diff --git a/CHANGES.md b/CHANGES.md
index bf14d02ea..f704c7b34 100644
--- a/CHANGES.md
+++ b/CHANGES.md
@@ -8,6 +8,7 @@
 * Ability to POST an ItemCollection to the collections/{collectionId}/items route. ([#367](https://github.com/stac-utils/stac-fastapi/pull/367))
 * Add STAC API - Collections conformance class. ([383](https://github.com/stac-utils/stac-fastapi/pull/383))
 * Bulk item inserts for pgstac implementation. ([411](https://github.com/stac-utils/stac-fastapi/pull/411))
+* Add APIRouter prefix support for pgstac implementation. ([429](https://github.com/stac-utils/stac-fastapi/pull/429))
 * Respect `Forwarded` or `X-Forwarded-*` request headers when building links to better accommodate load balancers and proxies.
 
 ### Changed
diff --git a/stac_fastapi/api/stac_fastapi/api/app.py b/stac_fastapi/api/stac_fastapi/api/app.py
index 9761deaa6..0632a5bab 100644
--- a/stac_fastapi/api/stac_fastapi/api/app.py
+++ b/stac_fastapi/api/stac_fastapi/api/app.py
@@ -336,7 +336,7 @@ def customize_openapi(self) -> Optional[Dict[str, Any]]:
 
     def add_health_check(self):
         """Add a health check."""
-        mgmt_router = APIRouter()
+        mgmt_router = APIRouter(prefix=self.app.state.router_prefix)
 
         @mgmt_router.get("/_mgmt/ping")
         async def ping():
@@ -384,6 +384,10 @@ def __attrs_post_init__(self):
         self.register_core()
         self.app.include_router(self.router)
 
+        # keep link to the router prefix value
+        router_prefix = self.router.prefix
+        self.app.state.router_prefix = router_prefix if router_prefix else ""
+
         # register extensions
         for ext in self.extensions:
             ext.register(self.app)
diff --git a/stac_fastapi/extensions/stac_fastapi/extensions/core/filter/filter.py b/stac_fastapi/extensions/stac_fastapi/extensions/core/filter/filter.py
index 243cfaf4e..0854c9f4f 100644
--- a/stac_fastapi/extensions/stac_fastapi/extensions/core/filter/filter.py
+++ b/stac_fastapi/extensions/stac_fastapi/extensions/core/filter/filter.py
@@ -107,6 +107,7 @@ def register(self, app: FastAPI) -> None:
         Returns:
             None
         """
+        self.router.prefix = app.state.router_prefix
         self.router.add_api_route(
             name="Queryables",
             path="/queryables",
diff --git a/stac_fastapi/extensions/stac_fastapi/extensions/core/transaction.py b/stac_fastapi/extensions/stac_fastapi/extensions/core/transaction.py
index 476301fc9..f446de2be 100644
--- a/stac_fastapi/extensions/stac_fastapi/extensions/core/transaction.py
+++ b/stac_fastapi/extensions/stac_fastapi/extensions/core/transaction.py
@@ -160,6 +160,7 @@ def register(self, app: FastAPI) -> None:
         Returns:
             None
         """
+        self.router.prefix = app.state.router_prefix
         self.register_create_item()
         self.register_update_item()
         self.register_delete_item()
diff --git a/stac_fastapi/extensions/stac_fastapi/extensions/third_party/bulk_transactions.py b/stac_fastapi/extensions/stac_fastapi/extensions/third_party/bulk_transactions.py
index bdb68d9a8..3fe25c9d1 100644
--- a/stac_fastapi/extensions/stac_fastapi/extensions/third_party/bulk_transactions.py
+++ b/stac_fastapi/extensions/stac_fastapi/extensions/third_party/bulk_transactions.py
@@ -116,7 +116,7 @@ def register(self, app: FastAPI) -> None:
         """
         items_request_model = create_request_model("Items", base_model=Items)
 
-        router = APIRouter()
+        router = APIRouter(prefix=app.state.router_prefix)
         router.add_api_route(
             name="Bulk Create Item",
             path="/collections/{collection_id}/bulk_items",
diff --git a/stac_fastapi/pgstac/stac_fastapi/pgstac/core.py b/stac_fastapi/pgstac/stac_fastapi/pgstac/core.py
index 2b3297a88..07844f4bb 100644
--- a/stac_fastapi/pgstac/stac_fastapi/pgstac/core.py
+++ b/stac_fastapi/pgstac/stac_fastapi/pgstac/core.py
@@ -23,6 +23,7 @@
 from stac_fastapi.pgstac.utils import filter_fields
 from stac_fastapi.types.core import AsyncBaseCoreClient
 from stac_fastapi.types.errors import InvalidQueryParameter, NotFoundError
+from stac_fastapi.types.requests import get_base_url
 from stac_fastapi.types.stac import Collection, Collections, Item, ItemCollection
 
 NumType = Union[float, int]
@@ -35,7 +36,7 @@ class CoreCrudClient(AsyncBaseCoreClient):
     async def all_collections(self, **kwargs) -> Collections:
         """Read all collections from the database."""
         request: Request = kwargs["request"]
-        base_url = str(request.base_url)
+        base_url = get_base_url(request)
         pool = request.app.state.readpool
 
         async with pool.acquire() as conn:
diff --git a/stac_fastapi/pgstac/stac_fastapi/pgstac/models/links.py b/stac_fastapi/pgstac/stac_fastapi/pgstac/models/links.py
index 4816c0969..798db5426 100644
--- a/stac_fastapi/pgstac/stac_fastapi/pgstac/models/links.py
+++ b/stac_fastapi/pgstac/stac_fastapi/pgstac/models/links.py
@@ -8,6 +8,8 @@
 from stac_pydantic.shared import MimeTypes
 from starlette.requests import Request
 
+from stac_fastapi.types.requests import get_base_url
+
 # These can be inferred from the item/collection so they aren't included in the database
 # Instead they are dynamically generated when querying the database using the classes defined below
 INFERRED_LINK_RELS = ["self", "item", "parent", "collection", "root"]
@@ -45,7 +47,7 @@ class BaseLinks:
     @property
     def base_url(self):
         """Get the base url."""
-        return str(self.request.base_url)
+        return get_base_url(self.request)
 
     @property
     def url(self):
diff --git a/stac_fastapi/pgstac/tests/api/test_api.py b/stac_fastapi/pgstac/tests/api/test_api.py
index 3619055ed..369f9f0ce 100644
--- a/stac_fastapi/pgstac/tests/api/test_api.py
+++ b/stac_fastapi/pgstac/tests/api/test_api.py
@@ -51,16 +51,24 @@ async def test_api_headers(app_client):
     assert resp.status_code == 200
 
 
-async def test_core_router(api_client):
-    core_routes = set(STAC_CORE_ROUTES)
+async def test_core_router(api_client, app):
+    core_routes = set()
+    for core_route in STAC_CORE_ROUTES:
+        method, path = core_route.split(" ")
+        core_routes.add("{} {}".format(method, app.state.router_prefix + path))
+
     api_routes = set(
         [f"{list(route.methods)[0]} {route.path}" for route in api_client.app.routes]
     )
     assert not core_routes - api_routes
 
 
-async def test_transactions_router(api_client):
-    transaction_routes = set(STAC_TRANSACTION_ROUTES)
+async def test_transactions_router(api_client, app):
+    transaction_routes = set()
+    for transaction_route in STAC_TRANSACTION_ROUTES:
+        method, path = transaction_route.split(" ")
+        transaction_routes.add("{} {}".format(method, app.state.router_prefix + path))
+
     api_routes = set(
         [f"{list(route.methods)[0]} {route.path}" for route in api_client.app.routes]
     )
diff --git a/stac_fastapi/pgstac/tests/conftest.py b/stac_fastapi/pgstac/tests/conftest.py
index 200965176..4a32fd73e 100644
--- a/stac_fastapi/pgstac/tests/conftest.py
+++ b/stac_fastapi/pgstac/tests/conftest.py
@@ -3,9 +3,11 @@
 import os
 import time
 from typing import Callable, Dict
+from urllib.parse import urljoin
 
 import asyncpg
 import pytest
+from fastapi import APIRouter
 from fastapi.responses import ORJSONResponse
 from httpx import AsyncClient
 from pypgstac.db import PgstacDB
@@ -107,9 +109,26 @@ async def pgstac(pg):
 
 
 # Run all the tests that use the api_client in both db hydrate and api hydrate mode
-@pytest.fixture(params=[settings, pgstac_api_hydrate_settings], scope="session")
+@pytest.fixture(
+    params=[
+        (settings, ""),
+        (settings, "/router_prefix"),
+        (pgstac_api_hydrate_settings, ""),
+        (pgstac_api_hydrate_settings, "/router_prefix"),
+    ],
+    scope="session",
+)
 def api_client(request, pg):
-    print("creating client with settings, hydrate:", request.param.use_api_hydrate)
+    api_settings, prefix = request.param
+
+    api_settings.openapi_url = prefix + api_settings.openapi_url
+    api_settings.docs_url = prefix + api_settings.docs_url
+
+    print(
+        "creating client with settings, hydrate: {}, router prefix: '{}'".format(
+            api_settings.use_api_hydrate, prefix
+        )
+    )
 
     extensions = [
         TransactionExtension(client=TransactionsClient(), settings=settings),
@@ -122,12 +141,13 @@ def api_client(request, pg):
     ]
     post_request_model = create_post_request_model(extensions, base_model=PgstacSearch)
     api = StacApi(
-        settings=request.param,
+        settings=api_settings,
         extensions=extensions,
         client=CoreCrudClient(post_request_model=post_request_model),
         search_get_request_model=create_get_request_model(extensions),
         search_post_request_model=post_request_model,
         response_class=ORJSONResponse,
+        router=APIRouter(prefix=prefix),
     )
 
     return api
@@ -150,7 +170,12 @@ async def app(api_client):
 @pytest.fixture(scope="function")
 async def app_client(app):
     print("creating app_client")
-    async with AsyncClient(app=app, base_url="http://test") as c:
+
+    base_url = "http://test"
+    if app.state.router_prefix != "":
+        base_url = urljoin(base_url, app.state.router_prefix)
+
+    async with AsyncClient(app=app, base_url=base_url) as c:
         yield c
 
 
diff --git a/stac_fastapi/pgstac/tests/resources/test_conformance.py b/stac_fastapi/pgstac/tests/resources/test_conformance.py
index b080c4b8a..b9f78852c 100644
--- a/stac_fastapi/pgstac/tests/resources/test_conformance.py
+++ b/stac_fastapi/pgstac/tests/resources/test_conformance.py
@@ -46,7 +46,7 @@ def test_landing_page_health(response):
 
 @pytest.mark.parametrize("rel_type,expected_media_type,expected_path", link_tests)
 async def test_landing_page_links(
-    response_json: Dict, app_client, rel_type, expected_media_type, expected_path
+    response_json: Dict, app_client, app, rel_type, expected_media_type, expected_path
 ):
     link = get_link(response_json, rel_type)
 
@@ -54,9 +54,9 @@ async def test_landing_page_links(
     assert link.get("type") == expected_media_type
 
     link_path = urllib.parse.urlsplit(link.get("href")).path
-    assert link_path == expected_path
+    assert link_path == app.state.router_prefix + expected_path
 
-    resp = await app_client.get(link_path)
+    resp = await app_client.get(link_path.rsplit("/", 1)[-1])
     assert resp.status_code == 200
 
 
@@ -64,7 +64,7 @@ async def test_landing_page_links(
 # code here seems meaningless since it would be the same as if the endpoint did not exist. Once
 # https://github.com/stac-utils/stac-fastapi/pull/227 has been merged we can add this to the
 # parameterized tests above.
-def test_search_link(response_json: Dict):
+def test_search_link(response_json: Dict, app):
     for search_link in [
         get_link(response_json, "search", "GET"),
         get_link(response_json, "search", "POST"),
@@ -73,4 +73,4 @@ def test_search_link(response_json: Dict):
         assert search_link.get("type") == "application/geo+json"
 
         search_path = urllib.parse.urlsplit(search_link.get("href")).path
-        assert search_path == "/search"
+        assert search_path == app.state.router_prefix + "/search"
diff --git a/stac_fastapi/pgstac/tests/resources/test_item.py b/stac_fastapi/pgstac/tests/resources/test_item.py
index a56fd16dd..d261738ab 100644
--- a/stac_fastapi/pgstac/tests/resources/test_item.py
+++ b/stac_fastapi/pgstac/tests/resources/test_item.py
@@ -1166,7 +1166,7 @@ async def test_get_missing_item(app_client, load_test_data):
     assert resp.status_code == 404
 
 
-async def test_relative_link_construction():
+async def test_relative_link_construction(app):
     req = Request(
         scope={
             "type": "http",
@@ -1177,11 +1177,14 @@ async def test_relative_link_construction():
             "raw_path": b"/tab/abc",
             "query_string": b"",
             "headers": {},
+            "app": app,
             "server": ("test", HTTP_PORT),
         }
     )
     links = CollectionLinks(collection_id="naip", request=req)
-    assert links.link_items()["href"] == "http://test/stac/collections/naip/items"
+    assert links.link_items()["href"] == (
+        "http://test/stac{}/collections/naip/items".format(app.state.router_prefix)
+    )
 
 
 async def test_search_bbox_errors(app_client):
diff --git a/stac_fastapi/types/stac_fastapi/types/core.py b/stac_fastapi/types/stac_fastapi/types/core.py
index 416bf1c50..965b5f26b 100644
--- a/stac_fastapi/types/stac_fastapi/types/core.py
+++ b/stac_fastapi/types/stac_fastapi/types/core.py
@@ -14,6 +14,7 @@
 from stac_fastapi.types import stac as stac_types
 from stac_fastapi.types.conformance import BASE_CONFORMANCE_CLASSES
 from stac_fastapi.types.extension import ApiExtension
+from stac_fastapi.types.requests import get_base_url
 from stac_fastapi.types.search import BaseSearchPostRequest
 from stac_fastapi.types.stac import Conformance
 
@@ -349,7 +350,7 @@ def landing_page(self, **kwargs) -> stac_types.LandingPage:
             API landing page, serving as an entry point to the API.
         """
         request: Request = kwargs["request"]
-        base_url = str(request.base_url)
+        base_url = get_base_url(request)
         extension_schemas = [
             schema.schema_href for schema in self.extensions if schema.schema_href
         ]
@@ -377,7 +378,9 @@ def landing_page(self, **kwargs) -> stac_types.LandingPage:
                 "rel": "service-desc",
                 "type": "application/vnd.oai.openapi+json;version=3.0",
                 "title": "OpenAPI service description",
-                "href": urljoin(base_url, request.app.openapi_url.lstrip("/")),
+                "href": urljoin(
+                    str(request.base_url), request.app.openapi_url.lstrip("/")
+                ),
             }
         )
 
@@ -387,7 +390,9 @@ def landing_page(self, **kwargs) -> stac_types.LandingPage:
                 "rel": "service-doc",
                 "type": "text/html",
                 "title": "OpenAPI service documentation",
-                "href": urljoin(base_url, request.app.docs_url.lstrip("/")),
+                "href": urljoin(
+                    str(request.base_url), request.app.docs_url.lstrip("/")
+                ),
             }
         )
 
@@ -538,7 +543,7 @@ async def landing_page(self, **kwargs) -> stac_types.LandingPage:
             API landing page, serving as an entry point to the API.
         """
         request: Request = kwargs["request"]
-        base_url = str(request.base_url)
+        base_url = get_base_url(request)
         extension_schemas = [
             schema.schema_href for schema in self.extensions if schema.schema_href
         ]
@@ -564,7 +569,9 @@ async def landing_page(self, **kwargs) -> stac_types.LandingPage:
                 "rel": "service-desc",
                 "type": "application/vnd.oai.openapi+json;version=3.0",
                 "title": "OpenAPI service description",
-                "href": urljoin(base_url, request.app.openapi_url.lstrip("/")),
+                "href": urljoin(
+                    str(request.base_url), request.app.openapi_url.lstrip("/")
+                ),
             }
         )
 
@@ -574,7 +581,9 @@ async def landing_page(self, **kwargs) -> stac_types.LandingPage:
                 "rel": "service-doc",
                 "type": "text/html",
                 "title": "OpenAPI service documentation",
-                "href": urljoin(base_url, request.app.docs_url.lstrip("/")),
+                "href": urljoin(
+                    str(request.base_url), request.app.docs_url.lstrip("/")
+                ),
             }
         )
 
diff --git a/stac_fastapi/types/stac_fastapi/types/requests.py b/stac_fastapi/types/stac_fastapi/types/requests.py
new file mode 100644
index 000000000..7ce0e81a4
--- /dev/null
+++ b/stac_fastapi/types/stac_fastapi/types/requests.py
@@ -0,0 +1,14 @@
+"""requests helpers."""
+
+from starlette.requests import Request
+
+
+def get_base_url(request: Request) -> str:
+    """Get base URL with respect of APIRouter prefix."""
+    app = request.app
+    if not app.state.router_prefix:
+        return str(request.base_url)
+    else:
+        return "{}{}/".format(
+            str(request.base_url), app.state.router_prefix.lstrip("/")
+        )