diff --git a/configs/samples/pjsip.conf.sample b/configs/samples/pjsip.conf.sample
index 247b540276ee5ac766322b9aeaceac8686a01e15..9d454089d3f7a738489355c3780d710ffafecb8d 100644
--- a/configs/samples/pjsip.conf.sample
+++ b/configs/samples/pjsip.conf.sample
@@ -171,6 +171,32 @@
 ;type=transport
 ;protocol=flow
 
+; Example IPv4 TCP transport with Keepalive options
+;
+;[transport-tcp]
+;type=transport
+;protocol=tcp
+;bind=0.0.0.0
+;tcp_keepalive_enable=yes        ; Enable TCP keepalive (yes/no)
+;tcp_keepalive_idle_time=30      ; Time in seconds the connection needs to remain idle before TCP starts sending keepalive probes
+;tcp_keepalive_interval_time=10  ; The time in seconds between individual keepalive probes
+;tcp_keepalive_probe_count=5     ; The maximum number of keepalive probes TCP should send before dropping the connection
+
+; Example IPv4 TLS transport with Keepalive options
+;
+;[transport-tls]
+;type=transport
+;protocol=tls
+;bind=0.0.0.0
+;cert_file=/path/to/mycert.crt
+;priv_key_file=/path/to/mykey.key
+;cipher=ADH-AES256-SHA,ADH-AES128-SHA
+;method=tlsv1
+;tcp_keepalive_enable=yes        ; Enable TCP keepalive (yes/no)
+;tcp_keepalive_idle_time=30      ; Time in seconds the connection needs to remain idle before TCP starts sending keepalive probes
+;tcp_keepalive_interval_time=10  ; The time in seconds between individual keepalive probes
+;tcp_keepalive_probe_count=5     ; The maximum number of keepalive probes TCP should send before dropping the connection
+
 ;===============OUTBOUND REGISTRATION WITH OUTBOUND AUTHENTICATION============
 ;
 ; This is a simple registration that works with some SIP trunking providers.
diff --git a/contrib/ast-db-manage/config/versions/8fce8496f03e_add_tcp_keepalive_settings_to_ps_.py b/contrib/ast-db-manage/config/versions/8fce8496f03e_add_tcp_keepalive_settings_to_ps_.py
new file mode 100644
index 0000000000000000000000000000000000000000..4844a60ed740008c0189ee06ac8c6071dc68a317
--- /dev/null
+++ b/contrib/ast-db-manage/config/versions/8fce8496f03e_add_tcp_keepalive_settings_to_ps_.py
@@ -0,0 +1,28 @@
+"""Add TCP keepalive settings to ps_transports
+
+Revision ID: 8fce8496f03e
+Revises: 74dc751dfe8e
+Create Date: 2024-03-18 17:00:17.148018
+
+"""
+
+# revision identifiers, used by Alembic.
+revision = '8fce8496f03e'
+down_revision = '74dc751dfe8e'
+
+from alembic import op
+import sqlalchemy as sa
+
+def upgrade():
+    with op.batch_alter_table('ps_transports') as batch_op:
+        batch_op.add_column(sa.Column('tcp_keepalive_enable', sa.Boolean(), nullable=True))
+        batch_op.add_column(sa.Column('tcp_keepalive_idle_time', sa.Integer(), nullable=True))
+        batch_op.add_column(sa.Column('tcp_keepalive_interval_time', sa.Integer(), nullable=True))
+        batch_op.add_column(sa.Column('tcp_keepalive_probe_count', sa.Integer(), nullable=True))
+
+def downgrade():
+    with op.batch_alter_table('ps_transports') as batch_op:
+        batch_op.drop_column('tcp_keepalive_enable')
+        batch_op.drop_column('tcp_keepalive_idle_time')
+        batch_op.drop_column('tcp_keepalive_interval_time')
+        batch_op.drop_column('tcp_keepalive_probe_count')
diff --git a/include/asterisk/res_pjsip.h b/include/asterisk/res_pjsip.h
index b320cff52545c6b670c5862e0f7c8fa06b11db28..214605209accb44a81142ed0b4e9f8a51728f539 100644
--- a/include/asterisk/res_pjsip.h
+++ b/include/asterisk/res_pjsip.h
@@ -299,6 +299,14 @@ struct ast_sip_transport {
 	int symmetric_transport;
 	/*! This is a flow to another target */
 	int flow;
+	/*! Enable TCP keepalive */
+	int tcp_keepalive_enable;
+	/*! Time in seconds the connection needs to remain idle before TCP starts sending keepalive probes */
+	int tcp_keepalive_idle_time;
+	/*! The time in seconds between individual keepalive probes */
+	int tcp_keepalive_interval_time;
+	/*! The maximum number of keepalive probes TCP should send before dropping the connection */
+	int tcp_keepalive_probe_count;
 };
 
 #define SIP_SORCERY_DOMAIN_ALIAS_TYPE "domain_alias"
diff --git a/res/res_pjsip/config_transport.c b/res/res_pjsip/config_transport.c
index 07b60a9a7027e19bfd15375982de84b962cbe1a7..f538eaf862580a9f46ba2eae8d03e8814bdd55bf 100644
--- a/res/res_pjsip/config_transport.c
+++ b/res/res_pjsip/config_transport.c
@@ -828,17 +828,55 @@ static int transport_apply(const struct ast_sorcery *sorcery, void *obj)
 	} else if (transport->type == AST_TRANSPORT_TCP) {
 		pjsip_tcp_transport_cfg cfg;
 		static int option = 1;
+		int sockopt_count = 0;
 
 		pjsip_tcp_transport_cfg_default(&cfg, temp_state->state->host.addr.sa_family);
 		cfg.bind_addr = temp_state->state->host;
 		cfg.async_cnt = transport->async_operations;
 		set_qos(transport, &cfg.qos_params);
+
 		/* sockopt_params.options is copied to each newly connected socket */
-		cfg.sockopt_params.options[0].level = pj_SOL_TCP();
-		cfg.sockopt_params.options[0].optname = pj_TCP_NODELAY();
-		cfg.sockopt_params.options[0].optval = &option;
-		cfg.sockopt_params.options[0].optlen = sizeof(option);
-		cfg.sockopt_params.cnt = 1;
+		cfg.sockopt_params.options[sockopt_count].level = pj_SOL_TCP();
+		cfg.sockopt_params.options[sockopt_count].optname = pj_TCP_NODELAY();
+		cfg.sockopt_params.options[sockopt_count].optval = &option;
+		cfg.sockopt_params.options[sockopt_count].optlen = sizeof(option);
+		sockopt_count++;
+
+		if (transport->tcp_keepalive_enable) {
+#if defined(PJ_MAX_SOCKOPT_PARAMS) && PJ_MAX_SOCKOPT_PARAMS >= 5
+			ast_log(LOG_DEBUG, "TCP Keepalive enabled for transport '%s'. Idle Time: %d, Interval: %d, Count: %d\n",
+				ast_sorcery_object_get_id(obj), transport->tcp_keepalive_idle_time, transport->tcp_keepalive_interval_time, transport->tcp_keepalive_probe_count);
+
+			cfg.sockopt_params.options[sockopt_count].level = pj_SOL_SOCKET();
+			cfg.sockopt_params.options[sockopt_count].optname = SO_KEEPALIVE;
+			cfg.sockopt_params.options[sockopt_count].optval = &option;
+			cfg.sockopt_params.options[sockopt_count].optlen = sizeof(option);
+			sockopt_count++;
+
+			cfg.sockopt_params.options[sockopt_count].level = pj_SOL_TCP();
+			cfg.sockopt_params.options[sockopt_count].optname = TCP_KEEPIDLE;
+			cfg.sockopt_params.options[sockopt_count].optval = &transport->tcp_keepalive_idle_time;
+			cfg.sockopt_params.options[sockopt_count].optlen = sizeof(transport->tcp_keepalive_idle_time);
+			sockopt_count++;
+
+			cfg.sockopt_params.options[sockopt_count].level = pj_SOL_TCP();
+			cfg.sockopt_params.options[sockopt_count].optname = TCP_KEEPINTVL;
+			cfg.sockopt_params.options[sockopt_count].optval = &transport->tcp_keepalive_interval_time;
+			cfg.sockopt_params.options[sockopt_count].optlen = sizeof(transport->tcp_keepalive_interval_time);
+			sockopt_count++;
+
+			cfg.sockopt_params.options[sockopt_count].level = pj_SOL_TCP();
+			cfg.sockopt_params.options[sockopt_count].optname = TCP_KEEPCNT;
+			cfg.sockopt_params.options[sockopt_count].optval = &transport->tcp_keepalive_probe_count;
+			cfg.sockopt_params.options[sockopt_count].optlen = sizeof(transport->tcp_keepalive_probe_count);
+			sockopt_count++;
+#else
+			ast_log(LOG_WARNING, "TCP keepalive settings for '%s' not set due to PJSIP built without support for setting all options. Consider using bundled PJSIP.\n",
+				ast_sorcery_object_get_id(obj));
+#endif
+		}
+
+		cfg.sockopt_params.cnt = sockopt_count;
 
 		for (i = 0; i < BIND_TRIES && res != PJ_SUCCESS; i++) {
 			if (perm_state && perm_state->state && perm_state->state->factory
@@ -853,6 +891,7 @@ static int transport_apply(const struct ast_sorcery *sorcery, void *obj)
 	} else if (transport->type == AST_TRANSPORT_TLS) {
 #if defined(PJ_HAS_SSL_SOCK) && PJ_HAS_SSL_SOCK != 0
 		static int option = 1;
+		int sockopt_count = 0;
 
 		if (transport->async_operations > 1 && ast_compare_versions(pj_get_version(), "2.5.0") < 0) {
 			ast_log(LOG_ERROR, "Transport: %s: When protocol=tls and pjproject version < 2.5.0, async_operations can't be > 1\n",
@@ -864,11 +903,47 @@ static int transport_apply(const struct ast_sorcery *sorcery, void *obj)
 		set_qos(transport, &temp_state->state->tls.qos_params);
 
 		/* sockopt_params.options is copied to each newly connected socket */
-		temp_state->state->tls.sockopt_params.options[0].level = pj_SOL_TCP();
-		temp_state->state->tls.sockopt_params.options[0].optname = pj_TCP_NODELAY();
-		temp_state->state->tls.sockopt_params.options[0].optval = &option;
-		temp_state->state->tls.sockopt_params.options[0].optlen = sizeof(option);
-		temp_state->state->tls.sockopt_params.cnt = 1;
+		temp_state->state->tls.sockopt_params.options[sockopt_count].level = pj_SOL_TCP();
+		temp_state->state->tls.sockopt_params.options[sockopt_count].optname = pj_TCP_NODELAY();
+		temp_state->state->tls.sockopt_params.options[sockopt_count].optval = &option;
+		temp_state->state->tls.sockopt_params.options[sockopt_count].optlen = sizeof(option);
+		sockopt_count++;
+
+		if (transport->tcp_keepalive_enable) {
+#if defined(PJ_MAX_SOCKOPT_PARAMS) && PJ_MAX_SOCKOPT_PARAMS >= 5
+			ast_log(LOG_DEBUG, "TCP Keepalive enabled for transport '%s'. Idle Time: %d, Interval: %d, Count: %d\n",
+				ast_sorcery_object_get_id(obj), transport->tcp_keepalive_idle_time, transport->tcp_keepalive_interval_time, transport->tcp_keepalive_probe_count);
+
+			temp_state->state->tls.sockopt_params.options[sockopt_count].level = pj_SOL_SOCKET();
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optname = SO_KEEPALIVE;
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optval = &option;
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optlen = sizeof(option);
+			sockopt_count++;
+
+			temp_state->state->tls.sockopt_params.options[sockopt_count].level = pj_SOL_TCP();
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optname = TCP_KEEPIDLE;
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optval = &transport->tcp_keepalive_idle_time;
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optlen = sizeof(transport->tcp_keepalive_idle_time);
+			sockopt_count++;
+
+			temp_state->state->tls.sockopt_params.options[sockopt_count].level = pj_SOL_TCP();
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optname = TCP_KEEPINTVL;
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optval = &transport->tcp_keepalive_interval_time;
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optlen = sizeof(transport->tcp_keepalive_interval_time);
+			sockopt_count++;
+
+			temp_state->state->tls.sockopt_params.options[sockopt_count].level = pj_SOL_TCP();
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optname = TCP_KEEPCNT;
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optval = &transport->tcp_keepalive_probe_count;
+			temp_state->state->tls.sockopt_params.options[sockopt_count].optlen = sizeof(transport->tcp_keepalive_probe_count);
+			sockopt_count++;
+#else
+			ast_log(LOG_WARNING, "TCP keepalive settings for '%s' not set due to PJSIP built without support for setting all options. Consider using bundled PJSIP.\n",
+				ast_sorcery_object_get_id(obj));
+#endif
+		}
+
+		temp_state->state->tls.sockopt_params.cnt = sockopt_count;
 
 		for (i = 0; i < BIND_TRIES && res != PJ_SUCCESS; i++) {
 			if (perm_state && perm_state->state && perm_state->state->factory
@@ -1760,6 +1835,10 @@ int ast_sip_initialize_sorcery_transport(void)
 	ast_sorcery_object_field_register_custom(sorcery, "transport", "require_client_cert", "", transport_tls_bool_handler, require_client_cert_to_str, NULL, 0, 0);
 	ast_sorcery_object_field_register_custom(sorcery, "transport", "allow_wildcard_certs", "", transport_tls_bool_handler, allow_wildcard_certs_to_str, NULL, 0, 0);
 	ast_sorcery_object_field_register_custom(sorcery, "transport", "method", "", transport_tls_method_handler, tls_method_to_str, NULL, 0, 0);
+	ast_sorcery_object_field_register(sorcery, "transport", "tcp_keepalive_enable", "no", OPT_BOOL_T, 0, FLDSET(struct ast_sip_transport, tcp_keepalive_enable));
+	ast_sorcery_object_field_register(sorcery, "transport", "tcp_keepalive_idle_time", "30", OPT_INT_T, 0, FLDSET(struct ast_sip_transport, tcp_keepalive_idle_time));
+	ast_sorcery_object_field_register(sorcery, "transport", "tcp_keepalive_interval_time", "1", OPT_INT_T, 0, FLDSET(struct ast_sip_transport, tcp_keepalive_interval_time));
+	ast_sorcery_object_field_register(sorcery, "transport", "tcp_keepalive_probe_count", "5", OPT_INT_T, 0, FLDSET(struct ast_sip_transport, tcp_keepalive_probe_count));
 #if defined(PJ_HAS_SSL_SOCK) && PJ_HAS_SSL_SOCK != 0
 	ast_sorcery_object_field_register_custom(sorcery, "transport", "cipher", "", transport_tls_cipher_handler, transport_tls_cipher_to_str, NULL, 0, 0);
 #endif
diff --git a/res/res_pjsip/pjsip_config.xml b/res/res_pjsip/pjsip_config.xml
index 9eb61e93022d89d0c1b26726d5250b3ffd8c9524..6a8421f18be9ce5843abe4a1a32b844e19a3aab7 100644
--- a/res/res_pjsip/pjsip_config.xml
+++ b/res/res_pjsip/pjsip_config.xml
@@ -1800,6 +1800,30 @@
 				<configOption name="require_client_cert" default="false">
 					<synopsis>Require client certificate (TLS ONLY, not WSS)</synopsis>
 				</configOption>
+				<configOption name="tcp_keepalive_enable" default="no">
+					<synopsis>Enable TCP keepalive</synopsis>
+					<description><para>
+						When set to 'yes', TCP keepalive messages are sent to verify that the endpoint is still reachable. This can help detect dead TCP connections in environments where connections may be silently dropped (e.g., NAT timeouts).
+					</para></description>
+				</configOption>
+				<configOption name="tcp_keepalive_idle_time" default="30">
+					<synopsis>Idle time before the first TCP keepalive probe is sent</synopsis>
+					<description><para>
+						Specifies the amount of time in seconds that the connection must be idle before the first TCP keepalive probe is sent. An idle connection is defined as a connection in which no data has been sent or received by the application.
+					</para></description>
+				</configOption>
+				<configOption name="tcp_keepalive_interval_time" default="10">
+					<synopsis>Interval between TCP keepalive probes</synopsis>
+					<description><para>
+						Specifies the interval in seconds between individual TCP keepalive probes, once the first probe is sent. This interval is used for subsequent probes if the peer does not respond to the previous probe.
+					</para></description>
+				</configOption>
+				<configOption name="tcp_keepalive_probe_count" default="5">
+					<synopsis>Maximum number of TCP keepalive probes</synopsis>
+					<description><para>
+						Specifies the maximum number of TCP keepalive probes to send before considering the connection dead and notifying the application. If the peer does not respond after this many probes, the connection is considered broken.
+					</para></description>
+				</configOption>
 				<configOption name="type">
 					<synopsis>Must be of type 'transport'.</synopsis>
 				</configOption>
diff --git a/third-party/pjproject/patches/config_site.h b/third-party/pjproject/patches/config_site.h
index bb40c7bcd426d59d120fcc2d604d4abdd4705e87..0492b04812e8485572f0a17f923067f98e8f2396 100644
--- a/third-party/pjproject/patches/config_site.h
+++ b/third-party/pjproject/patches/config_site.h
@@ -35,6 +35,15 @@
 #define PJ_IOQUEUE_HAS_SAFE_UNREG 1
 #define PJ_IOQUEUE_MAX_EVENTS_IN_SINGLE_POLL (16)
 
+/*
+ * Increase the number of socket options available. This adjustment is necessary
+ * to accommodate additional TCP keepalive settings required for optimizing SIP
+ * transport stability, especially in environments prone to connection timeouts.
+ * The default limit is insufficient when configuring all desired keepalive
+ * parameters along with standard socket options.
+ */
+#define PJ_MAX_SOCKOPT_PARAMS 5
+
 #define PJ_SCANNER_USE_BITWISE	0
 #define PJ_OS_HAS_CHECK_STACK	0