diff --git a/extensions/mssql/config.json b/extensions/mssql/config.json
index db43334716..e3aa081b31 100644
--- a/extensions/mssql/config.json
+++ b/extensions/mssql/config.json
@@ -1,6 +1,6 @@
 {
 	"downloadUrl": "https://github.com/Microsoft/sqltoolsservice/releases/download/{#version#}/microsoft.sqltools.servicelayer-{#fileName#}",
-	"version": "4.3.0.10",
+	"version": "4.3.0.15",
 	"downloadFileNames": {
 		"Windows_86": "win-x86-net6.0.zip",
 		"Windows_64": "win-x64-net6.0.zip",
diff --git a/src/sql/azdata.proposed.d.ts b/src/sql/azdata.proposed.d.ts
index 6f36b3afe8..8d18cb9c90 100644
--- a/src/sql/azdata.proposed.d.ts
+++ b/src/sql/azdata.proposed.d.ts
@@ -1237,6 +1237,14 @@ declare module 'azdata' {
 			 * Format (mimeType) of the report
 			 */
 			mimeType: string;
+			/**
+			 * Whether user confirmation is required, the default value is false.
+			 */
+			requireConfirmation?: boolean;
+			/**
+			 * The confirmation text.
+			 */
+			confirmationText?: string;
 			/**
 			 * The table schema validation error.
 			 */
diff --git a/src/sql/workbench/services/tableDesigner/browser/media/tableDesignerPublishDialog.css b/src/sql/workbench/services/tableDesigner/browser/media/tableDesignerPublishDialog.css
index 5d02358cd2..9a14fc8ee1 100644
--- a/src/sql/workbench/services/tableDesigner/browser/media/tableDesignerPublishDialog.css
+++ b/src/sql/workbench/services/tableDesigner/browser/media/tableDesignerPublishDialog.css
@@ -6,6 +6,12 @@
 .table-designer-publish-dialog {
 	height: 350px;
 	padding: 10px;
+	display: flex;
+	flex-direction: column;
+}
+
+.table-designer-publish-dialog .report-container {
+	flex: 1 1 auto;
 	overflow: scroll;
 	user-select: text;
 }
diff --git a/src/sql/workbench/services/tableDesigner/browser/tableDesignerComponentInput.ts b/src/sql/workbench/services/tableDesigner/browser/tableDesignerComponentInput.ts
index ccdba64600..e80b028387 100644
--- a/src/sql/workbench/services/tableDesigner/browser/tableDesignerComponentInput.ts
+++ b/src/sql/workbench/services/tableDesigner/browser/tableDesignerComponentInput.ts
@@ -208,7 +208,7 @@ export class TableDesignerComponentInput implements DesignerComponentInput {
 			return;
 		}
 		const dialog = this._instantiationService.createInstance(TableDesignerPublishDialog);
-		const result = await dialog.open(previewReportResult.report, previewReportResult.mimeType);
+		const result = await dialog.open(previewReportResult);
 		if (result === TableDesignerPublishDialogResult.GenerateScript) {
 			await this.generateScript();
 		} else if (result === TableDesignerPublishDialogResult.UpdateDatabase) {
diff --git a/src/sql/workbench/services/tableDesigner/browser/tableDesignerPublishDialog.ts b/src/sql/workbench/services/tableDesigner/browser/tableDesignerPublishDialog.ts
index 4a0ef42fa9..4c4b2d44c3 100644
--- a/src/sql/workbench/services/tableDesigner/browser/tableDesignerPublishDialog.ts
+++ b/src/sql/workbench/services/tableDesigner/browser/tableDesignerPublishDialog.ts
@@ -21,6 +21,9 @@ import { ILayoutService } from 'vs/platform/layout/browser/layoutService';
 import { IInstantiationService } from 'vs/platform/instantiation/common/instantiation';
 import { MarkdownRenderer } from 'vs/editor/browser/core/markdownRenderer';
 import { Mimes } from 'vs/base/common/mime';
+import { Checkbox } from 'sql/base/browser/ui/checkbox/checkbox';
+import * as azdata from 'azdata';
+import { attachCheckboxStyler } from 'sql/platform/theme/common/styler';
 
 const OkText: string = localize('tableDesigner.UpdateDatabase', "Update Database");
 const CancelText: string = localize('tableDesigner.cancel', "Cancel");
@@ -34,8 +37,7 @@ export enum TableDesignerPublishDialogResult {
 
 export class TableDesignerPublishDialog extends Modal {
 
-	private _report?: string;
-	private _mimeType: string = Mimes.text;
+	private _report?: azdata.designers.GeneratePreviewReportResult;
 	private _okButton?: Button;
 	private _generateScriptButton?: Button;
 	private _cancelButton?: Button;
@@ -56,9 +58,8 @@ export class TableDesignerPublishDialog extends Modal {
 		this._markdownRenderer = instantiationService.createInstance(MarkdownRenderer, {});
 	}
 
-	public open(report: string, mimeType: string = Mimes.text): Promise<TableDesignerPublishDialogResult> {
+	public open(report: azdata.designers.GeneratePreviewReportResult): Promise<TableDesignerPublishDialogResult> {
 		this._report = report;
-		this._mimeType = mimeType;
 		this.render();
 		this.show();
 		const promise = new Promise<TableDesignerPublishDialogResult>((resolve) => {
@@ -74,6 +75,9 @@ export class TableDesignerPublishDialog extends Modal {
 		this._okButton = this.addFooterButton(OkText, () => this.handleOkButtonClick());
 		this._generateScriptButton = this.addFooterButton(GenerateScriptText, () => this.handleGenerateScriptButtonClick(), 'right', true);
 		this._cancelButton = this.addFooterButton(CancelText, () => this.handleCancelButtonClick(), 'right', true);
+		const requireConfirmation = this._report.requireConfirmation === true;
+		this._okButton.enabled = !requireConfirmation;
+		this._generateScriptButton.enabled = !requireConfirmation;
 		this._register(attachButtonStyler(this._okButton, this._themeService));
 		this._register(attachButtonStyler(this._generateScriptButton, this._themeService));
 		this._register(attachButtonStyler(this._cancelButton, this._themeService));
@@ -81,12 +85,25 @@ export class TableDesignerPublishDialog extends Modal {
 
 	protected renderBody(container: HTMLElement) {
 		const body = DOM.append(container, DOM.$('.table-designer-publish-dialog'));
-		if (this._mimeType === Mimes.markdown) {
-			const markdownElement = this._markdownRenderer.render({ value: this._report }).element;
-			DOM.append(body, markdownElement);
+		const reportContainer = DOM.append(body, DOM.$('.report-container'));
+		if (this._report.mimeType === Mimes.markdown) {
+			const markdownElement = this._markdownRenderer.render({ value: this._report.report }).element;
+			DOM.append(reportContainer, markdownElement);
 		} else {
 			// default to plain text
-			body.innerText = this._report;
+			reportContainer.innerText = this._report.report;
+		}
+		if (this._report.requireConfirmation && this._report.confirmationText) {
+			const checkboxContainer = DOM.append(body, DOM.$('div'));
+			const checkbox = new Checkbox(checkboxContainer, {
+				label: this._report.confirmationText,
+				checked: false
+			});
+			this._register(checkbox.onChange((checked) => {
+				this._okButton.enabled = checked;
+				this._generateScriptButton.enabled = checked;
+			}));
+			this._register(attachCheckboxStyler(checkbox, this._themeService));
 		}
 	}