diff --git a/codemods/sendfile-options/README.md b/codemods/sendfile-options/README.md
new file mode 100644
index 0000000..dfc9773
--- /dev/null
+++ b/codemods/sendfile-options/README.md
@@ -0,0 +1,68 @@
+# Migrate `res.sendFile` options
+
+Express 5 changes several `res.sendFile` options, mirroring the `express.static`
+changes:
+
+- The `dotfiles` option now also applies to hidden **directories** in the path, not
+  just hidden files. In Express 4 a hidden directory in the path was served by
+  default; Express 5 returns a **404 Not Found** unless you opt in with
+  `dotfiles: 'allow'`.
+- The `hidden` option is removed and replaced by `dotfiles`.
+- The `from` option (an undocumented alias for `root`) is removed and replaced by `root`.
+
+This codemod updates `res.sendFile()` calls to preserve the Express 4 behavior:
+
+1. Adds an explicit `dotfiles: 'allow'` option to calls that don't already specify a `dotfiles` (or `hidden`) option.
+2. Renames `hidden` to `dotfiles` (`hidden: true` → `dotfiles: 'allow'`, `hidden: false` → `dotfiles: 'ignore'`).
+3. Renames `from` to `root`.
+
+Only calls whose receiver is a response object (a route/middleware handler
+parameter, e.g. the `res` in `(req, res) => res.sendFile(...)`) are rewritten.
+
+## Example
+
+```diff
+  app.get('/build', (req, res) => {
+-   res.sendFile('/var/www/app/.cache/index.html')
++   res.sendFile('/var/www/app/.cache/index.html', { dotfiles: 'allow' /* Express 5: preserve v4 behavior */ })
+  })
+```
+
+### With existing options
+
+```diff
+- res.sendFile('index.html', { maxAge: '1d' })
++ res.sendFile('index.html', { maxAge: '1d', dotfiles: 'allow' /* Express 5: preserve v4 behavior */ })
+```
+
+### Removed `hidden` / `from` options
+
+```diff
+- res.sendFile(req.params.name, { hidden: true, from: '/uploads' })
++ res.sendFile(req.params.name, { dotfiles: 'allow', root: '/uploads' })
+```
+
+### With a trailing callback
+
+The options object is inserted before the callback:
+
+```diff
+- res.sendFile('index.html', (err) => next(err))
++ res.sendFile('index.html', { dotfiles: 'allow' /* Express 5: preserve v4 behavior */ }, (err) => next(err))
+```
+
+## Security Consideration
+
+After running this codemod, review each `res.sendFile()` call to determine if
+serving dotfiles is actually necessary for your application. If you don't need to
+serve dotfiles, you can:
+
+1. Remove the `dotfiles: 'allow'` option to use the new Express 5 default (`"ignore"`)
+2. Or explicitly set `dotfiles: 'deny'` to return a 403 Forbidden for dotfile requests
+
+Note that passing a `root` option scopes the `dotfiles` check to the part of the
+path relative to `root`, so a hidden directory in `root` itself is unaffected.
+
+## References
+
+- [Express 5 Migration Guide - res.sendFile() options](https://expressjs.com/en/guide/migrating-5#ressendfile-options)
diff --git a/codemods/sendfile-options/codemod.yaml b/codemods/sendfile-options/codemod.yaml
new file mode 100644
index 0000000..470c75e
--- /dev/null
+++ b/codemods/sendfile-options/codemod.yaml
@@ -0,0 +1,26 @@
+schema_version: "1.0"
+name: "@expressjs/sendfile-options"
+version: "1.0.0"
+description: Migrates res.sendFile() options to Express 5 - adds an explicit dotfiles option and renames the removed hidden and from options
+author: Sebastian Beltran <bjohansebas@gmail.com>
+license: MIT
+workflow: workflow.yaml
+repository: "https://github.com/expressjs/codemod/tree/HEAD/codemods/sendfile-options"
+category: migration
+
+targets:
+  languages:
+    - javascript
+    - typescript
+
+keywords:
+  - transformation
+  - migration
+  - express
+  - sendFile
+  - dotfiles
+  - res.sendFile
+
+registry:
+  access: public
+  visibility: public
diff --git a/codemods/sendfile-options/package.json b/codemods/sendfile-options/package.json
new file mode 100644
index 0000000..1d0218c
--- /dev/null
+++ b/codemods/sendfile-options/package.json
@@ -0,0 +1,22 @@
+{
+  "name": "@expressjs/sendfile-options",
+  "private": true,
+  "version": "1.0.0",
+  "description": "Migrates res.sendFile() options to Express 5: adds an explicit dotfiles option and renames the removed hidden and from options",
+  "type": "module",
+  "scripts": {
+    "test": "npx codemod jssg test -l typescript ./src/workflow.ts ./"
+  },
+  "repository": {
+    "type": "git",
+    "url": "git+https://github.com/expressjs/codemod.git",
+    "directory": "codemods/sendfile-options",
+    "bugs": "https://github.com/expressjs/codemod/issues"
+  },
+  "author": "Sebastian Beltran <bjohansebas@gmail.com>",
+  "license": "MIT",
+  "homepage": "https://github.com/expressjs/codemod/blob/main/codemods/sendfile-options/README.md",
+  "devDependencies": {
+    "@codemod.com/jssg-types": "^1.5.0"
+  }
+}
diff --git a/codemods/sendfile-options/src/workflow.ts b/codemods/sendfile-options/src/workflow.ts
new file mode 100644
index 0000000..fbb7eb4
--- /dev/null
+++ b/codemods/sendfile-options/src/workflow.ts
@@ -0,0 +1,197 @@
+import type Js from '@codemod.com/jssg-types/src/langs/javascript'
+import type { Edit, SgNode, SgRoot } from '@codemod.com/jssg-types/src/main'
+
+const DOTFILES_OPTION = "dotfiles: 'allow' /* Express 5: preserve v4 behavior */"
+
+// Migrates `res.sendFile()` options to Express 5: adds an explicit `dotfiles`
+// option to preserve the Express 4 behavior (v4 served hidden directories in the
+// path by default, v5 returns 404), and renames the removed `hidden` and `from`
+// options to `dotfiles` and `root`.
+//
+// `res.sendFile(path[, options][, callback])` makes the argument handling more
+// involved than `express.static()`: when no options object is present, one is
+// inserted before any trailing callback.
+async function transform(root: SgRoot<Js>): Promise<string | null> {
+  const rootNode = root.root()
+  const edits: Edit[] = []
+
+  const calls = rootNode.findAll({
+    rule: {
+      any: [
+        { pattern: '$RES.sendFile($PATH)' },
+        { pattern: '$RES.sendFile($PATH, $SECOND)' },
+        { pattern: '$RES.sendFile($PATH, $SECOND, $THIRD)' },
+      ],
+    },
+  })
+
+  if (!calls.length) return null
+
+  for (const call of calls) {
+    const target = call.getMatch('RES')
+    const pathArg = call.getMatch('PATH')
+    if (!target || !pathArg) continue
+
+    // Only rewrite calls on a response object, i.e. a function parameter such as
+    // the `res` in `(req, res) => res.sendFile(...)`. This avoids touching
+    // unrelated `.sendFile()` calls on objects we can't identify as Express.
+    if (!isResponseBinding(target)) continue
+
+    const second = call.getMatch('SECOND')
+
+    if (!second) {
+      // `res.sendFile(path)` -> add an options object.
+      edits.push(call.replace(`${target.text()}.sendFile(${pathArg.text()}, { ${DOTFILES_OPTION} })`))
+      continue
+    }
+
+    if (second.is('object')) {
+      // `res.sendFile(path, { ... }[, cb])` -> rewrite the options object.
+      const result = transformOptions(second)
+      if (!result) continue
+
+      let newOpts = result.text
+      if (!result.hasDotfiles) {
+        newOpts = addDotfilesOption(newOpts)
+      }
+
+      const originalOpts = second.text()
+      if (newOpts === originalOpts) continue
+
+      edits.push(call.replace(call.text().replace(originalOpts, newOpts)))
+      continue
+    }
+
+    // `res.sendFile(path, callback)` -> insert the options object before the
+    // callback. Anything else as the second argument (e.g. a variable we can't
+    // see into) is left untouched.
+    const third = call.getMatch('THIRD')
+    if (!third && isCallback(second)) {
+      edits.push(call.replace(`${target.text()}.sendFile(${pathArg.text()}, { ${DOTFILES_OPTION} }, ${second.text()})`))
+    }
+  }
+
+  if (!edits.length) return null
+
+  return rootNode.commitEdits(edits)
+}
+
+interface TransformedOptions {
+  text: string
+  // True when the resulting object already carries a `dotfiles` key (either
+  // present originally or produced by renaming a removed `hidden` option), so
+  // the default `dotfiles: 'allow'` should NOT be appended.
+  hasDotfiles: boolean
+}
+
+// Rewrites the options object for Express 5:
+// - renames the removed `hidden` option to `dotfiles` (true -> 'allow', false -> 'ignore')
+// - renames the removed `from` option to `root`
+// Returns null when the argument isn't an object literal.
+function transformOptions(optsArg: SgNode<Js>): TransformedOptions | null {
+  if (!optsArg.is('object')) return null
+
+  const edits: Edit[] = []
+  const pairs = optsArg.children().filter((pair: SgNode<Js>) => pair.is('pair'))
+
+  // An explicit `dotfiles` key always wins: we never append a default and never
+  // rename a `hidden` onto it (which would produce a duplicate `dotfiles` key).
+  const hasExplicitDotfiles = pairs.some((pair) => getOptionKeyName(pair) === 'dotfiles')
+
+  // A present `hidden` (even non-literal) maps onto `dotfiles`, so a default
+  // must not be appended even when we can't rewrite its value.
+  let hasDotfiles = hasExplicitDotfiles
+
+  for (const pair of pairs) {
+    const keyName = getOptionKeyName(pair)
+
+    if (keyName === 'hidden') {
+      hasDotfiles = true
+
+      if (hasExplicitDotfiles) continue
+
+      const valueNode = pair.field('value')
+      const mapped = valueNode ? mapHiddenValue(valueNode.text()) : null
+      if (mapped) edits.push(pair.replace(`dotfiles: ${mapped}`))
+      continue
+    }
+
+    if (keyName === 'from') {
+      const keyNode = pair.field('key')
+      if (keyNode) edits.push(keyNode.replace('root'))
+    }
+  }
+
+  const text = edits.length ? optsArg.commitEdits(edits) : optsArg.text()
+  return { text, hasDotfiles }
+}
+
+function getOptionKeyName(pair: SgNode<Js>): string | null {
+  const keyNode = pair.field('key')
+  if (!keyNode) return null
+
+  return keyNode.is('string') ? getStringLiteralValue(keyNode) : keyNode.text()
+}
+
+function mapHiddenValue(valueText: string): string | null {
+  const trimmed = valueText.trim()
+  if (trimmed === 'true') return "'allow'"
+  if (trimmed === 'false') return "'ignore'"
+
+  return null
+}
+
+function getStringLiteralValue(node: SgNode<Js> | null | undefined): string | null {
+  if (!node || !node.is('string')) return null
+
+  const text = node.text()
+  if (text.length < 2) return null
+
+  return text.slice(1, -1)
+}
+
+function addDotfilesOption(optsText: string): string {
+  const trimmed = optsText.trimEnd()
+
+  if (!trimmed.includes('\n')) {
+    const inner = trimmed.slice(1, -1).trim()
+
+    return inner ? `{ ${inner}, ${DOTFILES_OPTION} }` : `{ ${DOTFILES_OPTION} }`
+  }
+
+  const closingBraceIndex = trimmed.lastIndexOf('}')
+  const body = trimmed.slice(0, closingBraceIndex).trimEnd()
+  const closingIndent = getIndentAfterLastNewline(trimmed)
+  const propertyIndent = getIndentAfterLastNewline(body) || '  '
+
+  return `${body}\n${propertyIndent}${DOTFILES_OPTION}\n${closingIndent}}`
+}
+
+function isCallback(node: SgNode<Js>): boolean {
+  return node.is('arrow_function') || node.is('function_expression')
+}
+
+function isResponseBinding(binding: SgNode<Js>): boolean {
+  const definition = binding.definition({ resolveExternal: false })
+  if (!definition) return false
+
+  return definition.node.matches({
+    rule: { inside: { kind: 'formal_parameters', stopBy: 'end' } },
+  })
+}
+
+function getIndentAfterLastNewline(text: string): string {
+  const newlineIndex = text.lastIndexOf('\n')
+  if (newlineIndex === -1) return ''
+
+  let indent = ''
+  for (let index = newlineIndex + 1; index < text.length; index++) {
+    const char = text[index]
+    if (char !== ' ' && char !== '\t') break
+    indent += char
+  }
+
+  return indent
+}
+
+export default transform
diff --git a/codemods/sendfile-options/tests/expected/handlers.ts b/codemods/sendfile-options/tests/expected/handlers.ts
new file mode 100644
index 0000000..ca69d2e
--- /dev/null
+++ b/codemods/sendfile-options/tests/expected/handlers.ts
@@ -0,0 +1,20 @@
+const express = require("express");
+const app = express();
+
+app.get('/multi', function (req, res) {
+  res.sendFile(
+    'index.html',
+    {
+      maxAge: '1d',
+      dotfiles: 'allow' /* Express 5: preserve v4 behavior */
+    }
+  );
+});
+
+app.use((req, res, next) => {
+  res.sendFile('error.html', { dotfiles: 'allow' /* Express 5: preserve v4 behavior */ });
+});
+
+function handler(req, res) {
+  res.sendFile('page.html', { root: '/pages', dotfiles: 'allow' /* Express 5: preserve v4 behavior */ });
+}
diff --git a/codemods/sendfile-options/tests/expected/sendfile.ts b/codemods/sendfile-options/tests/expected/sendfile.ts
new file mode 100644
index 0000000..0f438c9
--- /dev/null
+++ b/codemods/sendfile-options/tests/expected/sendfile.ts
@@ -0,0 +1,56 @@
+import express from "express";
+
+const app = express();
+const serveHidden = true;
+
+app.get('/a', (req, res) => {
+  res.sendFile('index.html', { dotfiles: 'allow' /* Express 5: preserve v4 behavior */ });
+});
+
+app.get('/b', (req, res) => {
+  res.sendFile('index.html', { maxAge: '1d', dotfiles: 'allow' /* Express 5: preserve v4 behavior */ });
+});
+
+app.get('/c', (req, res) => {
+  res.sendFile('index.html', { dotfiles: 'deny' });
+});
+
+app.get('/d', (req, res) => {
+  res.sendFile('file.html', { dotfiles: 'allow' });
+});
+
+app.get('/e', (req, res) => {
+  res.sendFile('file.html', { dotfiles: 'ignore' });
+});
+
+app.get('/f', (req, res) => {
+  res.sendFile('file.html', { root: '/uploads', dotfiles: 'allow' /* Express 5: preserve v4 behavior */ });
+});
+
+app.get('/g', (req, res) => {
+  res.sendFile('file.html', { dotfiles: 'allow', root: '/uploads', maxAge: '1d' });
+});
+
+app.get('/h', (req, res) => {
+  res.sendFile('file.html', { hidden: serveHidden });
+});
+
+app.get('/callback', (req, res) => {
+  res.sendFile('index.html', { dotfiles: 'allow' /* Express 5: preserve v4 behavior */ }, (err) => {
+    if (err) console.error(err);
+  });
+});
+
+app.get('/options-callback', (req, res) => {
+  res.sendFile('index.html', { maxAge: '1d', dotfiles: 'allow' /* Express 5: preserve v4 behavior */ }, (err) => {});
+});
+
+app.get('/variable-options', (req, res) => {
+  const opts = { maxAge: '1d' };
+  res.sendFile('index.html', opts);
+});
+
+const notRes = {
+  sendFile(_path: string) {},
+};
+notRes.sendFile('index.html');
diff --git a/codemods/sendfile-options/tests/input/handlers.ts b/codemods/sendfile-options/tests/input/handlers.ts
new file mode 100644
index 0000000..52c0055
--- /dev/null
+++ b/codemods/sendfile-options/tests/input/handlers.ts
@@ -0,0 +1,19 @@
+const express = require("express");
+const app = express();
+
+app.get('/multi', function (req, res) {
+  res.sendFile(
+    'index.html',
+    {
+      maxAge: '1d',
+    }
+  );
+});
+
+app.use((req, res, next) => {
+  res.sendFile('error.html');
+});
+
+function handler(req, res) {
+  res.sendFile('page.html', { from: '/pages' });
+}
diff --git a/codemods/sendfile-options/tests/input/sendfile.ts b/codemods/sendfile-options/tests/input/sendfile.ts
new file mode 100644
index 0000000..8d1fec1
--- /dev/null
+++ b/codemods/sendfile-options/tests/input/sendfile.ts
@@ -0,0 +1,56 @@
+import express from "express";
+
+const app = express();
+const serveHidden = true;
+
+app.get('/a', (req, res) => {
+  res.sendFile('index.html');
+});
+
+app.get('/b', (req, res) => {
+  res.sendFile('index.html', { maxAge: '1d' });
+});
+
+app.get('/c', (req, res) => {
+  res.sendFile('index.html', { dotfiles: 'deny' });
+});
+
+app.get('/d', (req, res) => {
+  res.sendFile('file.html', { hidden: true });
+});
+
+app.get('/e', (req, res) => {
+  res.sendFile('file.html', { hidden: false });
+});
+
+app.get('/f', (req, res) => {
+  res.sendFile('file.html', { from: '/uploads' });
+});
+
+app.get('/g', (req, res) => {
+  res.sendFile('file.html', { hidden: true, from: '/uploads', maxAge: '1d' });
+});
+
+app.get('/h', (req, res) => {
+  res.sendFile('file.html', { hidden: serveHidden });
+});
+
+app.get('/callback', (req, res) => {
+  res.sendFile('index.html', (err) => {
+    if (err) console.error(err);
+  });
+});
+
+app.get('/options-callback', (req, res) => {
+  res.sendFile('index.html', { maxAge: '1d' }, (err) => {});
+});
+
+app.get('/variable-options', (req, res) => {
+  const opts = { maxAge: '1d' };
+  res.sendFile('index.html', opts);
+});
+
+const notRes = {
+  sendFile(_path: string) {},
+};
+notRes.sendFile('index.html');
diff --git a/codemods/sendfile-options/workflow.yaml b/codemods/sendfile-options/workflow.yaml
new file mode 100644
index 0000000..794cfc9
--- /dev/null
+++ b/codemods/sendfile-options/workflow.yaml
@@ -0,0 +1,28 @@
+# yaml-language-server: $schema=https://raw.githubusercontent.com/codemod-com/codemod/refs/heads/main/schemas/workflow.json
+
+version: "1"
+
+nodes:
+  - id: apply-transforms
+    name: Apply AST Transformations
+    type: automatic
+    runtime:
+      type: direct
+    steps:
+      - name: Adds explicit dotfiles option to res.sendFile() calls to preserve Express 4 behavior
+        js-ast-grep:
+          js_file: src/workflow.ts
+          base_path: .
+          semantic_analysis: file
+          include:
+            - "**/*.cjs"
+            - "**/*.js"
+            - "**/*.jsx"
+            - "**/*.mjs"
+            - "**/*.cts"
+            - "**/*.mts"
+            - "**/*.ts"
+            - "**/*.tsx"
+          exclude:
+            - "**/node_modules/**"
+          language: typescript
diff --git a/codemods/v5-migration-recipe/workflow.yaml b/codemods/v5-migration-recipe/workflow.yaml
index 6c95ef9..c905fe0 100644
--- a/codemods/v5-migration-recipe/workflow.yaml
+++ b/codemods/v5-migration-recipe/workflow.yaml
@@ -35,4 +35,7 @@ nodes:
           source: "@expressjs/static-dotfiles"
       - name: Migrates express.static.mime to the mime-types package
         codemod:
-          source: "@expressjs/static-mime"
\ No newline at end of file
+          source: "@expressjs/static-mime"
+      - name: Adds explicit dotfiles option to res.sendFile() calls to preserve Express 4 behavior
+        codemod:
+          source: "@expressjs/sendfile-options"
\ No newline at end of file
diff --git a/package-lock.json b/package-lock.json
index d241be9..a26aa8d 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -68,6 +68,14 @@
         "@codemod.com/jssg-types": "^1.5.0"
       }
     },
+    "codemods/sendfile-options": {
+      "name": "@expressjs/sendfile-options",
+      "version": "1.0.0",
+      "license": "MIT",
+      "devDependencies": {
+        "@codemod.com/jssg-types": "^1.5.0"
+      }
+    },
     "codemods/static-dotfiles": {
       "name": "@expressjs/static-dotfiles",
       "version": "1.0.0",
@@ -294,6 +302,10 @@
       "resolved": "codemods/route-del-to-delete",
       "link": true
     },
+    "node_modules/@expressjs/sendfile-options": {
+      "resolved": "codemods/sendfile-options",
+      "link": true
+    },
     "node_modules/@expressjs/static-dotfiles": {
       "resolved": "codemods/static-dotfiles",
       "link": true