diff --git a/litellm/integrations/opentelemetry.py b/litellm/integrations/opentelemetry.py
index 34b712d47e3..180929bcfd4 100644
--- a/litellm/integrations/opentelemetry.py
+++ b/litellm/integrations/opentelemetry.py
@@ -2965,16 +2965,13 @@ class OpenTelemetry(OTELGenAISemconvMixin, CustomLogger):
         )
 
         propagator: Final = TraceContextTextMapPropagator()
-        carrier: Final = {"traceparent": _traceparent}
+        carrier: Final = {key: headers[key] for key in ("traceparent", "tracestate") if headers.get(key) is not None}
         _parent_context: Final = propagator.extract(carrier=carrier)
 
         return _parent_context
 
     def _get_span_context(self, kwargs, default_span: Span | None = None):
         from opentelemetry import context, trace
-        from opentelemetry.trace.propagation.tracecontext import (
-            TraceContextTextMapPropagator,
-        )
 
         litellm_params: Final = kwargs.get("litellm_params", {}) or {}
         proxy_server_request: Final = litellm_params.get("proxy_server_request", {}) or {}
@@ -2998,11 +2995,7 @@ class OpenTelemetry(OTELGenAISemconvMixin, CustomLogger):
         # Priority 2: HTTP traceparent header
         if traceparent is not None:
             verbose_logger.debug("OpenTelemetry: Using traceparent header for context propagation")
-            carrier: Final = {"traceparent": traceparent}
-            return (
-                TraceContextTextMapPropagator().extract(carrier=carrier),
-                None,
-            )
+            return self.get_traceparent_from_header(headers=headers), None
 
         # Priority 3: Active span from global context (auto-detection)
         try:
diff --git a/litellm/integrations/otel/plumbing/context.py b/litellm/integrations/otel/plumbing/context.py
index 21e61c71fb7..1282e654365 100644
--- a/litellm/integrations/otel/plumbing/context.py
+++ b/litellm/integrations/otel/plumbing/context.py
@@ -26,6 +26,7 @@ if TYPE_CHECKING:
     from litellm.integrations.otel.model.destination import OtelDestination
 
 _PROPAGATOR: Final = TraceContextTextMapPropagator()
+_W3C_TRACE_HEADERS: Final = frozenset(("traceparent", "tracestate"))
 
 # The request's root span — the FastAPI-owned SERVER span — captured ONCE when the
 # proxy first resolves it, so request-level spans (the LLM call, guardrails) can
@@ -310,6 +311,37 @@ def extract_traceparent(headers: Mapping[str, str]) -> Context | None:
     return _PROPAGATOR.extract(carrier)
 
 
+def _outgoing_trace_context(parent_span: object) -> Context | None:
+    if isinstance(parent_span, Span) and is_recordable_span(parent_span):
+        return context_from_span(parent_span)
+
+    root: Final = request_root_span()
+    if root is not None:
+        return context_from_span(root)
+
+    current: Final = get_current()
+    if is_recordable_span(get_current_span(current)):
+        return current
+    return None
+
+
+def inject_trace_context(headers: Mapping[str, str], parent_span: object = None) -> dict[str, str]:
+    """``headers`` plus W3C ``traceparent``/``tracestate`` for this request's span.
+
+    Parent preference: ``parent_span`` (the request span auth stashed on the key), then
+    the anchored request root span, then the ambient active span. Only trace context is
+    injected, never Baggage. Unchanged when no valid span exists anywhere.
+    """
+    context: Final = _outgoing_trace_context(parent_span)
+    if context is None:
+        return dict(headers)  # mutable-ok: OpenTelemetry propagator requires a mutable carrier
+    carrier: Final = {  # mutable-ok: OpenTelemetry propagator requires a mutable carrier
+        key: value for key, value in headers.items() if key.lower() not in _W3C_TRACE_HEADERS
+    }
+    _PROPAGATOR.inject(carrier, context=context)
+    return carrier
+
+
 # The OTLP destinations this request's key or team pointed its traces at, resolved
 # once during auth. A ``ContextVar`` for the same reason the root span above is one:
 # it rides the request task's context into the ``asyncio.create_task`` children that
diff --git a/litellm/proxy/pass_through_endpoints/pass_through_endpoints.py b/litellm/proxy/pass_through_endpoints/pass_through_endpoints.py
index de6f9cb7647..974312ab2a5 100644
--- a/litellm/proxy/pass_through_endpoints/pass_through_endpoints.py
+++ b/litellm/proxy/pass_through_endpoints/pass_through_endpoints.py
@@ -986,6 +986,7 @@ async def pass_through_request(
             headers=headers,
             forward_headers=forward_headers,
         )
+        upstream_headers: Final = _with_trace_context(headers, parent_span=user_api_key_dict.parent_otel_span)
 
         requested_query_params: dict | None = query_params or dict(request.query_params)
 
@@ -1019,7 +1020,7 @@ async def pass_through_request(
         verbose_proxy_logger.debug(
             "Pass through endpoint sending request to \nURL %s\nheaders: %s\nbody: %s\n",
             url,
-            headers,
+            upstream_headers,
             _parsed_body,
         )
 
@@ -1257,7 +1258,7 @@ async def pass_through_request(
             additional_args={
                 "complete_input_dict": _parsed_body,
                 "api_base": str(logging_url),
-                "headers": headers,
+                "headers": upstream_headers,
             },
         )
         stream = HttpPassThroughEndpointHelpers._update_stream_param_based_on_request_body(
@@ -1274,7 +1275,7 @@ async def pass_through_request(
                     request=request,
                     async_client=async_client,
                     url=url,
-                    headers=headers,
+                    headers=upstream_headers,
                     requested_query_params=requested_query_params,
                     stream=True,
                 )
@@ -1286,7 +1287,7 @@ async def pass_through_request(
                         request.method,
                         url,
                         params=requested_query_params,
-                        headers=headers,
+                        headers=upstream_headers,
                         content=state_raw_body,
                     )
                     if state_raw_body is not None
@@ -1294,7 +1295,7 @@ async def pass_through_request(
                         request.method,
                         url,
                         params=requested_query_params,
-                        headers=headers,
+                        headers=upstream_headers,
                         json=_parsed_body,
                     )
                 )
@@ -1371,7 +1372,7 @@ async def pass_through_request(
             raw_body_request: Final = async_client.build_request(
                 request.method,
                 url,
-                headers=headers,
+                headers=upstream_headers,
                 params=requested_query_params,
                 content=state_raw_body,
             )
@@ -1381,7 +1382,7 @@ async def pass_through_request(
                 request=request,
                 async_client=async_client,
                 url=url,
-                headers=headers,
+                headers=upstream_headers,
                 requested_query_params=requested_query_params,
                 _parsed_body=_parsed_body,
                 forward_multipart=is_multipart,
@@ -2158,6 +2159,17 @@ def _upstream_close_to_relay(task_results: Iterable[object]) -> Close | None:
     return upstream_close
 
 
+_WEBSOCKET_FORWARDED_HEADERS: Final = frozenset(("authorization", "x-api-key", "x-goog-user-project"))
+
+
+def _with_trace_context(headers: Mapping[str, str], parent_span: object) -> dict[str, str]:
+    try:
+        from litellm.integrations.otel.plumbing.context import inject_trace_context
+    except ImportError:
+        return dict(headers)  # mutable-ok: matches inject_trace_context's carrier return type
+    return inject_trace_context(headers, parent_span=parent_span)
+
+
 async def websocket_passthrough_request(
     websocket: WebSocket,
     target: str,
@@ -2200,20 +2212,15 @@ async def websocket_passthrough_request(
         await websocket.accept()
         verbose_proxy_logger.debug("WebSocket passthrough (%s): WebSocket connection accepted", endpoint)
 
-    # Prepare headers for the upstream connection
-    upstream_headers: Final = custom_headers.copy()
-
-    if forward_headers:
-        # Forward relevant headers from the incoming request
-        incoming_headers: Final = dict(websocket.headers)
-        for header_name, header_value in incoming_headers.items():
-            # Only forward certain headers to avoid conflicts
-            if header_name.lower() in [
-                "authorization",
-                "x-api-key",
-                "x-goog-user-project",
-            ]:
-                upstream_headers[header_name] = header_value
+    forwarded_headers: Final = {  # mutable-ok: one-shot upstream header dict, read as a Mapping
+        **custom_headers,
+        **{
+            header_name: header_value
+            for header_name, header_value in websocket.headers.items()
+            if forward_headers and header_name.lower() in _WEBSOCKET_FORWARDED_HEADERS
+        },
+    }
+    upstream_headers: Final = _with_trace_context(forwarded_headers, parent_span=user_api_key_dict.parent_otel_span)
 
     # Initialize logging object similar to HTTP passthrough
     team_callbacks: Final = _resolve_team_callback_wiring(
diff --git a/tests/test_litellm/integrations/otel/test_otel_v2_components.py b/tests/test_litellm/integrations/otel/test_otel_v2_components.py
index ae41c74944d..72f6213e880 100644
--- a/tests/test_litellm/integrations/otel/test_otel_v2_components.py
+++ b/tests/test_litellm/integrations/otel/test_otel_v2_components.py
@@ -5,6 +5,7 @@ builders, and the registry validator's failure paths. Needs the OTel SDK."""
 import json
 import threading
 from collections.abc import Iterator
+from contextvars import Context as ContextVarContext
 from dataclasses import replace
 from http.server import BaseHTTPRequestHandler, HTTPServer, ThreadingHTTPServer
 
@@ -15,6 +16,8 @@ pytest.importorskip("opentelemetry")
 from opentelemetry.proto.collector.trace.v1.trace_service_pb2 import (  # noqa: E402
     ExportTraceServiceRequest,
 )
+from opentelemetry import baggage  # noqa: E402
+from opentelemetry.context import attach, detach  # noqa: E402
 from opentelemetry.sdk.metrics import MeterProvider  # noqa: E402
 from opentelemetry.sdk.metrics.export import InMemoryMetricReader  # noqa: E402
 from opentelemetry.sdk.trace import TracerProvider  # noqa: E402
@@ -26,7 +29,10 @@ from opentelemetry.sdk.trace.export import (  # noqa: E402
 from opentelemetry.sdk.trace.export.in_memory_span_exporter import (  # noqa: E402
     InMemorySpanExporter,
 )
-from opentelemetry.trace import SpanKind  # noqa: E402
+from opentelemetry.trace import SpanKind, get_current_span  # noqa: E402
+from opentelemetry.trace.propagation.tracecontext import (  # noqa: E402
+    TraceContextTextMapPropagator,
+)
 
 from litellm.integrations.otel.plumbing import context as ctx_mod  # noqa: E402
 from litellm.integrations.otel.plumbing import providers  # noqa: E402
@@ -464,6 +470,115 @@ def test_extract_traceparent():
     assert ctx_mod.extract_traceparent({"x": "y"}) is None
 
 
+def _test_tracer():
+    exporter = InMemorySpanExporter()
+    provider = TracerProvider()
+    provider.add_span_processor(SimpleSpanProcessor(exporter))
+    return provider.get_tracer("test")
+
+
+def test_inject_trace_context_prefers_request_root_span():
+    def run():
+        tracer = _test_tracer()
+        with tracer.start_as_current_span("root") as root:
+            ctx_mod.set_request_root_span(root)
+            result = ctx_mod.inject_trace_context(
+                {"traceparent": "00-11111111111111111111111111111111-2222222222222222-01"}
+            )
+            propagated = get_current_span(TraceContextTextMapPropagator().extract(result))
+            return result, root, propagated
+
+    result, root, propagated = ContextVarContext().run(run)
+    assert result["traceparent"] != "00-11111111111111111111111111111111-2222222222222222-01"
+    assert propagated.get_span_context().trace_id == root.get_span_context().trace_id
+    assert propagated.get_span_context().span_id == root.get_span_context().span_id
+
+
+def test_inject_trace_context_uses_ambient_span_without_request_root():
+    def run():
+        tracer = _test_tracer()
+        with tracer.start_as_current_span("ambient") as ambient:
+            result = ctx_mod.inject_trace_context({})
+            propagated = get_current_span(TraceContextTextMapPropagator().extract(result))
+            return ambient, propagated
+
+    ambient, propagated = ContextVarContext().run(run)
+    assert propagated.get_span_context().trace_id == ambient.get_span_context().trace_id
+    assert propagated.get_span_context().span_id == ambient.get_span_context().span_id
+
+
+def test_inject_trace_context_replaces_stale_trace_headers():
+    def run():
+        tracer = _test_tracer()
+        with tracer.start_as_current_span("ambient") as ambient:
+            headers = {
+                "Traceparent": "00-" + "a" * 32 + "-" + "b" * 16 + "-01",
+                "Tracestate": "vendor=old",
+                "x-keep": "1",
+            }
+            result = ctx_mod.inject_trace_context(headers)
+            propagated = get_current_span(TraceContextTextMapPropagator().extract(result))
+            return result, ambient, propagated
+
+    result, ambient, propagated = ContextVarContext().run(run)
+    assert sum(key.lower() == "traceparent" for key in result) == 1
+    assert not any(key.lower() == "tracestate" for key in result)
+    assert result["x-keep"] == "1"
+    assert propagated.get_span_context().trace_id == ambient.get_span_context().trace_id
+
+
+def test_inject_trace_context_prefers_explicit_parent_span_over_root_and_ambient():
+    def run():
+        tracer = _test_tracer()
+        parent = tracer.start_span("litellm_request")
+        with tracer.start_as_current_span("ambient") as ambient:
+            ctx_mod.set_request_root_span(ambient)
+            result = ctx_mod.inject_trace_context({}, parent_span=parent)
+            propagated = get_current_span(TraceContextTextMapPropagator().extract(result))
+            return parent, ambient, propagated
+
+    parent, ambient, propagated = ContextVarContext().run(run)
+    assert propagated.get_span_context().trace_id == parent.get_span_context().trace_id
+    assert propagated.get_span_context().span_id == parent.get_span_context().span_id
+    assert propagated.get_span_context().span_id != ambient.get_span_context().span_id
+
+
+def test_inject_trace_context_skips_unusable_parent_span():
+    def run():
+        tracer = _test_tracer()
+        with tracer.start_as_current_span("ambient") as ambient:
+            result = ctx_mod.inject_trace_context({}, parent_span=object())
+            propagated = get_current_span(TraceContextTextMapPropagator().extract(result))
+            return ambient, propagated
+
+    ambient, propagated = ContextVarContext().run(run)
+    assert propagated.get_span_context().span_id == ambient.get_span_context().span_id
+
+
+def test_inject_trace_context_returns_headers_unchanged_without_context():
+    headers = {"x-custom": "value"}
+
+    result = ContextVarContext().run(lambda: ctx_mod.inject_trace_context(headers))
+
+    assert result == headers
+    assert "traceparent" not in result
+    assert result is not headers
+
+
+def test_inject_trace_context_does_not_forward_baggage():
+    def run():
+        tracer = _test_tracer()
+        with tracer.start_as_current_span("ambient"):
+            token = attach(baggage.set_baggage("litellm.team.id", "team"))
+            try:
+                return ctx_mod.inject_trace_context({})
+            finally:
+                detach(token)
+
+    result = ContextVarContext().run(run)
+    assert "baggage" not in result
+
+
 def test_set_request_baggage_empty_returns_context():
     assert ctx_mod.set_request_baggage({}) is not None
 
diff --git a/tests/test_litellm/integrations/test_opentelemetry.py b/tests/test_litellm/integrations/test_opentelemetry.py
index 7d1faf93116..bea9a38e9dd 100644
--- a/tests/test_litellm/integrations/test_opentelemetry.py
+++ b/tests/test_litellm/integrations/test_opentelemetry.py
@@ -5424,6 +5424,65 @@ class TestGetSpanContextLitellmMetadataFallback(unittest.TestCase):
         self.assertIsNone(detected_span)
 
 
+class TestInboundTraceContextKeepsCallerTracestate(unittest.TestCase):
+    """The request span built from inbound W3C headers must carry the caller's
+    tracestate so outbound propagation (passthrough) re-emits it instead of
+    dropping it alongside the stripped stale header."""
+
+    CALLER_TRACEPARENT = "00-" + "a" * 32 + "-" + "b" * 16 + "-01"
+    CALLER_TRACESTATE = "vendor=abc,other=xyz"
+
+    def _otel(self):
+        provider = TracerProvider()
+        provider.add_span_processor(SimpleSpanProcessor(InMemorySpanExporter()))
+        otel = OpenTelemetry()
+        otel.tracer = provider.get_tracer(__name__)
+        return otel
+
+    def test_request_span_propagates_caller_tracestate_downstream(self):
+        from opentelemetry.trace.propagation.tracecontext import TraceContextTextMapPropagator
+
+        from litellm.integrations.otel.plumbing.context import inject_trace_context
+
+        inbound = {"traceparent": self.CALLER_TRACEPARENT, "tracestate": self.CALLER_TRACESTATE}
+        span = self._otel().create_litellm_proxy_request_started_span(
+            start_time=datetime.now(timezone.utc), headers=inbound
+        )
+        outbound = inject_trace_context(inbound, parent_span=span)
+        span.end()
+
+        propagated = trace.get_current_span(TraceContextTextMapPropagator().extract(outbound)).get_span_context()
+        self.assertEqual(outbound["tracestate"], self.CALLER_TRACESTATE)
+        self.assertEqual(propagated.trace_id, span.get_span_context().trace_id)
+        self.assertEqual(propagated.span_id, span.get_span_context().span_id)
+        self.assertNotEqual(outbound["traceparent"], self.CALLER_TRACEPARENT)
+
+    def test_request_span_without_caller_tracestate_emits_none(self):
+        from litellm.integrations.otel.plumbing.context import inject_trace_context
+
+        inbound = {"traceparent": self.CALLER_TRACEPARENT}
+        span = self._otel().create_litellm_proxy_request_started_span(
+            start_time=datetime.now(timezone.utc), headers=inbound
+        )
+        outbound = inject_trace_context(inbound, parent_span=span)
+        span.end()
+
+        self.assertNotIn("tracestate", outbound)
+        self.assertNotEqual(outbound["traceparent"], self.CALLER_TRACEPARENT)
+
+    def test_span_context_from_header_keeps_caller_tracestate(self):
+        kwargs = {
+            "litellm_params": {
+                "proxy_server_request": {
+                    "headers": {"traceparent": self.CALLER_TRACEPARENT, "tracestate": self.CALLER_TRACESTATE}
+                }
+            }
+        }
+        ctx, detected_span = self._otel()._get_span_context(kwargs)
+        self.assertIsNone(detected_span)
+        self.assertEqual(trace.get_current_span(ctx).get_span_context().trace_state.to_header(), self.CALLER_TRACESTATE)
+
+
 class TestEndProxySpanLitellmMetadataFallback(unittest.TestCase):
     """
     Tests for _end_proxy_span_from_kwargs() falling back to litellm_metadata.
diff --git a/tests/test_litellm/proxy/pass_through_endpoints/test_pass_through_endpoints.py b/tests/test_litellm/proxy/pass_through_endpoints/test_pass_through_endpoints.py
index 0fc961cf8c9..d6b9a782f99 100644
--- a/tests/test_litellm/proxy/pass_through_endpoints/test_pass_through_endpoints.py
+++ b/tests/test_litellm/proxy/pass_through_endpoints/test_pass_through_endpoints.py
@@ -2,6 +2,7 @@ import asyncio
 import json
 import logging
 import os
+import sys
 from collections.abc import Callable
 from contextlib import ExitStack, contextmanager
 from io import BytesIO
@@ -29,6 +30,7 @@ from litellm.proxy.pass_through_endpoints.pass_through_endpoints import (
     resolve_pass_through_request_timeout,
     resolve_llm_passthrough_timeout,
     websocket_passthrough_request,
+    _with_trace_context,
 )
 from litellm.integrations.custom_logger import CustomLogger
 from litellm.litellm_core_utils.litellm_logging import Logging as LiteLLMLoggingObj
@@ -46,6 +48,15 @@ import litellm
 MESSAGE_START_SSE_FRAME = b'event: message_start\ndata: {"type": "message_start"}\n\n'
 
 
+def test_with_trace_context_without_opentelemetry(monkeypatch: pytest.MonkeyPatch):
+    monkeypatch.setitem(sys.modules, "litellm.integrations.otel.plumbing.context", None)
+
+    headers = _with_trace_context({"authorization": "x"}, parent_span=None)
+
+    assert headers == {"authorization": "x"}
+    assert "traceparent" not in headers
+
+
 # Test is_multipart
 def test_is_multipart():
     # Test with multipart content type
@@ -4270,6 +4281,47 @@ def _relay_client_request(method="GET"):
     return mock_request
 
 
+@pytest.mark.asyncio
+@pytest.mark.parametrize("span_source", ["auth_parent_span", "ambient_span"])
+async def test_pass_through_request_propagates_active_trace_context(span_source: str):
+    from opentelemetry.sdk.trace import TracerProvider
+    from opentelemetry.trace import get_current_span
+    from opentelemetry.trace.propagation.tracecontext import TraceContextTextMapPropagator
+
+    captured: dict[str, httpx.Headers] = {}
+
+    def transport_handler(upstream_request: httpx.Request) -> httpx.Response:
+        captured["headers"] = upstream_request.headers
+        return httpx.Response(200, json={"ok": True}, request=upstream_request)
+
+    fake_client, cleanup = _inject_fake_passthrough_client(httpx.MockTransport(transport_handler), timeout=None)
+    tracer = TracerProvider().get_tracer("test")
+    try:
+        with ExitStack() as stack:
+            _enter_relay_logging_mocks(stack, {})
+            if span_source == "auth_parent_span":
+                span = tracer.start_span("litellm_request")
+                stack.callback(span.end)
+                user_api_key_dict = UserAPIKeyAuth(api_key="sk-test", parent_otel_span=span)
+            else:
+                span = stack.enter_context(tracer.start_as_current_span("passthrough"))
+                user_api_key_dict = UserAPIKeyAuth(api_key="sk-test")
+            response = await pass_through_request(
+                request=_relay_client_request(method="POST"),
+                target="http://internal-api.test/v1/generate",
+                custom_headers={},
+                user_api_key_dict=user_api_key_dict,
+            )
+    finally:
+        cleanup()
+        await fake_client.aclose()
+
+    assert response.status_code == 200
+    propagated = get_current_span(TraceContextTextMapPropagator().extract(captured["headers"]))
+    assert propagated.get_span_context().trace_id == span.get_span_context().trace_id
+    assert propagated.get_span_context().span_id == span.get_span_context().span_id
+
+
 @pytest.mark.asyncio
 async def test_pass_through_request_relays_non_json_body_without_buffering():
     """
@@ -4866,6 +4918,76 @@ async def test_websocket_passthrough_forwards_non_ascii_first_frame():
     assert all(call.kwargs.get("code") != 1011 for call in websocket.close.await_args_list)
 
 
+@pytest.mark.asyncio
+@pytest.mark.parametrize("forward_headers", [True, False])
+@pytest.mark.parametrize("span_source", ["auth_parent_span", "ambient_span"])
+async def test_websocket_passthrough_propagates_active_trace_context(
+    monkeypatch, forward_headers: bool, span_source: str
+):
+    from opentelemetry.sdk.trace import TracerProvider
+    from opentelemetry.trace import get_current_span
+    from opentelemetry.trace.propagation.tracecontext import TraceContextTextMapPropagator
+    from starlette.websockets import WebSocketState
+
+    captured: dict[str, dict[str, str]] = {}
+    upstream_ws = FakeUpstreamWebSocket(b"{}")
+
+    def fake_connect(target, additional_headers):
+        captured["headers"] = additional_headers
+        return FakeUpstreamConnect(upstream_ws)
+
+    websocket = MagicMock()
+    websocket.accept = AsyncMock()
+    websocket.send_text = AsyncMock()
+    websocket.send_bytes = AsyncMock()
+    websocket.receive = AsyncMock(return_value={"type": "websocket.disconnect"})
+    websocket.close = AsyncMock()
+    websocket.headers = {"authorization": "Bearer client"}
+    websocket.client_state = WebSocketState.CONNECTED
+    websocket.application_state = WebSocketState.CONNECTED
+    tracer = TracerProvider().get_tracer("test")
+
+    mock_proxy_logging = MagicMock()
+    mock_proxy_logging.pre_call_hook = AsyncMock(return_value={})
+    mock_proxy_logging.post_call_success_hook = AsyncMock()
+    mock_proxy_logging.post_call_failure_hook = AsyncMock()
+    mock_worker = MagicMock()
+    mock_worker.ensure_initialized_and_enqueue = MagicMock(
+        side_effect=lambda async_coroutine: async_coroutine.close()
+    )
+    monkeypatch.setattr("litellm.proxy.proxy_server.proxy_logging_obj", mock_proxy_logging)
+    monkeypatch.setattr(
+        "litellm.proxy.pass_through_endpoints.pass_through_endpoints.connect",
+        fake_connect,
+    )
+    monkeypatch.setattr(
+        "litellm.proxy.pass_through_endpoints.pass_through_endpoints.GLOBAL_LOGGING_WORKER",
+        mock_worker,
+    )
+    with ExitStack() as stack:
+        if span_source == "auth_parent_span":
+            span = tracer.start_span("litellm_request")
+            stack.callback(span.end)
+            user_api_key_dict = UserAPIKeyAuth(parent_otel_span=span)
+        else:
+            span = stack.enter_context(tracer.start_as_current_span("websocket_passthrough"))
+            user_api_key_dict = UserAPIKeyAuth()
+        await websocket_passthrough_request(
+            websocket=websocket,
+            target="wss://upstream.example.test/v1/realtime",
+            custom_headers={},
+            user_api_key_dict=user_api_key_dict,
+            forward_headers=forward_headers,
+            endpoint="/realtime",
+            accept_websocket=True,
+        )
+
+    propagated = get_current_span(TraceContextTextMapPropagator().extract(captured["headers"]))
+    assert propagated.get_span_context().trace_id == span.get_span_context().trace_id
+    assert propagated.get_span_context().span_id == span.get_span_context().span_id
+    assert captured["headers"].get("authorization") == ("Bearer client" if forward_headers else None)
+
+
 class ClosingUpstreamWebSocket:
     def __init__(self, close_exc: Exception):
         self._close_exc = close_exc