diff --git a/docs/content/2.composables/1.use[Client].md b/docs/content/2.composables/1.use[Client].md
index a2cc2a7..acd5567 100644
--- a/docs/content/2.composables/1.use[Client].md
+++ b/docs/content/2.composables/1.use[Client].md
@@ -50,3 +50,26 @@ The value of the `accept` option will always override the `Accept` header sent b
 For more examples, see [Response types](../advanced/response-types).
 
 [nuxt#useFetch]: https://nuxt.com/docs/api/composables/use-fetch
+
+### `bodySerializer`
+
+- Type: `(body: RequestBody) => any`
+
+Allows modifying the body before it gets used in the request. Mostly needed when
+working with `multipart/form-data`:
+
+```typescript
+const { data } = await usePets('/pet', {
+  method: 'POST',
+  body: {
+    name: 'Doggie'
+  },
+  bodySerializer(body) {
+    const formData = new FormData()
+    for (const key in body) {
+      formData.append(key, body[key])
+    }
+    return formData
+  }
+})
+```
diff --git a/docs/content/2.composables/2.useLazy[Client].md b/docs/content/2.composables/2.useLazy[Client].md
index e579827..ef571f2 100644
--- a/docs/content/2.composables/2.useLazy[Client].md
+++ b/docs/content/2.composables/2.useLazy[Client].md
@@ -50,3 +50,26 @@ The value of the `accept` option will always override the `Accept` header sent b
 For more examples, see [Response types](../advanced/response-types).
 
 [nuxt#useLazyFetch]: https://nuxt.com/docs/api/composables/use-fetch
+
+### `bodySerializer`
+
+- Type: `(body: RequestBody) => any`
+
+Allows modifying the body before it gets used in the request. Mostly needed when
+working with `multipart/form-data`:
+
+```typescript
+const { data } = useLazyPets('/pet', {
+  method: 'POST',
+  body: {
+    name: 'Doggie'
+  },
+  bodySerializer(body) {
+    const formData = new FormData()
+    for (const key in body) {
+      formData.append(key, body[key])
+    }
+    return formData
+  }
+})
+```
diff --git a/docs/content/3.utils/1.$[client].md b/docs/content/3.utils/1.$[client].md
index 2ca16f6..8f6092d 100644
--- a/docs/content/3.utils/1.$[client].md
+++ b/docs/content/3.utils/1.$[client].md
@@ -67,3 +67,26 @@ The value of the `accept` option will always override the `Accept` header sent b
 For more examples, see [Response types](../advanced/response-types).
 
 [nuxt#$fetch]: https://nuxt.com/docs/api/utils/dollarfetch
+
+### `bodySerializer`
+
+- Type: `(body: RequestBody) => any`
+
+Allows modifying the body before it gets used in the request. Mostly needed when
+working with `multipart/form-data`:
+
+```typescript
+const data = await $fetch('/pet', {
+  method: 'POST',
+  body: {
+    name: 'Doggie'
+  },
+  bodySerializer(body) {
+    const formData = new FormData()
+    for (const key in body) {
+      formData.append(key, body[key])
+    }
+    return formData
+  }
+})
+```
diff --git a/playground/tests/runtime.spec.ts b/playground/tests/runtime/accept-header.spec.ts
similarity index 100%
rename from playground/tests/runtime.spec.ts
rename to playground/tests/runtime/accept-header.spec.ts
diff --git a/playground/tests/runtime/body-serializer.spec.ts b/playground/tests/runtime/body-serializer.spec.ts
new file mode 100644
index 0000000..182fdef
--- /dev/null
+++ b/playground/tests/runtime/body-serializer.spec.ts
@@ -0,0 +1,59 @@
+import { setup } from '@nuxt/test-utils'
+import { describe, expect, it, vi } from 'vitest'
+
+describe('body serializer', async () => {
+  await setup({
+    server: true,
+    browser: false,
+    port: 3000,
+  })
+
+  it('serializes the body with $[client]', async () => {
+    const { $api } = useNuxtApp()
+    const fetchSpy = vi.spyOn(globalThis, '$fetch')
+    const formData = new FormData()
+
+    await $api('/pet', {
+      method: 'POST',
+      body: {
+        name: 'doggie',
+        photoUrls: ['/doggie.jpg'],
+      },
+      bodySerializer(body) {
+        formData.append('name', body.name)
+        return formData
+      },
+    })
+
+    expect(fetchSpy).toHaveBeenCalledWith(
+      '/pet',
+      expect.objectContaining({
+        body: formData,
+      }),
+    )
+  })
+
+  it('serializes the body with use[client]', async () => {
+    const fetchSpy = vi.spyOn(globalThis, '$fetch')
+    const formData = new FormData()
+
+    await useApi('/pet', {
+      method: 'POST',
+      body: {
+        name: 'doggie',
+        photoUrls: ['/doggie.jpg'],
+      },
+      bodySerializer(body) {
+        formData.append('name', body.name)
+        return formData
+      },
+    })
+
+    expect(fetchSpy).toHaveBeenCalledWith(
+      '/pet',
+      expect.objectContaining({
+        body: formData,
+      }),
+    )
+  })
+})
diff --git a/src/runtime/fetch.ts b/src/runtime/fetch.ts
index 980ca4d..cea28bf 100644
--- a/src/runtime/fetch.ts
+++ b/src/runtime/fetch.ts
@@ -32,6 +32,10 @@ export interface AcceptMediaTypeOption<M> {
   accept?: M | M[]
 }
 
+export interface BodySerializerOption<TBody> {
+  bodySerializer?: (body: TBody) => any
+}
+
 export type FilterMethods<T> = { [K in keyof Omit<T, 'parameters'> as T[K] extends never | undefined ? never : K]: T[K] }
 
 export type ExtractMediaType<T> = ResponseObjectMap<T> extends Record<string | number, any>
@@ -52,6 +56,7 @@ type OpenFetchOptions<
   & RequestBodyOption<Operation>
   & AcceptMediaTypeOption<Media>
   & Omit<FetchOptions, 'query' | 'body' | 'method'>
+  & BodySerializerOption<RequestBodyOption<Operation>['body']>
 
 export type OpenFetchClient<Paths> = <
   ReqT extends Extract<keyof Paths, string>,
@@ -129,11 +134,16 @@ export function createOpenFetch<Paths>(
       path?: Record<string, string>
       accept?: MediaType | MediaType[]
       header: HeadersInit | undefined
+      bodySerializer?: (body: any) => any
     } = {
       ...baseOpts,
       ...getOpenFetchHooks(hooks, baseOpts, hookIdentifier as OpenFetchClientName),
     }
 
+    if (opts.body && opts.bodySerializer) {
+      opts.body = opts.bodySerializer(opts.body)
+    }
+
     if (opts.header) {
       opts.headers = opts.header
       delete opts.header
diff --git a/src/runtime/useFetch.ts b/src/runtime/useFetch.ts
index 3793058..58ea319 100644
--- a/src/runtime/useFetch.ts
+++ b/src/runtime/useFetch.ts
@@ -4,6 +4,7 @@ import type { $Fetch } from 'ofetch'
 import type { Ref } from 'vue'
 import type {
   AcceptMediaTypeOption,
+  BodySerializerOption,
   ExtractMediaType,
   FetchResponseData,
   FetchResponseError,
@@ -38,6 +39,7 @@ type UseOpenFetchOptions<
   & ComputedOptions<ParamsOption<Operation>>
   & ComputedOptions<RequestBodyOption<Operation>>
   & ComputedOptions<AcceptMediaTypeOption<Media>>
+  & ComputedOptions<BodySerializerOption<RequestBodyOption<Operation>['body']>>
   & Omit<UseFetchOptions<ResT, DataT, PickKeys, DefaultT>, 'query' | 'body' | 'method'>
 
 export type UseOpenFetchClient<Paths, Lazy> = <