diff --git a/oslo_middleware/healthcheck/__init__.py b/oslo_middleware/healthcheck/__init__.py
index bb792c0..0e7a7b0 100644
--- a/oslo_middleware/healthcheck/__init__.py
+++ b/oslo_middleware/healthcheck/__init__.py
@@ -395,6 +395,8 @@ Reason
         self._source_ranges = [
             ipaddress.ip_network(r)
             for r in self._conf_get('allowed_source_ranges')]
+        self._ignore_proxied_requests = self._conf_get(
+            'ignore_proxied_requests')
         self._backends = stevedore.NamedExtensionManager(
             self.NAMESPACE, self._conf_get('backends'),
             name_order=True, invoke_on_load=True,
@@ -565,6 +567,13 @@ Reason
                 # the request in this middleware.
                 return None
 
+        if self._ignore_proxied_requests:
+            for hdr in [
+                'FORWARDED', 'FORWARDED_PROTO', 'FORWARDED_HOST',
+                'FORWARDED_FOR', 'FORWARDED_PREFIX']:
+                if req.environ.get("HTTP_X_%s" % hdr):
+                    return None
+
         results = [ext.obj.healthcheck(req.server_port)
                    for ext in self._backends]
         healthy = self._are_results_healthy(results)
diff --git a/oslo_middleware/healthcheck/opts.py b/oslo_middleware/healthcheck/opts.py
index 3860ea0..a3f78e9 100644
--- a/oslo_middleware/healthcheck/opts.py
+++ b/oslo_middleware/healthcheck/opts.py
@@ -34,6 +34,9 @@ HEALTHCHECK_OPTS = [
                 help='A list of network addresses to limit source ip allowed '
                      'to access healthcheck information. Any request from ip '
                      'outside of these network addresses are ignored.'),
+    cfg.BoolOpt('ignore_proxied_requests',
+                default=False,
+                help='Ignore requests with proxy headers.')
 ]
 
 
diff --git a/oslo_middleware/tests/test_healthcheck.py b/oslo_middleware/tests/test_healthcheck.py
index e8e9c55..2c861dd 100644
--- a/oslo_middleware/tests/test_healthcheck.py
+++ b/oslo_middleware/tests/test_healthcheck.py
@@ -63,10 +63,13 @@ class HealthcheckTests(test_base.BaseTestCase):
 
     def _do_test_request(self, conf={}, path='/healthcheck',
                          accept='text/plain', method='GET',
-                         server_port=80, remote_addr='127.0.0.1'):
+                         server_port=80, headers=None,
+                         remote_addr='127.0.0.1'):
         self.app = healthcheck.Healthcheck(self.application, conf)
         req = webob.Request.blank(path, accept=accept, method=method)
         req.server_port = server_port
+        if headers:
+            req.headers = headers
         req.remote_addr = remote_addr
         res = req.get_response(self.app)
         return res
@@ -74,10 +77,12 @@ class HealthcheckTests(test_base.BaseTestCase):
     def _do_test(self, conf={}, path='/healthcheck',
                  expected_code=webob.exc.HTTPOk.code,
                  expected_body=b'', accept='text/plain',
-                 method='GET', server_port=80, remote_addr='127.0.0.1'):
+                 method='GET', server_port=80, headers=None,
+                 remote_addr='127.0.0.1'):
         res = self._do_test_request(conf=conf, path=path,
                                     accept=accept, method=method,
                                     server_port=server_port,
+                                    headers=headers,
                                     remote_addr=remote_addr)
         self.assertEqual(expected_code, res.status_int)
         self.assertEqual(expected_body, res.body)
@@ -215,3 +220,28 @@ class HealthcheckTests(test_base.BaseTestCase):
                       expected_code=webob.exc.HTTPOk.code,
                       expected_body=b'Hello, World!!!',
                       remote_addr='192.168.3.1')
+
+    def test_proxied_not_ignored(self):
+        conf = {}
+        self._do_test(conf,
+                      expected_code=webob.exc.HTTPOk.code,
+                      headers={'Forwarded-For': 'http://localhost'})
+
+    def test_proxied_ignored(self):
+        conf = {'ignore_proxied_requests': True}
+        modern_headers = {
+            'x-forwarded': 'https://localhost'
+        }
+        self._do_test(conf,
+                      expected_code=webob.exc.HTTPOk.code,
+                      expected_body=b'Hello, World!!!',
+                      headers=modern_headers)
+        legacy_headers = {
+            'x-forwarded-proto': 'https',
+            'x-forwarded-host': 'localhost',
+            'x-forwarded-for': '192.0.2.11',
+        }
+        self._do_test(conf,
+                      expected_code=webob.exc.HTTPOk.code,
+                      expected_body=b'Hello, World!!!',
+                      headers=legacy_headers)
diff --git a/releasenotes/notes/healthcheck-ignore_proxied_requests-d04d1661bd687bc6.yaml b/releasenotes/notes/healthcheck-ignore_proxied_requests-d04d1661bd687bc6.yaml
new file mode 100644
index 0000000..be267f5
--- /dev/null
+++ b/releasenotes/notes/healthcheck-ignore_proxied_requests-d04d1661bd687bc6.yaml
@@ -0,0 +1,13 @@
+---
+features:
+  - |
+    The new ``[healthcheck] ignore_proxied_requests`` option has been added.
+    When this option is set to true, the healthcheck middleware ignores
+    requests with any of the following headers, which indicates that
+    the requests came through a reverse proxy or a load balancer.
+
+    - ``x-forwarded``
+    - ``x-forwarded-proto``
+    - ``x-forwarded-host``
+    - ``x-forwarded-for``
+    - ``x-forwarded-prefix``