabled?
+        def counter(name)
+          get_instrument(:counter, name)
+        end
 
-          binding.pry
-          # FIXME: structural keys
-          # FIXME: mutex counter creation (& reads?)
-          INSTRUMENTS[[name, description]] ||= meter.create_counter(name, description: description)
+        # FIXME: upstream
+        def histogram(name)
+          get_instrument(:histogram, name)
+        end
+
+        # FIXME: upstream
+        def gauge(name)
+          get_instrument(:gauge, name)
         end
 
         private
 
-        # FIXME: upstream
-        INSTRUMENTS = {}
+        def get_instrument(kind, name)
+          return unless metrics_enabled?
+
+          @instruments ||= {}
+          @instruments[[kind, name]] ||= create_configured_instrument(kind, name)
+        end
+
+        def create_configured_instrument(kind, name)
+          config = @instrument_configs[[kind, name]]
+
+          if config.nil?
+            Kernel.warn("unconfigured instrument requested: #{kind} of '#{name}'")
+            return
+          end
+
+          # FIXME: some of these have different opts;
+          # should verify that they work before this point.
+          meter.public_send(:"create_#{kind}", name, **config)
+        end
 
         def gem_version
           Gem::Version.new(::Sidekiq::VERSION)
         end
 
         def require_dependencies
+          require_relative 'middlewares/common'
           require_relative 'middlewares/client/tracer_middleware'
           require_relative 'middlewares/server/tracer_middleware'
 
diff --git a/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/middlewares/client/tracer_middleware.rb b/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/middlewares/client/tracer_middleware.rb
index 99b39b077..0792cc895 100644
--- a/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/middlewares/client/tracer_middleware.rb
+++ b/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/middlewares/client/tracer_middleware.rb
@@ -34,27 +34,41 @@ def call(_worker_class, job, _queue, _redis_pool)
                 span.add_event('created_at', timestamp: job['created_at'])
                 yield
               end.tap do
-                # FIXME: is it possible to detect failures here? Does sidekiq bubble them up the middlewares?
-                with_meter do |meter|
-                  counter_attributes = metrics_attributes(job).merge(
-                    {
-                      'messaging.operation.name' => 'enqueue' # FIXME: metrics semconv
-                      # server.address => # FIXME: required if available
-                      # messaging.destination.partition.id => FIXME: recommended
-                      # server.port => # FIXME: recommended
-                    }
-                  )
-
-                  # FIXME: avoid create_counter repetition?
-                  binding.pry
-                  counter = instrumentation.get_counter('messaging.client.sent.messages')
-                  counter.add(1, attributes: counter_attributes)
-                end
+                # FIXME: is it possible/necessary to detect failures here? Does sidekiq bubble them up the middlewares?
+                count_sent_message(job)
               end
             end
 
             private
 
+            def count_sent_message(job)
+              with_meter do |_meter|
+                counter_attributes = metrics_attributes(job).merge(
+                  {
+                    'messaging.operation.name' => 'create'
+                    # server.address => # FIXME: required if available
+                    # messaging.destination.partition.id => FIXME: recommended
+                    # server.port => # FIXME: recommended
+                  }
+                )
+
+                counter = messaging_client_sent_messages_counter
+                counter.add(1, attributes: counter_attributes)
+              end
+            end
+
+            def messaging_client_sent_messages_counter
+              instrumentation.counter('messaging.client.sent.messages')
+            end
+
+            def messaging_client_operation_duration_histogram
+              instrumentation.histogram('messaging.client.operation.duration')
+            end
+
+            def messaging_client_consumed_messages_counter
+              instrumentation.counter('messaging.client.consumed.messages')
+            end
+
             def instrumentation
               Sidekiq::Instrumentation.instance
             end
diff --git a/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/middlewares/server/tracer_middleware.rb b/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/middlewares/server/tracer_middleware.rb
index 90da96ea3..a89f4bab6 100644
--- a/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/middlewares/server/tracer_middleware.rb
+++ b/instrumentation/sidekiq/lib/opentelemetry/instrumentation/sidekiq/middlewares/server/tracer_middleware.rb
@@ -12,6 +12,7 @@ module Server
           # TracerMiddleware propagates context and instruments Sidekiq requests
           # by way of its middleware system
           class TracerMiddleware
+            include OpenTelemetry::Instrumentation::Sidekiq::Middlewares::Common
             include ::Sidekiq::ServerMiddleware if defined?(::Sidekiq::ServerMiddleware)
 
             def call(_worker, msg, _queue)
@@ -32,27 +33,31 @@ def call(_worker, msg, _queue)
 
               extracted_context = OpenTelemetry.propagation.extract(msg)
               OpenTelemetry::Context.with_current(extracted_context) do
-                if instrumentation_config[:propagation_style] == :child
-                  tracer.in_span(span_name, attributes: attributes, kind: :consumer) do |span|
-                    span.add_event('created_at', timestamp: msg['created_at'])
-                    span.add_event('enqueued_at', timestamp: msg['enqueued_at'])
-                    yield
-                  end
-                else
-                  links = []
-                  span_context = OpenTelemetry::Trace.current_span(extracted_context).context
-                  links << OpenTelemetry::Trace::Link.new(span_context) if instrumentation_config[:propagation_style] == :link && span_context.valid?
-                  span = tracer.start_root_span(span_name, attributes: attributes, links: links, kind: :consumer)
-                  OpenTelemetry::Trace.with_span(span) do
-                    span.add_event('created_at', timestamp: msg['created_at'])
-                    span.add_event('enqueued_at', timestamp: msg['enqueued_at'])
-                    yield
-                  rescue Exception => e # rubocop:disable Lint/RescueException
-                    span.record_exception(e)
-                    span.status = OpenTelemetry::Trace::Status.error("Unhandled exception of type: #{e.class}")
-                    raise e
-                  ensure
-                    span.finish
+                track_queue_latency(msg)
+
+                timed(track_process_time_callback(msg)) do
+                  if instrumentation_config[:propagation_style] == :child
+                    tracer.in_span(span_name, attributes: attributes, kind: :consumer) do |span|
+                      span.add_event('created_at', timestamp: msg['created_at'])
+                      span.add_event('enqueued_at', timestamp: msg['enqueued_at'])
+                      yield
+                    end
+                  else
+                    links = []
+                    span_context = OpenTelemetry::Trace.current_span(extracted_context).context
+                    links << OpenTelemetry::Trace::Link.new(span_context) if instrumentation_config[:propagation_style] == :link && span_context.valid?
+                    span = tracer.start_root_span(span_name, attributes: attributes, links: links, kind: :consumer)
+                    OpenTelemetry::Trace.with_span(span) do
+                      span.add_event('created_at', timestamp: msg['created_at'])
+                      span.add_event('enqueued_at', timestamp: msg['enqueued_at'])
+                      yield
+                    rescue Exception => e # rubocop:disable Lint/RescueException
+                      span.record_exception(e)
+                      span.status = OpenTelemetry::Trace::Status.error("Unhandled exception of type: #{e.class}")
+                      raise e
+                    ensure
+                      span.finish
+                    end
                   end
                 end
               end
@@ -60,12 +65,47 @@ def call(_worker, msg, _queue)
 
             private
 
-            def instrumentation_config
-              Sidekiq::Instrumentation.instance.config
+            def track_queue_latency(msg)
+              with_meter do
+                return unless (enqueued_at = msg['enqueued_at'])
+                return unless enqueued_at.is_a?(Numeric)
+
+                latency = (realtime_now - enqueued_at).abs
+
+                queue_latency_gauge&.record(latency, attributes: metrics_attributes(msg))
+              end
+            end
+
+            def track_process_time_callback(msg)
+              ->(duration) { track_process_time(msg, duration) }
             end
 
-            def tracer
-              Sidekiq::Instrumentation.instance.tracer
+            def track_process_time(msg, duration)
+              with_meter do
+                attributes = metrics_attributes(msg).merge(
+                  { 'messaging.operation.name' => 'process' }
+                )
+                messaging_process_duration_histogram&.record(duration, attributes: attributes)
+              end
+            end
+
+            def messaging_process_duration_histogram
+              instrumentation.histogram('messaging.process.duration')
+            end
+
+            def queue_latency_gauge
+              instrumentation.gauge('messaging.queue.latency')
+            end
+
+            # FIXME: dedupe
+            def metrics_attributes(msg)
+              {
+                'messaging.system' => 'sidekiq', # FIXME: metrics semconv
+                'messaging.destination.name' => msg['queue'] # FIXME: metrics semconv
+                # server.address => # FIXME: required if available
+                # messaging.destination.partition.id => FIXME: recommended
+                # server.port => # FIXME: recommended
+              }
             end
           end
         end