diff --git a/packages/opentelemetry-instrumentation-mcp/opentelemetry/instrumentation/mcp/fastmcp_instrumentation.py b/packages/opentelemetry-instrumentation-mcp/opentelemetry/instrumentation/mcp/fastmcp_instrumentation.py
index d603a670a..65ff73571 100644
--- a/packages/opentelemetry-instrumentation-mcp/opentelemetry/instrumentation/mcp/fastmcp_instrumentation.py
+++ b/packages/opentelemetry-instrumentation-mcp/opentelemetry/instrumentation/mcp/fastmcp_instrumentation.py
@@ -89,6 +89,11 @@ async def traced_method(wrapped, instance, args, kwargs):
                 if self._server_name:
                     mcp_span.set_attribute(SpanAttributes.TRACELOOP_WORKFLOW_NAME, self._server_name)
 
+                # Add MCP_REQUEST_ID to the parent span
+                import time
+                request_id = str(int(time.time() * 1000))  # milliseconds
+                mcp_span.set_attribute(SpanAttributes.MCP_REQUEST_ID, request_id)
+
                 # Create nested tool span
                 span_name = f"{entity_name}.tool"
                 with self._tracer.start_as_current_span(span_name) as tool_span:
@@ -112,27 +117,47 @@ async def traced_method(wrapped, instance, args, kwargs):
                     try:
                         result = await wrapped(*args, **kwargs)
 
-                        # Add output in traceloop format to tool span
-                        if self._should_send_prompts() and result:
+                        # Always add response to MCP span regardless of content tracing setting
+                        if result:
                             try:
-                                # Convert FastMCP Content objects to serializable format
-                                output_data = []
-                                for item in result:
-                                    if hasattr(item, 'text'):
-                                        output_data.append({"type": "text", "content": item.text})
-                                    elif hasattr(item, '__dict__'):
-                                        output_data.append(item.__dict__)
+                                # Handle FastMCP ToolResult object
+                                if hasattr(result, 'content') and result.content:
+                                    # Convert FastMCP Content objects to serializable format
+                                    output_data = []
+                                    for item in result.content:
+                                        if hasattr(item, 'text'):
+                                            output_data.append({"type": "text", "content": item.text})
+                                        elif hasattr(item, '__dict__'):
+                                            output_data.append(item.__dict__)
+                                        else:
+                                            output_data.append(str(item))
+
+                                    json_output = json.dumps(output_data, cls=self._get_json_encoder())
+                                    truncated_output = self._truncate_json_if_needed(json_output)
+                                else:
+                                    # Handle other result types
+                                    if hasattr(result, '__dict__'):
+                                        # Convert object to dict
+                                        result_dict = {}
+                                        for key, value in result.__dict__.items():
+                                            if not key.startswith('_'):
+                                                result_dict[key] = str(value)
+                                        json_output = json.dumps(result_dict, cls=self._get_json_encoder())
+                                        truncated_output = self._truncate_json_if_needed(json_output)
                                     else:
-                                        output_data.append(str(item))
-
-                                json_output = json.dumps(output_data, cls=self._get_json_encoder())
-                                truncated_output = self._truncate_json_if_needed(json_output)
-                                tool_span.set_attribute(SpanAttributes.TRACELOOP_ENTITY_OUTPUT, truncated_output)
+                                        # Fallback to string representation
+                                        truncated_output = str(result)
 
-                                # Also add response to MCP span
+                                # Add response to MCP span
                                 mcp_span.set_attribute(SpanAttributes.MCP_RESPONSE_VALUE, truncated_output)
+
+                                # Also add to tool span if content tracing is enabled
+                                if self._should_send_prompts():
+                                    tool_span.set_attribute(SpanAttributes.TRACELOOP_ENTITY_OUTPUT, truncated_output)
+
                             except (TypeError, ValueError):
-                                pass  # Skip output logging if serialization fails
+                                # Fallback: add raw result as string
+                                mcp_span.set_attribute(SpanAttributes.MCP_RESPONSE_VALUE, str(result))
 
                         tool_span.set_status(Status(StatusCode.OK))
                         mcp_span.set_status(Status(StatusCode.OK))
diff --git a/packages/opentelemetry-instrumentation-mcp/tests/test_fastmcp.py b/packages/opentelemetry-instrumentation-mcp/tests/test_fastmcp.py
index 93595192e..8778f60b2 100644
--- a/packages/opentelemetry-instrumentation-mcp/tests/test_fastmcp.py
+++ b/packages/opentelemetry-instrumentation-mcp/tests/test_fastmcp.py
@@ -23,8 +23,8 @@ def get_greeting() -> str:
 
         # Test tool calling
         result = await client.call_tool("add_numbers", {"a": 5, "b": 3})
-        assert len(result) == 1
-        assert result[0].text == "8"
+        assert len(result.content) == 1
+        assert result.content[0].text == "8"
 
         # Test resource listing
         resources_res = await client.list_resources()
diff --git a/packages/opentelemetry-instrumentation-mcp/tests/test_fastmcp_server_span.py b/packages/opentelemetry-instrumentation-mcp/tests/test_fastmcp_server_span.py
index b1d585856..80876cf5c 100644
--- a/packages/opentelemetry-instrumentation-mcp/tests/test_fastmcp_server_span.py
+++ b/packages/opentelemetry-instrumentation-mcp/tests/test_fastmcp_server_span.py
@@ -14,8 +14,8 @@ async def test_tool(x: int) -> int:
     async with Client(server) as client:
         # Test tool calling
         result = await client.call_tool("test_tool", {"x": 5})
-        assert len(result) == 1
-        assert result[0].text == "10"
+        assert len(result.content) == 1
+        assert result.content[0].text == "10"
 
     # Get the finished spans
     spans = span_exporter.get_finished_spans()