diff --git a/aws_xray_sdk/ext/psycopg2/patch.py b/aws_xray_sdk/ext/psycopg2/patch.py
index c6d8d1b8..0efb27fa 100644
--- a/aws_xray_sdk/ext/psycopg2/patch.py
+++ b/aws_xray_sdk/ext/psycopg2/patch.py
@@ -1,8 +1,9 @@
+import copy
 import re
 import wrapt
 from operator import methodcaller
 
-from aws_xray_sdk.ext.dbapi2 import XRayTracedConn
+from aws_xray_sdk.ext.dbapi2 import XRayTracedConn, XRayTracedCursor
 
 
 def patch():
@@ -12,6 +13,11 @@ def patch():
         'connect',
         _xray_traced_connect
     )
+    wrapt.wrap_function_wrapper(
+        'psycopg2.extensions',
+        'register_type',
+        _xray_register_type_fix
+    )
 
 
 def _xray_traced_connect(wrapped, instance, args, kwargs):
@@ -32,3 +38,11 @@ def _xray_traced_connect(wrapped, instance, args, kwargs):
     }
 
     return XRayTracedConn(conn, meta)
+
+def _xray_register_type_fix(wrapped, instance, args, kwargs):
+    """Send the actual connection or curser to register type."""
+    our_args = list(copy.copy(args))
+    if len(our_args) == 2 and isinstance(our_args[1], (XRayTracedConn, XRayTracedCursor)):
+        our_args[1] = our_args[1].__wrapped__
+
+    return wrapped(*our_args, **kwargs)
diff --git a/tests/ext/psycopg2/test_psycopg2.py b/tests/ext/psycopg2/test_psycopg2.py
index 941d8675..3d275408 100644
--- a/tests/ext/psycopg2/test_psycopg2.py
+++ b/tests/ext/psycopg2/test_psycopg2.py
@@ -1,4 +1,5 @@
 import psycopg2
+import psycopg2.extras
 import psycopg2.pool
 
 import pytest
@@ -144,3 +145,16 @@ def test_execute_bad_query():
 
     exception = subsegment.cause['exceptions'][0]
     assert exception.type == 'ProgrammingError'
+
+
+def test_register_extensions():
+    with testing.postgresql.Postgresql() as postgresql:
+        url = postgresql.url()
+        dsn = postgresql.dsn()
+        conn = psycopg2.connect('dbname=' + dsn['database'] +
+                                ' password=mypassword' +
+                                ' host=' + dsn['host'] +
+                                ' port=' + str(dsn['port']) +
+                                ' user=' + dsn['user'])
+        assert psycopg2.extras.register_uuid(None, conn)
+        assert psycopg2.extras.register_uuid(None, conn.cursor())
\ No newline at end of file