diff --git a/conn.go b/conn.go
index e9db6b19..056b1b77 100644
--- a/conn.go
+++ b/conn.go
@@ -2,6 +2,8 @@ package pgx
 
 import (
 	"context"
+	"database/sql/driver"
+	"fmt"
 	"net"
 	"reflect"
 	"strings"
@@ -673,7 +675,7 @@ func (c *Conn) deallocateContext(ctx context.Context, name string) (err error) {
 
 // Listen establishes a PostgreSQL listen/notify to channel
 func (c *Conn) Listen(channel string) error {
-	_, err := c.Exec("listen " + quoteIdentifier(channel))
+	_, err := c.Exec(context.TODO(), "listen "+quoteIdentifier(channel))
 	if err != nil {
 		return err
 	}
@@ -685,7 +687,7 @@ func (c *Conn) Listen(channel string) error {
 
 // Unlisten unsubscribes from a listen channel
 func (c *Conn) Unlisten(channel string) error {
-	_, err := c.Exec("unlisten " + quoteIdentifier(channel))
+	_, err := c.Exec(context.TODO(), "unlisten "+quoteIdentifier(channel))
 	if err != nil {
 		return err
 	}
@@ -837,12 +839,6 @@ func fatalWriteErr(bytesWritten int, err error) bool {
 	return !(is && netErr.Timeout())
 }
 
-// Exec executes sql. sql can be either a prepared statement name or an SQL string.
-// arguments should be referenced positionally from the sql string as $1, $2, etc.
-func (c *Conn) Exec(sql string, arguments ...interface{}) (commandTag pgconn.CommandTag, err error) {
-	return c.ExecEx(context.Background(), sql, nil, arguments...)
-}
-
 // Processes messages that are not exclusive to one context such as
 // authentication or query response. The response to these messages is the same
 // regardless of when they occur. It also ignores messages that are only
@@ -1351,3 +1347,170 @@ func connInfoFromRows(rows *Rows, err error) (map[string]pgtype.OID, error) {
 func (c *Conn) LastStmtSent() bool {
 	return c.lastStmtSent
 }
+
+// Exec executes sql. sql can be either a prepared statement name or an SQL string. arguments should be referenced
+// positionally from the sql string as $1, $2, etc.
+func (c *Conn) Exec(ctx context.Context, sql string, arguments ...interface{}) (pgconn.CommandTag, error) {
+	c.lastStmtSent = false
+	err := c.waitForPreviousCancelQuery(ctx)
+	if err != nil {
+		return nil, err
+	}
+
+	if err := c.lock(); err != nil {
+		return nil, err
+	}
+	defer c.unlock()
+
+	if err := c.ensureConnectionReadyForQuery(); err != nil {
+		return nil, err
+	}
+
+	startTime := time.Now()
+
+	commandTag, err := c.exec(ctx, sql, arguments...)
+	if err != nil {
+		if c.shouldLog(LogLevelError) {
+			c.log(LogLevelError, "Exec", map[string]interface{}{"sql": sql, "args": logQueryArgs(arguments), "err": err})
+		}
+		return commandTag, err
+	}
+
+	if c.shouldLog(LogLevelInfo) {
+		endTime := time.Now()
+		c.log(LogLevelInfo, "Exec", map[string]interface{}{"sql": sql, "args": logQueryArgs(arguments), "time": endTime.Sub(startTime), "commandTag": commandTag})
+	}
+
+	return commandTag, err
+}
+
+func (c *Conn) exec(ctx context.Context, sql string, arguments ...interface{}) (commandTag pgconn.CommandTag, err error) {
+	if len(arguments) == 0 {
+		c.lastStmtSent = true
+		result, err := c.pgConn.Exec(ctx, sql)
+		if err != nil {
+			return nil, err
+		}
+
+		return result.CommandTag, nil
+	} else {
+		psd, err := c.pgConn.Prepare(ctx, "", sql, nil)
+		if err != nil {
+			return nil, err
+		}
+
+		ps := &PreparedStatement{
+			Name:              psd.Name,
+			SQL:               psd.SQL,
+			ParameterOIDs:     make([]pgtype.OID, len(psd.ParamOIDs)),
+			FieldDescriptions: make([]FieldDescription, len(psd.Fields)),
+		}
+
+		for i := range ps.ParameterOIDs {
+			ps.ParameterOIDs[i] = pgtype.OID(psd.ParamOIDs[i])
+		}
+		for i := range ps.FieldDescriptions {
+			c.pgconnFieldDescriptionToPgxFieldDescription(&psd.Fields[i], &ps.FieldDescriptions[i])
+		}
+
+		arguments, err = convertDriverValuers(arguments)
+		if err != nil {
+			return nil, err
+		}
+
+		paramFormats := make([]int16, len(arguments))
+		paramValues := make([][]byte, len(arguments))
+		for i := range arguments {
+			paramFormats[i] = chooseParameterFormatCode(c.ConnInfo, ps.ParameterOIDs[i], arguments[i])
+			paramValues[i], err = newencodePreparedStatementArgument(c.ConnInfo, ps.ParameterOIDs[i], arguments[i])
+			if err != nil {
+				return nil, err
+			}
+
+		}
+
+		resultFormats := make([]int16, len(ps.FieldDescriptions))
+		for i := range resultFormats {
+			resultFormats[i] = ps.FieldDescriptions[i].FormatCode
+		}
+
+		c.lastStmtSent = true
+		result, err := c.pgConn.ExecPrepared(ctx, psd.Name, paramValues, paramFormats, resultFormats)
+		if err != nil {
+			return nil, err
+		}
+
+		return result.CommandTag, nil
+	}
+
+}
+
+func newencodePreparedStatementArgument(ci *pgtype.ConnInfo, oid pgtype.OID, arg interface{}) ([]byte, error) {
+	if arg == nil {
+		return nil, nil
+	}
+
+	switch arg := arg.(type) {
+	case pgtype.BinaryEncoder:
+		return arg.EncodeBinary(ci, nil)
+	case pgtype.TextEncoder:
+		return arg.EncodeText(ci, nil)
+	case string:
+		return []byte(arg), nil
+	}
+
+	refVal := reflect.ValueOf(arg)
+
+	if refVal.Kind() == reflect.Ptr {
+		if refVal.IsNil() {
+			return nil, nil
+		}
+		arg = refVal.Elem().Interface()
+		return newencodePreparedStatementArgument(ci, oid, arg)
+	}
+
+	if dt, ok := ci.DataTypeForOID(oid); ok {
+		value := dt.Value
+		err := value.Set(arg)
+		if err != nil {
+			{
+				if arg, ok := arg.(driver.Valuer); ok {
+					v, err := callValuerValue(arg)
+					if err != nil {
+						return nil, err
+					}
+					return newencodePreparedStatementArgument(ci, oid, v)
+				}
+			}
+
+			return nil, err
+		}
+
+		return value.(pgtype.BinaryEncoder).EncodeBinary(ci, nil)
+	}
+
+	if strippedArg, ok := stripNamedType(&refVal); ok {
+		return newencodePreparedStatementArgument(ci, oid, strippedArg)
+	}
+	return nil, SerializationError(fmt.Sprintf("Cannot encode %T into oid %v - %T must implement Encoder or be converted to a string", arg, oid, arg))
+}
+
+// pgconnFieldDescriptionToPgxFieldDescription copies and converts the data from a pgproto3.FieldDescription to a
+// FieldDescription.
+func (c *Conn) pgconnFieldDescriptionToPgxFieldDescription(src *pgconn.FieldDescription, dst *FieldDescription) {
+	dst.Name = src.Name
+	dst.Table = pgtype.OID(src.TableOID)
+	dst.AttributeNumber = src.TableAttributeNumber
+	dst.DataType = pgtype.OID(src.DataTypeOID)
+	dst.DataTypeSize = src.DataTypeSize
+	dst.Modifier = src.TypeModifier
+
+	if dt, ok := c.ConnInfo.DataTypeForOID(dst.DataType); ok {
+		dst.DataTypeName = dt.Name
+		if _, ok := dt.Value.(pgtype.BinaryDecoder); ok {
+			dst.FormatCode = BinaryFormatCode
+		} else {
+			dst.FormatCode = TextFormatCode
+		}
+	}
+}
diff --git a/conn_pool.go b/conn_pool.go
index eea043e7..f4943146 100644
--- a/conn_pool.go
+++ b/conn_pool.go
@@ -195,7 +195,7 @@ func (p *ConnPool) Release(conn *Conn) {
 	}
 
 	if conn.pgConn.TxStatus != 'I' {
-		conn.Exec("rollback")
+		conn.Exec(context.TODO(), "rollback")
 	}
 
 	if len(conn.channels) > 0 {
@@ -360,7 +360,7 @@ func (p *ConnPool) Exec(sql string, arguments ...interface{}) (commandTag pgconn
 	}
 	defer p.Release(c)
 
-	return c.Exec(sql, arguments...)
+	return c.Exec(context.TODO(), sql, arguments...)
 }
 
 func (p *ConnPool) ExecEx(ctx context.Context, sql string, options *QueryExOptions, arguments ...interface{}) (commandTag pgconn.CommandTag, err error) {
diff --git a/conn_pool_test.go b/conn_pool_test.go
index 168a3bc9..7a12bba6 100644
--- a/conn_pool_test.go
+++ b/conn_pool_test.go
@@ -345,7 +345,7 @@ func TestPoolReleaseWithTransactions(t *testing.T) {
 		t.Fatalf("Unable to acquire connection: %v", err)
 	}
 	mustExec(t, conn, "begin")
-	if _, err = conn.Exec("selct"); err == nil {
+	if _, err = conn.Exec(context.Background(), "selct"); err == nil {
 		t.Fatal("Did not receive expected error")
 	}
 
@@ -449,7 +449,7 @@ func TestPoolReleaseDiscardsDeadConnections(t *testing.T) {
 				}
 			}()
 
-			if _, err = c2.Exec("select pg_terminate_backend($1)", c1.PID()); err != nil {
+			if _, err = c2.Exec(context.Background(), "select pg_terminate_backend($1)", c1.PID()); err != nil {
 				t.Fatalf("Unable to kill backend PostgreSQL process: %v", err)
 			}
 
@@ -695,7 +695,7 @@ func TestConnPoolBeginRetry(t *testing.T) {
 			pool.Release(victimConn)
 
 			// Terminate connection that was released to pool
-			if _, err = killerConn.Exec("select pg_terminate_backend($1)", victimConn.PID()); err != nil {
+			if _, err = killerConn.Exec(context.Background(), "select pg_terminate_backend($1)", victimConn.PID()); err != nil {
 				t.Fatalf("Unable to kill backend PostgreSQL process: %v", err)
 			}
 
diff --git a/conn_test.go b/conn_test.go
index b49ae174..e3b71bb9 100644
--- a/conn_test.go
+++ b/conn_test.go
@@ -146,7 +146,7 @@ func TestExecFailure(t *testing.T) {
 	conn := mustConnectString(t, os.Getenv("PGX_TEST_DATABASE"))
 	defer closeConn(t, conn)
 
-	if _, err := conn.Exec("selct;"); err == nil {
+	if _, err := conn.Exec(context.Background(), "selct;"); err == nil {
 		t.Fatal("Expected SQL syntax error")
 	}
 	if !conn.LastStmtSent() {
@@ -169,7 +169,7 @@ func TestExecFailureWithArguments(t *testing.T) {
 	conn := mustConnectString(t, os.Getenv("PGX_TEST_DATABASE"))
 	defer closeConn(t, conn)
 
-	if _, err := conn.Exec("selct $1;", 1); err == nil {
+	if _, err := conn.Exec(context.Background(), "selct $1;", 1); err == nil {
 		t.Fatal("Expected SQL syntax error")
 	}
 	if conn.LastStmtSent() {
@@ -270,7 +270,7 @@ func TestExecFailureCloseBefore(t *testing.T) {
 	conn := mustConnectString(t, os.Getenv("PGX_TEST_DATABASE"))
 	closeConn(t, conn)
 
-	if _, err := conn.Exec("select 1"); err == nil {
+	if _, err := conn.Exec(context.Background(), "select 1"); err == nil {
 		t.Fatal("Expected network error")
 	}
 	if conn.LastStmtSent() {
@@ -884,7 +884,7 @@ func TestFatalRxError(t *testing.T) {
 	otherConn := mustConnectString(t, os.Getenv("PGX_TEST_DATABASE"))
 	defer otherConn.Close()
 
-	if _, err := otherConn.Exec("select pg_terminate_backend($1)", conn.PID()); err != nil {
+	if _, err := otherConn.Exec(context.Background(), "select pg_terminate_backend($1)", conn.PID()); err != nil {
 		t.Fatalf("Unable to kill backend PostgreSQL process: %v", err)
 	}
 
@@ -907,7 +907,7 @@ func TestFatalTxError(t *testing.T) {
 			otherConn := mustConnectString(t, os.Getenv("PGX_TEST_DATABASE"))
 			defer otherConn.Close()
 
-			_, err := otherConn.Exec("select pg_terminate_backend($1)", conn.PID())
+			_, err := otherConn.Exec(context.Background(), "select pg_terminate_backend($1)", conn.PID())
 			if err != nil {
 				t.Fatalf("Unable to kill backend PostgreSQL process: %v", err)
 			}
@@ -986,7 +986,7 @@ func TestCatchSimultaneousConnectionQueryAndExec(t *testing.T) {
 	}
 	defer rows.Close()
 
-	_, err = conn.Exec("create temporary table foo(spice timestamp[])")
+	_, err = conn.Exec(context.Background(), "create temporary table foo(spice timestamp[])")
 	if err != pgx.ErrConnBusy {
 		t.Fatalf("conn.Exec should have failed with pgx.ErrConnBusy, but it was %v", err)
 	}
@@ -1128,7 +1128,7 @@ func TestConnOnNotice(t *testing.T) {
 	conn := mustConnect(t, connConfig)
 	defer closeConn(t, conn)
 
-	_, err := conn.Exec(`do $$
+	_, err := conn.Exec(context.Background(), `do $$
 begin
   raise notice 'hello, world';
 end$$;`)
diff --git a/helper_test.go b/helper_test.go
index 188876c4..b181ef31 100644
--- a/helper_test.go
+++ b/helper_test.go
@@ -55,7 +55,7 @@ func closeReplicationConn(t testing.TB, conn *pgx.ReplicationConn) {
 
 func mustExec(t testing.TB, conn *pgx.Conn, sql string, arguments ...interface{}) (commandTag pgconn.CommandTag) {
 	var err error
-	if commandTag, err = conn.Exec(sql, arguments...); err != nil {
+	if commandTag, err = conn.Exec(context.Background(), sql, arguments...); err != nil {
 		t.Fatalf("Exec unexpectedly failed with %v: %v", sql, err)
 	}
 	return
diff --git a/query_test.go b/query_test.go
index 738e2ba6..048e82e9 100644
--- a/query_test.go
+++ b/query_test.go
@@ -1083,7 +1083,7 @@ func TestConnQueryDatabaseSQLDriverValuerWithAutoGeneratedPointerReceiver(t *tes
 	mustExec(t, conn, "create temporary table t(n numeric)")
 
 	var d *apd.Decimal
-	commandTag, err := conn.Exec(`insert into t(n) values($1)`, d)
+	commandTag, err := conn.Exec(context.Background(), `insert into t(n) values($1)`, d)
 	if err != nil {
 		t.Fatal(err)
 	}
diff --git a/replication.go b/replication.go
index cf4058ab..06768194 100644
--- a/replication.go
+++ b/replication.go
@@ -439,7 +439,7 @@ func (rc *ReplicationConn) StartReplication(slotName string, startLsn uint64, ti
 
 // Create the replication slot, using the given name and output plugin.
 func (rc *ReplicationConn) CreateReplicationSlot(slotName, outputPlugin string) (err error) {
-	_, err = rc.c.Exec(fmt.Sprintf("CREATE_REPLICATION_SLOT %s LOGICAL %s NOEXPORT_SNAPSHOT", slotName, outputPlugin))
+	_, err = rc.c.Exec(context.TODO(), fmt.Sprintf("CREATE_REPLICATION_SLOT %s LOGICAL %s NOEXPORT_SNAPSHOT", slotName, outputPlugin))
 	return
 }
 
@@ -457,6 +457,6 @@ func (rc *ReplicationConn) CreateReplicationSlotEx(slotName, outputPlugin string
 
 // Drop the replication slot for the given name
 func (rc *ReplicationConn) DropReplicationSlot(slotName string) (err error) {
-	_, err = rc.c.Exec(fmt.Sprintf("DROP_REPLICATION_SLOT %s", slotName))
+	_, err = rc.c.Exec(context.TODO(), fmt.Sprintf("DROP_REPLICATION_SLOT %s", slotName))
 	return
 }
diff --git a/replication_test.go b/replication_test.go
index 3ceac156..a98129cd 100644
--- a/replication_test.go
+++ b/replication_test.go
@@ -52,7 +52,7 @@ func TestSimpleReplicationConnection(t *testing.T) {
 	defer func() {
 		// Ensure replication slot is destroyed, but don't check for errors as it
 		// should have already been destroyed.
-		conn.Exec("select pg_drop_replication_slot('pgx_test')")
+		conn.Exec(context.Background(), "select pg_drop_replication_slot('pgx_test')")
 		closeConn(t, conn)
 	}()
 
@@ -74,7 +74,7 @@ func TestSimpleReplicationConnection(t *testing.T) {
 	}
 
 	// Do a simple change so we can get some wal data
-	_, err = conn.Exec("create table if not exists replication_test (a integer)")
+	_, err = conn.Exec(context.Background(), "create table if not exists replication_test (a integer)")
 	if err != nil {
 		t.Fatalf("Failed to create table: %v", err)
 	}
@@ -90,7 +90,7 @@ func TestSimpleReplicationConnection(t *testing.T) {
 	for i := 0; i < 5; i++ {
 		var ct pgconn.CommandTag
 		insertedTimes = append(insertedTimes, currentTime)
-		ct, err = conn.Exec("insert into replication_test(a) values($1)", currentTime)
+		ct, err = conn.Exec(context.Background(), "insert into replication_test(a) values($1)", currentTime)
 		if err != nil {
 			t.Fatalf("Insert failed: %v", err)
 		}
diff --git a/tx_test.go b/tx_test.go
index 3a091a16..c79f5132 100644
--- a/tx_test.go
+++ b/tx_test.go
@@ -26,7 +26,7 @@ func TestTransactionSuccessfulCommit(t *testing.T) {
     );
   `
 
-	if _, err := conn.Exec(createSql); err != nil {
+	if _, err := conn.Exec(context.Background(), createSql); err != nil {
 		t.Fatalf("Failed to create table: %v", err)
 	}
 
@@ -68,7 +68,7 @@ func TestTxCommitWhenTxBroken(t *testing.T) {
     );
   `
 
-	if _, err := conn.Exec(createSql); err != nil {
+	if _, err := conn.Exec(context.Background(), createSql); err != nil {
 		t.Fatalf("Failed to create table: %v", err)
 	}
 
@@ -160,7 +160,7 @@ func TestTransactionSuccessfulRollback(t *testing.T) {
     );
   `
 
-	if _, err := conn.Exec(createSql); err != nil {
+	if _, err := conn.Exec(context.Background(), createSql); err != nil {
 		t.Fatalf("Failed to create table: %v", err)
 	}
 
@@ -227,7 +227,7 @@ func TestBeginExReadOnly(t *testing.T) {
 	}
 	defer tx.Rollback()
 
-	_, err = conn.Exec("create table foo(id serial primary key)")
+	_, err = conn.Exec(context.Background(), "create table foo(id serial primary key)")
 	if pgErr, ok := err.(*pgconn.PgError); !ok || pgErr.Code != "25006" {
 		t.Errorf("Expected error SQLSTATE 25006, but got %#v", err)
 	}