diff --git a/src/hnsw.h b/src/hnsw.h
index 3e8bdc2..af39852 100644
--- a/src/hnsw.h
+++ b/src/hnsw.h
@@ -4,6 +4,7 @@
 #include "postgres.h"
 
 #include "access/generic_xlog.h"
+#include "access/parallel.h"
 #include "access/reloptions.h"
 #include "nodes/execnodes.h"
 #include "port.h"				/* for random() */
@@ -132,6 +133,49 @@ typedef struct HnswOptions
 	int			efConstruction; /* size of dynamic candidate list */
 }			HnswOptions;
 
+typedef struct HnswSpool
+{
+	Relation	heap;
+	Relation	index;
+}			HnswSpool;
+
+typedef struct HnswShared
+{
+	/* Immutable state */
+	Oid			heaprelid;
+	Oid			indexrelid;
+	bool		isconcurrent;
+	int			scantuplesortstates;
+
+	/* Worker progress */
+	ConditionVariable workersdonecv;
+
+	/* Mutex for mutable state */
+	slock_t		mutex;
+
+	/* Mutable state */
+	int			nparticipantsdone;
+	double		reltuples;
+	double		indtuples;
+
+#if PG_VERSION_NUM < 120000
+	ParallelHeapScanDescData heapdesc;	/* must come last */
+#endif
+}			HnswShared;
+
+#if PG_VERSION_NUM >= 120000
+#define ParallelTableScanFromHnswShared(shared) \
+	(ParallelTableScanDesc) ((char *) (shared) + BUFFERALIGN(sizeof(HnswShared)))
+#endif
+
+typedef struct HnswLeader
+{
+	ParallelContext *pcxt;
+	int			nparticipanttuplesorts;
+	HnswShared *hnswshared;
+	Snapshot	snapshot;
+}			HnswLeader;
+
 typedef struct HnswBuildState
 {
 	/* Info */
@@ -165,6 +209,9 @@ typedef struct HnswBuildState
 
 	/* Memory */
 	MemoryContext tmpCtx;
+
+	/* Parallel builds */
+	HnswLeader *hnswleader;
 }			HnswBuildState;
 
 typedef struct HnswMetaPageData
@@ -285,6 +332,7 @@ void		HnswLoadElement(HnswElement element, float *distance, Datum *q, Relation i
 void		HnswSetElementTuple(HnswElementTuple etup, HnswElement element);
 void		HnswUpdateConnection(HnswElement element, HnswCandidate * hc, int m, int lc, int *updateIdx, Relation index, FmgrInfo *procinfo, Oid collation);
 void		HnswLoadNeighbors(HnswElement element, Relation index);
+PGDLLEXPORT void HnswParallelBuildMain(dsm_segment *seg, shm_toc *toc);
 
 /* Index access methods */
 IndexBuildResult *hnswbuild(Relation heap, Relation index, IndexInfo *indexInfo);
diff --git a/src/hnswbuild.c b/src/hnswbuild.c
index 8cf5b75..f298611 100644
--- a/src/hnswbuild.c
+++ b/src/hnswbuild.c
@@ -2,12 +2,14 @@
 
 #include <math.h>
 
+#include "access/parallel.h"
 #include "catalog/index.h"
 #include "hnsw.h"
 #include "miscadmin.h"
 #include "lib/pairingheap.h"
 #include "nodes/pg_list.h"
 #include "storage/bufmgr.h"
+#include "tcop/tcopprot.h"
 #include "utils/memutils.h"
 
 #if PG_VERSION_NUM >= 140000
@@ -35,6 +37,23 @@
 #define UpdateProgress(index, val) ((void)val)
 #endif
 
+#if PG_VERSION_NUM >= 140000
+#include "utils/backend_status.h"
+#include "utils/wait_event.h"
+#endif
+
+#if PG_VERSION_NUM >= 120000
+#include "access/table.h"
+#include "optimizer/optimizer.h"
+#else
+#include "access/heapam.h"
+#include "optimizer/planner.h"
+#include "pgstat.h"
+#endif
+
+#define PARALLEL_KEY_HNSW_SHARED		UINT64CONST(0xA000000000000001)
+#define PARALLEL_KEY_QUERY_TEXT			UINT64CONST(0xA000000000000002)
+
 /*
  * Create the metapage
  */
@@ -351,6 +370,7 @@ BuildCallback(Relation index, CALLBACK_ITEM_POINTER, Datum *values,
 
 		oldCtx = MemoryContextSwitchTo(buildstate->tmpCtx);
 
+		/* TODO Fix progress for parallel builds */
 		if (HnswInsertTuple(buildstate->index, values, isnull, tid, buildstate->heap))
 			UpdateProgress(PROGRESS_CREATEIDX_TUPLES_DONE, ++buildstate->indtuples);
 
@@ -460,21 +480,373 @@ FreeBuildState(HnswBuildState * buildstate)
 	MemoryContextDelete(buildstate->tmpCtx);
 }
 
+/*
+ * Within leader, wait for end of heap scan
+ */
+static double
+ParallelHeapScan(HnswBuildState * buildstate)
+{
+	HnswShared *hnswshared = buildstate->hnswleader->hnswshared;
+	int			nparticipanttuplesorts;
+	double		reltuples;
+
+	nparticipanttuplesorts = buildstate->hnswleader->nparticipanttuplesorts;
+	for (;;)
+	{
+		SpinLockAcquire(&hnswshared->mutex);
+		if (hnswshared->nparticipantsdone == nparticipanttuplesorts)
+		{
+			buildstate->indtuples = hnswshared->indtuples;
+			reltuples = hnswshared->reltuples;
+			SpinLockRelease(&hnswshared->mutex);
+			break;
+		}
+		SpinLockRelease(&hnswshared->mutex);
+
+		ConditionVariableSleep(&hnswshared->workersdonecv,
+							   WAIT_EVENT_PARALLEL_CREATE_INDEX_SCAN);
+	}
+
+	ConditionVariableCancelSleep();
+
+	return reltuples;
+}
+
+/*
+ * Perform a worker's portion of a parallel insert
+ */
+static void
+HnswParallelScanAndInsert(HnswSpool * hnswspool, HnswShared * hnswshared, bool progress)
+{
+	HnswBuildState buildstate;
+#if PG_VERSION_NUM >= 120000
+	TableScanDesc scan;
+#else
+	HeapScanDesc scan;
+#endif
+	double		reltuples;
+	IndexInfo  *indexInfo;
+
+	/* Join parallel scan */
+	indexInfo = BuildIndexInfo(hnswspool->index);
+	indexInfo->ii_Concurrent = hnswshared->isconcurrent;
+	InitBuildState(&buildstate, hnswspool->heap, hnswspool->index, indexInfo, MAIN_FORKNUM);
+	/* TODO Support in-memory builds */
+	buildstate.maxInMemoryElements = 0;
+	buildstate.flushed = true;
+#if PG_VERSION_NUM >= 120000
+	scan = table_beginscan_parallel(hnswspool->heap,
+									ParallelTableScanFromHnswShared(hnswshared));
+	reltuples = table_index_build_scan(hnswspool->heap, hnswspool->index, indexInfo,
+									   true, progress, BuildCallback,
+									   (void *) &buildstate, scan);
+#else
+	scan = heap_beginscan_parallel(hnswspool->heap, &hnswshared->heapdesc);
+	reltuples = IndexBuildHeapScan(hnswspool->heap, hnswspool->index, indexInfo,
+								   true, BuildCallback,
+								   (void *) &buildstate, scan);
+#endif
+
+	/* Record statistics */
+	SpinLockAcquire(&hnswshared->mutex);
+	hnswshared->nparticipantsdone++;
+	hnswshared->reltuples += reltuples;
+	hnswshared->indtuples += buildstate.indtuples;
+	SpinLockRelease(&hnswshared->mutex);
+
+	/* Log statistics */
+	if (progress)
+		ereport(DEBUG1, (errmsg("leader processed " INT64_FORMAT " tuples", (int64) reltuples)));
+	else
+		ereport(DEBUG1, (errmsg("worker processed " INT64_FORMAT " tuples", (int64) reltuples)));
+
+	/* Notify leader */
+	ConditionVariableSignal(&hnswshared->workersdonecv);
+
+	FreeBuildState(&buildstate);
+}
+
+/*
+ * Perform work within a launched parallel process
+ */
+void
+HnswParallelBuildMain(dsm_segment *seg, shm_toc *toc)
+{
+	char	   *sharedquery;
+	HnswSpool  *hnswspool;
+	HnswShared *hnswshared;
+	Relation	heapRel;
+	Relation	indexRel;
+	LOCKMODE	heapLockmode;
+	LOCKMODE	indexLockmode;
+
+	/* Set debug_query_string for individual workers first */
+	sharedquery = shm_toc_lookup(toc, PARALLEL_KEY_QUERY_TEXT, true);
+	debug_query_string = sharedquery;
+
+	/* Report the query string from leader */
+	pgstat_report_activity(STATE_RUNNING, debug_query_string);
+
+	/* Look up shared state */
+	hnswshared = shm_toc_lookup(toc, PARALLEL_KEY_HNSW_SHARED, false);
+
+	/* Open relations using lock modes known to be obtained by index.c */
+	if (!hnswshared->isconcurrent)
+	{
+		heapLockmode = ShareLock;
+		indexLockmode = AccessExclusiveLock;
+	}
+	else
+	{
+		heapLockmode = ShareUpdateExclusiveLock;
+		indexLockmode = RowExclusiveLock;
+	}
+
+	/* Open relations within worker */
+#if PG_VERSION_NUM >= 120000
+	heapRel = table_open(hnswshared->heaprelid, heapLockmode);
+#else
+	heapRel = heap_open(hnswshared->heaprelid, heapLockmode);
+#endif
+	indexRel = index_open(hnswshared->indexrelid, indexLockmode);
+
+	/* Initialize worker's own spool */
+	hnswspool = (HnswSpool *) palloc0(sizeof(HnswSpool));
+	hnswspool->heap = heapRel;
+	hnswspool->index = indexRel;
+
+	/* Perform inserts */
+	HnswParallelScanAndInsert(hnswspool, hnswshared, false);
+
+	/* Close relations within worker */
+	index_close(indexRel, indexLockmode);
+#if PG_VERSION_NUM >= 120000
+	table_close(heapRel, heapLockmode);
+#else
+	heap_close(heapRel, heapLockmode);
+#endif
+}
+
+/*
+ * End parallel build
+ */
+static void
+HnswEndParallel(HnswLeader * hnswleader)
+{
+	/* Shutdown worker processes */
+	WaitForParallelWorkersToFinish(hnswleader->pcxt);
+
+	/* Free last reference to MVCC snapshot, if one was used */
+	if (IsMVCCSnapshot(hnswleader->snapshot))
+		UnregisterSnapshot(hnswleader->snapshot);
+	DestroyParallelContext(hnswleader->pcxt);
+	ExitParallelMode();
+}
+
+/*
+ * Return size of shared memory required for parallel index build
+ */
+static Size
+ParallelEstimateShared(Relation heap, Snapshot snapshot)
+{
+#if PG_VERSION_NUM >= 120000
+	return add_size(BUFFERALIGN(sizeof(HnswShared)), table_parallelscan_estimate(heap, snapshot));
+#else
+	if (!IsMVCCSnapshot(snapshot))
+	{
+		Assert(snapshot == SnapshotAny);
+		return sizeof(HnswShared);
+	}
+
+	return add_size(offsetof(HnswShared, heapdesc) +
+					offsetof(ParallelHeapScanDescData, phs_snapshot_data),
+					EstimateSnapshotSpace(snapshot));
+#endif
+}
+
+/*
+ * Within leader, participate as a parallel worker
+ */
+static void
+HnswLeaderParticipateAsWorker(HnswBuildState * buildstate)
+{
+	HnswLeader *hnswleader = buildstate->hnswleader;
+	HnswSpool  *leaderworker;
+
+	/* Allocate memory and initialize private spool */
+	leaderworker = (HnswSpool *) palloc0(sizeof(HnswSpool));
+	leaderworker->heap = buildstate->heap;
+	leaderworker->index = buildstate->index;
+
+	/* Perform work common to all participants */
+	HnswParallelScanAndInsert(leaderworker, hnswleader->hnswshared, true);
+}
+
+/*
+ * Begin parallel build
+ */
+static void
+HnswBeginParallel(HnswBuildState * buildstate, bool isconcurrent, int request)
+{
+	ParallelContext *pcxt;
+	int			scantuplesortstates;
+	Snapshot	snapshot;
+	Size		esthnswshared;
+	HnswShared *hnswshared;
+	HnswLeader *hnswleader = (HnswLeader *) palloc0(sizeof(HnswLeader));
+	bool		leaderparticipates = true;
+	int			querylen;
+
+#ifdef DISABLE_LEADER_PARTICIPATION
+	leaderparticipates = false;
+#endif
+
+	/* Enter parallel mode and create context */
+	EnterParallelMode();
+	Assert(request > 0);
+#if PG_VERSION_NUM >= 120000
+	pcxt = CreateParallelContext("vector", "HnswParallelBuildMain", request);
+#else
+	pcxt = CreateParallelContext("vector", "HnswParallelBuildMain", request, true);
+#endif
+
+	scantuplesortstates = leaderparticipates ? request + 1 : request;
+
+	/* Get snapshot for table scan */
+	if (!isconcurrent)
+		snapshot = SnapshotAny;
+	else
+		snapshot = RegisterSnapshot(GetTransactionSnapshot());
+
+	/* Estimate size of workspaces */
+	esthnswshared = ParallelEstimateShared(buildstate->heap, snapshot);
+	shm_toc_estimate_chunk(&pcxt->estimator, esthnswshared);
+	shm_toc_estimate_keys(&pcxt->estimator, 1);
+
+	/* Finally, estimate PARALLEL_KEY_QUERY_TEXT space */
+	if (debug_query_string)
+	{
+		querylen = strlen(debug_query_string);
+		shm_toc_estimate_chunk(&pcxt->estimator, querylen + 1);
+		shm_toc_estimate_keys(&pcxt->estimator, 1);
+	}
+	else
+		querylen = 0;			/* keep compiler quiet */
+
+	/* Everyone's had a chance to ask for space, so now create the DSM */
+	InitializeParallelDSM(pcxt);
+
+	/* If no DSM segment was available, back out (do serial build) */
+	if (pcxt->seg == NULL)
+	{
+		if (IsMVCCSnapshot(snapshot))
+			UnregisterSnapshot(snapshot);
+		DestroyParallelContext(pcxt);
+		ExitParallelMode();
+		return;
+	}
+
+	/* Store shared build state, for which we reserved space */
+	hnswshared = (HnswShared *) shm_toc_allocate(pcxt->toc, esthnswshared);
+	/* Initialize immutable state */
+	hnswshared->heaprelid = RelationGetRelid(buildstate->heap);
+	hnswshared->indexrelid = RelationGetRelid(buildstate->index);
+	hnswshared->isconcurrent = isconcurrent;
+	hnswshared->scantuplesortstates = scantuplesortstates;
+	ConditionVariableInit(&hnswshared->workersdonecv);
+	SpinLockInit(&hnswshared->mutex);
+	/* Initialize mutable state */
+	hnswshared->nparticipantsdone = 0;
+	hnswshared->reltuples = 0;
+	hnswshared->indtuples = 0;
+#if PG_VERSION_NUM >= 120000
+	table_parallelscan_initialize(buildstate->heap,
+								  ParallelTableScanFromHnswShared(hnswshared),
+								  snapshot);
+#else
+	heap_parallelscan_initialize(&hnswshared->heapdesc, buildstate->heap, snapshot);
+#endif
+
+	shm_toc_insert(pcxt->toc, PARALLEL_KEY_HNSW_SHARED, hnswshared);
+
+	/* Store query string for workers */
+	if (debug_query_string)
+	{
+		char	   *sharedquery;
+
+		sharedquery = (char *) shm_toc_allocate(pcxt->toc, querylen + 1);
+		memcpy(sharedquery, debug_query_string, querylen + 1);
+		shm_toc_insert(pcxt->toc, PARALLEL_KEY_QUERY_TEXT, sharedquery);
+	}
+
+	/* Launch workers, saving status for leader/caller */
+	LaunchParallelWorkers(pcxt);
+	hnswleader->pcxt = pcxt;
+	hnswleader->nparticipanttuplesorts = pcxt->nworkers_launched;
+	if (leaderparticipates)
+		hnswleader->nparticipanttuplesorts++;
+	hnswleader->hnswshared = hnswshared;
+	hnswleader->snapshot = snapshot;
+
+	/* If no workers were successfully launched, back out (do serial build) */
+	if (pcxt->nworkers_launched == 0)
+	{
+		HnswEndParallel(hnswleader);
+		return;
+	}
+
+	/* Log participants */
+	ereport(DEBUG1, (errmsg("using %d parallel workers", pcxt->nworkers_launched)));
+
+	/* Save leader state now that it's clear build will be parallel */
+	buildstate->hnswleader = hnswleader;
+
+	/* Join heap scan ourselves */
+	if (leaderparticipates)
+		HnswLeaderParticipateAsWorker(buildstate);
+
+	/* Wait for all launched workers */
+	WaitForParallelWorkersToAttach(pcxt);
+}
+
 /*
  * Build graph
  */
 static void
 BuildGraph(HnswBuildState * buildstate, ForkNumber forkNum)
 {
+	int			parallel_workers = 0;
+
 	UpdateProgress(PROGRESS_CREATEIDX_SUBPHASE, PROGRESS_HNSW_PHASE_LOAD);
 
+	/* Calculate parallel workers */
+	parallel_workers = plan_create_index_workers(RelationGetRelid(buildstate->heap), RelationGetRelid(buildstate->index));
+
+	/* Attempt to launch parallel worker scan when required */
+	if (parallel_workers > 0)
+	{
+		/* TODO Support in-memory builds */
+		FlushPages(buildstate);
+		HnswBeginParallel(buildstate, buildstate->indexInfo->ii_Concurrent, parallel_workers);
+	}
+
+	/* Add tuples to sort */
+	if (buildstate->hnswleader)
+		buildstate->reltuples = ParallelHeapScan(buildstate);
+	else
+	{
 #if PG_VERSION_NUM >= 120000
-	buildstate->reltuples = table_index_build_scan(buildstate->heap, buildstate->index, buildstate->indexInfo,
-												   true, true, BuildCallback, (void *) buildstate, NULL);
+		buildstate->reltuples = table_index_build_scan(buildstate->heap, buildstate->index, buildstate->indexInfo,
+													   true, true, BuildCallback, (void *) buildstate, NULL);
 #else
-	buildstate->reltuples = IndexBuildHeapScan(buildstate->heap, buildstate->index, buildstate->indexInfo,
-											   true, BuildCallback, (void *) buildstate, NULL);
+		buildstate->reltuples = IndexBuildHeapScan(buildstate->heap, buildstate->index, buildstate->indexInfo,
+												   true, BuildCallback, (void *) buildstate, NULL);
 #endif
+	}
+
+	/* End parallel build */
+	if (buildstate->hnswleader)
+		HnswEndParallel(buildstate->hnswleader);
 }
 
 /*
diff --git a/test/t/012_hnsw_build_recall.pl b/test/t/012_hnsw_build_recall.pl
index e9074c6..e2a8653 100644
--- a/test/t/012_hnsw_build_recall.pl
+++ b/test/t/012_hnsw_build_recall.pl
@@ -83,11 +83,31 @@ for my $i (0 .. $#operators)
 		push(@expected, $res);
 	}
 
-	# Add index
-	$node->safe_psql("postgres", "CREATE INDEX ON tst USING hnsw (v $opclass);");
+	# Build index serially
+	$node->safe_psql("postgres", qq(
+		SET max_parallel_maintenance_workers = 0;
+		CREATE INDEX idx ON tst USING hnsw (v $opclass);
+	));
 
+	# Test approximate results
 	my $min = $operator eq "<#>" ? 0.80 : 0.99;
 	test_recall($min, $operator);
+
+	$node->safe_psql("postgres", "DROP INDEX idx;");
+
+	# Build index in parallel
+	my ($ret, $stdout, $stderr) = $node->psql("postgres", qq(
+		SET client_min_messages = DEBUG;
+		SET min_parallel_table_scan_size = 1;
+		CREATE INDEX idx ON tst USING hnsw (v $opclass);
+	));
+	is($ret, 0, $stderr);
+	like($stderr, qr/using \d+ parallel workers/);
+
+	# Test approximate results
+	test_recall($min, $operator);
+
+	$node->safe_psql("postgres", "DROP INDEX idx;");
 }
 
 done_testing();