diff --git a/src/testController.ts b/src/testController.ts
index 2f4fb3e..597fa82 100644
--- a/src/testController.ts
+++ b/src/testController.ts
@@ -238,6 +238,15 @@ export class LabTestController {
       // Lock in source code order using line number to prevent VS Code from reordering by status
       testItem.sortText = test.range.start.line.toString().padStart(6, "0");
 
+      // Add visual indicator for .only and .skip modifiers
+      if (test.modifier === 'only') {
+        testItem.tags = [new vscode.TestTag('only')];
+        testItem.description = '(only)';
+      } else if (test.modifier === 'skip') {
+        testItem.tags = [new vscode.TestTag('skip')];
+        testItem.description = '(skip)';
+      }
+
       this.testItemMap.set(testItem, test);
       parent.children.add(testItem);
 
@@ -305,6 +314,17 @@ export class LabTestController {
       return;
     }
 
+    // Check if this test has a .skip modifier - if so, skip it without running
+    const parsedTest = this.testItemMap.get(item);
+    if (parsedTest?.modifier === 'skip') {
+      run.skipped(item);
+      // If it's a container (describe/experiment), skip all children too
+      if (item.children.size > 0) {
+        this.skipAllDescendants(item, run);
+      }
+      return;
+    }
+
     // Check if this is a file item (no parent test, just contains tests)
     const isFileItem = !item.id.includes("#");
 
@@ -360,6 +380,21 @@ export class LabTestController {
     }
   }
 
+  /**
+   * Marks all descendant test items as skipped.
+   */
+  private skipAllDescendants(
+    item: vscode.TestItem,
+    run: vscode.TestRun
+  ): void {
+    for (const [, child] of item.children) {
+      run.skipped(child);
+      if (child.children.size > 0) {
+        this.skipAllDescendants(child, run);
+      }
+    }
+  }
+
   private collectTestItems(
     item: vscode.TestItem,
     collected: vscode.TestItem[]
diff --git a/src/testParser.ts b/src/testParser.ts
index fb86ff9..2a004cd 100644
--- a/src/testParser.ts
+++ b/src/testParser.ts
@@ -17,12 +17,14 @@ import * as vscode from 'vscode';
  * @property type - The type of test function that was called
  * @property range - The source location range for displaying gutter icons
  * @property children - Nested tests (for describe/experiment blocks)
+ * @property modifier - Optional modifier applied to the test ('only' | 'skip')
  */
 export interface ParsedTest {
   name: string;
   type: 'describe' | 'it' | 'experiment' | 'test';
   range: vscode.Range;
   children: ParsedTest[];
+  modifier?: 'only' | 'skip';
 }
 
 /** Set of recognized test function names from @hapi/lab */
@@ -80,6 +82,7 @@ function extractTestsFromStatements(statements: TSESTree.Statement[]): ParsedTes
 /**
  * Extracts test info from an expression node if it's a test function call.
  * For describe/experiment blocks, recursively extracts children from the callback.
+ * Supports both simple calls (it(), test()) and modifier calls (it.only(), it.skip()).
  */
 function extractTestFromExpression(node: TSESTree.Expression): ParsedTest | null {
   if (node.type !== AST_NODE_TYPES.CallExpression) {
@@ -87,14 +90,44 @@ function extractTestFromExpression(node: TSESTree.Expression): ParsedTest | null
   }
 
   const callNode = node;
+  let functionName: string;
+  let modifier: 'only' | 'skip' | undefined;
 
-  // Check if this is a test function call
-  if (
-    callNode.callee.type !== AST_NODE_TYPES.Identifier ||
-    !TEST_FUNCTIONS.has(callNode.callee.name) ||
-    callNode.arguments.length < 2 ||
-    !callNode.loc
-  ) {
+  // Check if this is a simple test function call (e.g., it(), test())
+  if (callNode.callee.type === AST_NODE_TYPES.Identifier) {
+    if (!TEST_FUNCTIONS.has(callNode.callee.name)) {
+      return null;
+    }
+    functionName = callNode.callee.name;
+  }
+  // Check if this is a member expression call (e.g., it.only(), it.skip())
+  else if (callNode.callee.type === AST_NODE_TYPES.MemberExpression) {
+    const memberExpr = callNode.callee;
+    
+    // Check if the object is a test function identifier
+    if (
+      memberExpr.object.type !== AST_NODE_TYPES.Identifier ||
+      !TEST_FUNCTIONS.has(memberExpr.object.name)
+    ) {
+      return null;
+    }
+    
+    // Check if the property is 'only' or 'skip'
+    if (
+      memberExpr.property.type !== AST_NODE_TYPES.Identifier ||
+      (memberExpr.property.name !== 'only' && memberExpr.property.name !== 'skip')
+    ) {
+      return null;
+    }
+    
+    functionName = memberExpr.object.name;
+    modifier = memberExpr.property.name as 'only' | 'skip';
+  } else {
+    return null;
+  }
+
+  // Check if this call has the required arguments
+  if (callNode.arguments.length < 2 || !callNode.loc) {
     return null;
   }
 
@@ -121,11 +154,11 @@ function extractTestFromExpression(node: TSESTree.Expression): ParsedTest | null
     callNode.loc.end.column
   );
 
-  const testType = callNode.callee.name as ParsedTest['type'];
+  const testType = functionName as ParsedTest['type'];
   let children: ParsedTest[] = [];
 
   // For describe/experiment blocks, extract children from the callback
-  if (CONTAINER_FUNCTIONS.has(callNode.callee.name)) {
+  if (CONTAINER_FUNCTIONS.has(functionName)) {
     const callback = callNode.arguments[1];
     if (
       (callback.type === AST_NODE_TYPES.ArrowFunctionExpression ||
@@ -136,12 +169,18 @@ function extractTestFromExpression(node: TSESTree.Expression): ParsedTest | null
     }
   }
 
-  return {
+  const result: ParsedTest = {
     name: testName,
     type: testType,
     range,
     children,
   };
+
+  if (modifier) {
+    result.modifier = modifier;
+  }
+
+  return result;
 }
 
 /**
diff --git a/test/testParser.test.ts b/test/testParser.test.ts
index e54e821..db47d7a 100644
--- a/test/testParser.test.ts
+++ b/test/testParser.test.ts
@@ -321,6 +321,195 @@ describe('testParser', () => {
       expect(tests[2].name).toBe('another standalone');
       expect(tests[2].children).toHaveLength(0);
     });
+
+    // Test .only and .skip modifiers
+    describe('test modifiers (.only and .skip)', () => {
+      it('should parse it.only() tests', () => {
+        const code = `
+          it.only('should run only this test', () => {
+            expect(true).toBe(true);
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('should run only this test');
+        expect(tests[0].type).toBe('it');
+        expect(tests[0].modifier).toBe('only');
+      });
+
+      it('should parse it.skip() tests', () => {
+        const code = `
+          it.skip('should skip this test', () => {
+            expect(true).toBe(true);
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('should skip this test');
+        expect(tests[0].type).toBe('it');
+        expect(tests[0].modifier).toBe('skip');
+      });
+
+      it('should parse test.only() tests', () => {
+        const code = `
+          test.only('should run only this test', () => {
+            expect(true).toBe(true);
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('should run only this test');
+        expect(tests[0].type).toBe('test');
+        expect(tests[0].modifier).toBe('only');
+      });
+
+      it('should parse test.skip() tests', () => {
+        const code = `
+          test.skip('should skip this test', () => {
+            expect(true).toBe(true);
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('should skip this test');
+        expect(tests[0].type).toBe('test');
+        expect(tests[0].modifier).toBe('skip');
+      });
+
+      it('should parse describe.only() tests', () => {
+        const code = `
+          describe.only('MyModule', () => {
+            it('should work', () => {});
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('MyModule');
+        expect(tests[0].type).toBe('describe');
+        expect(tests[0].modifier).toBe('only');
+        expect(tests[0].children).toHaveLength(1);
+        expect(tests[0].children[0].modifier).toBeUndefined();
+      });
+
+      it('should parse describe.skip() tests', () => {
+        const code = `
+          describe.skip('MyModule', () => {
+            it('should work', () => {});
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('MyModule');
+        expect(tests[0].type).toBe('describe');
+        expect(tests[0].modifier).toBe('skip');
+        expect(tests[0].children).toHaveLength(1);
+      });
+
+      it('should parse experiment.only() tests', () => {
+        const code = `
+          experiment.only('My Experiment', () => {
+            test('should pass', () => {});
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('My Experiment');
+        expect(tests[0].type).toBe('experiment');
+        expect(tests[0].modifier).toBe('only');
+        expect(tests[0].children).toHaveLength(1);
+      });
+
+      it('should parse experiment.skip() tests', () => {
+        const code = `
+          experiment.skip('My Experiment', () => {
+            test('should pass', () => {});
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('My Experiment');
+        expect(tests[0].type).toBe('experiment');
+        expect(tests[0].modifier).toBe('skip');
+      });
+
+      it('should parse mixed tests with and without modifiers', () => {
+        const code = `
+          describe('MyModule', () => {
+            it('normal test', () => {});
+            it.only('only this one', () => {});
+            it.skip('skip this one', () => {});
+            it('another normal test', () => {});
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(1);
+        expect(tests[0].name).toBe('MyModule');
+        expect(tests[0].modifier).toBeUndefined();
+        expect(tests[0].children).toHaveLength(4);
+
+        expect(tests[0].children[0].name).toBe('normal test');
+        expect(tests[0].children[0].modifier).toBeUndefined();
+
+        expect(tests[0].children[1].name).toBe('only this one');
+        expect(tests[0].children[1].modifier).toBe('only');
+
+        expect(tests[0].children[2].name).toBe('skip this one');
+        expect(tests[0].children[2].modifier).toBe('skip');
+
+        expect(tests[0].children[3].name).toBe('another normal test');
+        expect(tests[0].children[3].modifier).toBeUndefined();
+      });
+
+      it('should not parse invalid modifiers', () => {
+        const code = `
+          it.focus('should not parse this', () => {});
+          it.todo('should not parse this either', () => {});
+        `;
+
+        const tests = parseTestFile(code);
+
+        // Should not parse tests with unsupported modifiers
+        expect(tests).toHaveLength(0);
+      });
+
+      it('should handle async tests with modifiers', () => {
+        const code = `
+          it.only('async only test', async () => {
+            await Promise.resolve();
+          });
+          
+          it.skip('async skip test', async () => {
+            await Promise.resolve();
+          });
+        `;
+
+        const tests = parseTestFile(code);
+
+        expect(tests).toHaveLength(2);
+        expect(tests[0].name).toBe('async only test');
+        expect(tests[0].modifier).toBe('only');
+        expect(tests[1].name).toBe('async skip test');
+        expect(tests[1].modifier).toBe('skip');
+      });
+    });
   });
 
   describe('escapeRegExp', () => {