diff --git a/src/Queue/Transport/ExtendedDoctrineConnection.php b/src/Queue/Transport/ExtendedDoctrineConnection.php
index 710eac3..d7e4587 100644
--- a/src/Queue/Transport/ExtendedDoctrineConnection.php
+++ b/src/Queue/Transport/ExtendedDoctrineConnection.php
@@ -12,8 +12,11 @@
 use Doctrine\DBAL\Platforms\PostgreSQLPlatform;
 use Doctrine\DBAL\Query\QueryBuilder;
 use Doctrine\DBAL\Result;
+use Doctrine\DBAL\Schema\AbstractSchemaManager;
+use Doctrine\DBAL\Schema\Comparator;
+use Doctrine\DBAL\Schema\Schema;
+use Doctrine\DBAL\Schema\SchemaDiff;
 use Doctrine\DBAL\Schema\Synchronizer\SchemaSynchronizer;
-use Doctrine\DBAL\Schema\Table;
 use Doctrine\DBAL\Types\Types;
 use Symfony\Component\Messenger\Bridge\Doctrine\Transport\Connection;
 use Symfony\Component\Messenger\Exception\TransportException;
@@ -21,11 +24,23 @@
 final class ExtendedDoctrineConnection extends Connection
 {
     private bool $autoSetup;
+    private ?SchemaSynchronizer $schemaSynchronizer;
 
     public function __construct(array $configuration, DBALConnection $driverConnection, ?SchemaSynchronizer $schemaSynchronizer = null)
     {
         parent::__construct($configuration, $driverConnection, $schemaSynchronizer);
         $this->autoSetup = $this->configuration['auto_setup'];
+        $this->schemaSynchronizer = $schemaSynchronizer;
+    }
+
+    public function setup(): void
+    {
+        $configuration = $this->driverConnection->getConfiguration();
+        $assetFilter = $configuration->getSchemaAssetsFilter();
+        $configuration->setSchemaAssetsFilter(static fn () => true);
+        $this->updateSchema();
+        $configuration->setSchemaAssetsFilter($assetFilter);
+        $this->autoSetup = false;
     }
 
     public function get(): ?array
@@ -159,7 +174,7 @@ public function send(string $body, array $headers, int $delay = 0): string
             Types::STRING,
             Types::DATETIME_IMMUTABLE,
             Types::DATETIME_IMMUTABLE,
-            Types::INTEGER
+            Types::BIGINT
         ]);
     }
 
@@ -265,32 +280,118 @@ private function executeInsert(string $sql, array $parameters = [], array $types
         return $id;
     }
 
-    private function decodeEnvelopeHeaders(array $doctrineEnvelope): array
+    private function createSchemaManager(): AbstractSchemaManager
     {
-        $doctrineEnvelope['headers'] = json_decode($doctrineEnvelope['headers'], true);
+        return method_exists($this->driverConnection, 'createSchemaManager')
+            ? $this->driverConnection->createSchemaManager()
+            : $this->driverConnection->getSchemaManager();
+    }
 
-        return $doctrineEnvelope;
+    private function getSchema(): Schema
+    {
+        $schema = new Schema([], [], $this->createSchemaManager()->createSchemaConfig());
+        $this->addTableToSchema($schema);
+
+        return $schema;
     }
 
-    public function getExtraSetupSqlForTable(Table $createdTable): array
+    private function addTableToSchema(Schema $schema): void
     {
-        if (!$createdTable->hasOption(self::TABLE_OPTION_NAME)) {
-            return [];
+        $table = $schema->createTable($this->configuration['table_name']);
+        // add an internal option to mark that we created this & the non-namespaced table name
+        $table->addOption(self::TABLE_OPTION_NAME, $this->configuration['table_name']);
+        $table->addColumn('id', Types::BIGINT)
+            ->setAutoincrement(true)
+            ->setNotnull(true);
+        $table->addColumn('body', Types::TEXT)
+            ->setNotnull(true);
+        $table->addColumn('headers', Types::TEXT)
+            ->setNotnull(true);
+        $table->addColumn('queue_name', Types::STRING)
+            ->setLength(190) // MySQL 5.6 only supports 191 characters on an indexed column in utf8mb4 mode
+            ->setNotnull(true);
+        $table->addColumn('created_at', Types::DATETIME_IMMUTABLE)
+            ->setNotnull(true);
+        $table->addColumn('available_at', Types::DATETIME_IMMUTABLE)
+            ->setNotnull(true);
+        $table->addColumn('delivered_at', Types::DATETIME_IMMUTABLE)
+            ->setNotnull(false);
+        $table->addColumn('available_at_micro', Types::BIGINT)
+            ->setNotnull(true);
+        $table->setPrimaryKey(['id']);
+        $table->addIndex(['queue_name']);
+        $table->addIndex(['available_at']);
+        $table->addIndex(['delivered_at']);
+        $table->addIndex(['available_at_micro']);
+    }
+
+    private function updateSchema(): void
+    {
+        if (null !== $this->schemaSynchronizer) {
+            $this->schemaSynchronizer->updateSchema($this->getSchema(), true);
+
+            return;
+        }
+
+        $schemaManager = $this->createSchemaManager();
+        $comparator = $this->createComparator($schemaManager);
+        $schemaDiff = $this->compareSchemas($comparator, method_exists($schemaManager, 'introspectSchema') ? $schemaManager->introspectSchema() : $schemaManager->createSchema(), $this->getSchema());
+        $platform = $this->driverConnection->getDatabasePlatform();
+
+        if (!method_exists(SchemaDiff::class, 'getCreatedSchemas')) {
+            foreach ($schemaDiff->toSaveSql($platform) as $sql) {
+                $this->driverConnection->executeStatement($sql);
+            }
+
+            return;
+        }
+
+        if ($platform->supportsSchemas()) {
+            foreach ($schemaDiff->getCreatedSchemas() as $schema) {
+                $this->driverConnection->executeStatement($platform->getCreateSchemaSQL($schema));
+            }
+        }
+
+        if ($platform->supportsSequences()) {
+            foreach ($schemaDiff->getAlteredSequences() as $sequence) {
+                $this->driverConnection->executeStatement($platform->getAlterSequenceSQL($sequence));
+            }
+
+            foreach ($schemaDiff->getCreatedSequences() as $sequence) {
+                $this->driverConnection->executeStatement($platform->getCreateSequenceSQL($sequence));
+            }
         }
 
-        if ($createdTable->getOption(self::TABLE_OPTION_NAME) !== $this->configuration['table_name']) {
-            return [];
+        foreach ($platform->getCreateTablesSQL($schemaDiff->getCreatedTables()) as $sql) {
+            $this->driverConnection->executeStatement($sql);
         }
 
-        return $this->getAdditionalColumnSql();
+        foreach ($schemaDiff->getAlteredTables() as $tableDiff) {
+            foreach ($platform->getAlterTableSQL($tableDiff) as $sql) {
+                $this->driverConnection->executeStatement($sql);
+            }
+        }
+    }
+
+    private function decodeEnvelopeHeaders(array $doctrineEnvelope): array
+    {
+        $doctrineEnvelope['headers'] = json_decode($doctrineEnvelope['headers'], true);
+
+        return $doctrineEnvelope;
+    }
+
+    private function createComparator(AbstractSchemaManager $schemaManager): Comparator
+    {
+        return method_exists($schemaManager, 'createComparator')
+            ? $schemaManager->createComparator()
+            : new Comparator();
     }
 
-    private function getAdditionalColumnSql(): array
+    private function compareSchemas(Comparator $comparator, Schema $from, Schema $to): SchemaDiff
     {
-        return [
-            sprintf('ALTER TABLE %s ADD available_at_micro BIGINT UNSIGNED;', $this->configuration['table_name']),
-            sprintf('CREATE INDEX IDX_available_at_micro ON %s (available_at_micro);', $this->configuration['table_name'])
-        ];
+        return method_exists($comparator, 'compareSchemas') || method_exists($comparator, 'doCompareSchemas')
+            ? $comparator->compareSchemas($from, $to)
+            : $comparator->compare($from, $to);
     }
 
 }