diff --git a/src/host/alsa/mod.rs b/src/host/alsa/mod.rs
index c1bfc3f..db01eb2 100644
--- a/src/host/alsa/mod.rs
+++ b/src/host/alsa/mod.rs
@@ -8,6 +8,7 @@ use crate::{
     PlayStreamError, SampleFormat, SampleRate, StreamConfig, StreamError, SupportedStreamConfig,
     SupportedStreamConfigRange, SupportedStreamConfigsError,
 };
+use std::convert::TryInto;
 use std::sync::Arc;
 use std::thread::{self, JoinHandle};
 use std::vec::IntoIter as VecIntoIter;
@@ -202,16 +203,25 @@ impl Device {
             num_descriptors
         };
 
+        // Check to see if we can retrieve valid timestamps from the device.
+        // Related: https://bugs.freedesktop.org/show_bug.cgi?id=88503
+        let ts = handle.status()?.get_htstamp();
+        let creation_instant = match (ts.tv_sec, ts.tv_nsec) {
+            (0, 0) => Some(std::time::Instant::now()),
+            _ => None,
+        };
+
         handle.start()?;
 
         let stream_inner = StreamInner {
             channel: handle,
             sample_format,
             num_descriptors,
-            num_channels: conf.channels as u16,
+            conf: conf.clone(),
             buffer_len,
             period_len,
             can_pause,
+            creation_instant,
         };
 
         Ok(stream_inner)
@@ -421,8 +431,8 @@ struct StreamInner {
     // Format of the samples.
     sample_format: SampleFormat,
 
-    // Number of channels, ie. number of samples per frame.
-    num_channels: u16,
+    // The configuration used to open this stream.
+    conf: StreamConfig,
 
     // Number of samples that can fit in the buffer.
     buffer_len: usize,
@@ -432,6 +442,16 @@ struct StreamInner {
 
     // Whether or not the hardware supports pausing the stream.
     can_pause: bool,
+
+    // In the case that the device does not return valid timestamps via `get_htstamp`, this field
+    // will be `Some` and will contain an `Instant` representing the moment the stream was created.
+    //
+    // If this field is `Some`, then the stream will use the duration since this instant as a
+    // source for timestamps.
+    //
+    // If this field is `None` then the elapsed duration between `get_trigger_htstamp` and
+    // `get_htstamp` is used.
+    creation_instant: Option<std::time::Instant>,
 }
 
 // Assume that the ALSA library is built with thread safe option.
@@ -479,7 +499,8 @@ fn input_stream_worker(
             PollDescriptorsFlow::Continue => continue,
             PollDescriptorsFlow::Return => return,
             PollDescriptorsFlow::Ready {
-                available_frames: _,
+                avail_frames: _,
+                delay_frames,
                 stream_type,
             } => {
                 assert_eq!(
@@ -487,10 +508,8 @@ fn input_stream_worker(
                     StreamType::Input,
                     "expected input stream, but polling descriptors indicated output",
                 );
-                report_error(
-                    process_input(stream, &mut ctxt.buffer, data_callback),
-                    error_callback,
-                );
+                let res = process_input(stream, &mut ctxt.buffer, delay_frames, data_callback);
+                report_error(res, error_callback);
             }
         }
     }
@@ -514,7 +533,8 @@ fn output_stream_worker(
             PollDescriptorsFlow::Continue => continue,
             PollDescriptorsFlow::Return => return,
             PollDescriptorsFlow::Ready {
-                available_frames,
+                avail_frames,
+                delay_frames,
                 stream_type,
             } => {
                 assert_eq!(
@@ -522,13 +542,15 @@ fn output_stream_worker(
                     StreamType::Output,
                     "expected output stream, but polling descriptors indicated input",
                 );
-                process_output(
+                let res = process_output(
                     stream,
                     &mut ctxt.buffer,
-                    available_frames,
+                    avail_frames,
+                    delay_frames,
                     data_callback,
                     error_callback,
                 );
+                report_error(res, error_callback);
             }
         }
     }
@@ -555,7 +577,8 @@ enum PollDescriptorsFlow {
     Return,
     Ready {
         stream_type: StreamType,
-        available_frames: usize,
+        avail_frames: usize,
+        delay_frames: usize,
     },
 }
 
@@ -614,7 +637,8 @@ fn poll_descriptors_and_prepare_buffer(
         }
     };
     // Get the number of available samples for reading/writing.
-    let available_samples = get_available_samples(stream)?;
+    let (avail_frames, delay_frames) = get_avail_delay(stream)?;
+    let available_samples = avail_frames * stream.conf.channels as usize;
 
     // Only go on if there is at least `stream.period_len` samples.
     if available_samples < stream.period_len {
@@ -624,11 +648,11 @@ fn poll_descriptors_and_prepare_buffer(
     // Prepare the data buffer.
     let buffer_size = stream.sample_format.sample_size() * available_samples;
     buffer.resize(buffer_size, 0u8);
-    let available_frames = available_samples / stream.num_channels as usize;
 
     Ok(PollDescriptorsFlow::Ready {
         stream_type,
-        available_frames,
+        avail_frames,
+        delay_frames,
     })
 }
 
@@ -636,6 +660,7 @@ fn poll_descriptors_and_prepare_buffer(
 fn process_input(
     stream: &StreamInner,
     buffer: &mut [u8],
+    delay_frames: usize,
     data_callback: &mut (dyn FnMut(&Data, &InputCallbackInfo) + Send + 'static),
 ) -> Result<(), BackendSpecificError> {
     stream.channel.io().readi(buffer)?;
@@ -643,7 +668,13 @@ fn process_input(
     let data = buffer.as_mut_ptr() as *mut ();
     let len = buffer.len() / sample_format.sample_size();
     let data = unsafe { Data::from_parts(data, len, sample_format) };
-    let info = crate::InputCallbackInfo {};
+    let callback = stream_timestamp(stream)?;
+    let delay_duration = frames_to_duration(delay_frames, stream.conf.sample_rate);
+    let capture = callback
+        .sub(delay_duration)
+        .expect("`capture` is earlier than representation supported by `StreamInstant`");
+    let timestamp = crate::InputStreamTimestamp { callback, capture };
+    let info = crate::InputCallbackInfo { timestamp };
     data_callback(&data, &info);
 
     Ok(())
@@ -656,16 +687,23 @@ fn process_output(
     stream: &StreamInner,
     buffer: &mut [u8],
     available_frames: usize,
+    delay_frames: usize,
     data_callback: &mut (dyn FnMut(&mut Data, &OutputCallbackInfo) + Send + 'static),
     error_callback: &mut dyn FnMut(StreamError),
-) {
+) -> Result<(), BackendSpecificError> {
     {
         // We're now sure that we're ready to write data.
         let sample_format = stream.sample_format;
         let data = buffer.as_mut_ptr() as *mut ();
         let len = buffer.len() / sample_format.sample_size();
         let mut data = unsafe { Data::from_parts(data, len, sample_format) };
-        let info = crate::OutputCallbackInfo {};
+        let callback = stream_timestamp(stream)?;
+        let delay_duration = frames_to_duration(delay_frames, stream.conf.sample_rate);
+        let playback = callback
+            .add(delay_duration)
+            .expect("`playback` occurs beyond representation supported by `StreamInstant`");
+        let timestamp = crate::OutputStreamTimestamp { callback, playback };
+        let info = crate::OutputCallbackInfo { timestamp };
         data_callback(&mut data, &info);
     }
     loop {
@@ -693,6 +731,56 @@ fn process_output(
             }
         }
     }
+    Ok(())
+}
+
+// Use the elapsed duration since the start of the stream.
+//
+// This ensures positive values that are compatible with our `StreamInstant` representation.
+fn stream_timestamp(stream: &StreamInner) -> Result<crate::StreamInstant, BackendSpecificError> {
+    match stream.creation_instant {
+        None => {
+            let status = stream.channel.status()?;
+            let trigger_ts = status.get_trigger_htstamp();
+            let ts = status.get_htstamp();
+            let nanos = timespec_diff_nanos(ts, trigger_ts)
+                .try_into()
+                .unwrap_or_else(|_| {
+                    panic!(
+                        "get_htstamp `{:?}` was earlier than get_trigger_htstamp `{:?}`",
+                        ts, trigger_ts
+                    );
+                });
+            Ok(crate::StreamInstant::from_nanos(nanos))
+        }
+        Some(creation) => {
+            let now = std::time::Instant::now();
+            let duration = now.duration_since(creation);
+            let instant = crate::StreamInstant::from_nanos_i128(duration.as_nanos() as i128)
+                .expect("stream duration has exceeded `StreamInstant` representation");
+            Ok(instant)
+        }
+    }
+}
+
+// Adapted from `timestamp2ns` here:
+// https://fossies.org/linux/alsa-lib/test/audio_time.c
+fn timespec_to_nanos(ts: libc::timespec) -> i64 {
+    ts.tv_sec as i64 * 1_000_000_000 + ts.tv_nsec
+}
+
+// Adapted from `timediff` here:
+// https://fossies.org/linux/alsa-lib/test/audio_time.c
+fn timespec_diff_nanos(a: libc::timespec, b: libc::timespec) -> i64 {
+    timespec_to_nanos(a) - timespec_to_nanos(b)
+}
+
+// Convert the given duration in frames at the given sample rate to a `std::time::Duration`.
+fn frames_to_duration(frames: usize, rate: crate::SampleRate) -> std::time::Duration {
+    let secsf = frames as f64 / rate.0 as f64;
+    let secs = secsf as u64;
+    let nanos = ((secsf - secs as f64) * 1_000_000_000.0) as u32;
+    std::time::Duration::new(secs, nanos)
 }
 
 impl Stream {
@@ -759,16 +847,16 @@ impl StreamTrait for Stream {
     }
 }
 
-// Determine the number of samples that are available to read/write.
-fn get_available_samples(stream: &StreamInner) -> Result<usize, BackendSpecificError> {
-    match stream.channel.avail_update() {
+// Determine the number of frames that are available to read/write along with the latency.
+fn get_avail_delay(stream: &StreamInner) -> Result<(usize, usize), BackendSpecificError> {
+    match stream.channel.avail_delay() {
         Err(err) if err.errno() == Some(nix::errno::Errno::EPIPE) => {
             // buffer underrun
             // TODO: Notify the user some how.
-            Ok(stream.buffer_len)
+            Ok((stream.buffer_len, 0))
         }
         Err(err) => Err(err.into()),
-        Ok(available) => Ok(available as usize * stream.num_channels as usize),
+        Ok((avail, delay)) => Ok((avail as usize, delay as usize)),
     }
 }
 
@@ -830,6 +918,11 @@ fn set_sw_params_from_format(
         (buffer, period)
     };
 
+    sw_params.set_tstamp_mode(true)?;
+    // TODO:
+    // Pending new version of alsa-sys and alsa-rs getting published.
+    // sw_params.set_tstamp_type(alsa::pcm::TstampType::MonotonicRaw)?;
+
     pcm_handle.sw_params(&sw_params)?;
 
     Ok((buffer_len, period_len))