diff --git a/docs/source/createdb.rst b/docs/source/createdb.rst
index f98e1a1..bf6f90d 100644
--- a/docs/source/createdb.rst
+++ b/docs/source/createdb.rst
@@ -3,6 +3,9 @@ Create Database
 
 If you do not have an existing PostGIS database, you can create one from your QGIS Project.
 
+You have two options for doing so.
+
+## Option 1: Export layers to GeoPackage
 
 
 1. Export your layer(s)
@@ -42,3 +45,49 @@ Select the PostGIS data source you created above.
 
  .. image:: images/create-db-3.png
 
+
+
+ ## Option 2: Create Empty DB and Use DB Manager
+
+
+ 1. Create an empty database
+------------------------
+
+Go to Data Sources > QGS > Create
+
+Be sure to select "Only Create PostGIS Database"
+
+Give your database a name and click Create
+
+  .. image:: images/create-empty-db-1.png
+
+
+2. Add pg_service.conf Entry
+-------------------------
+
+Go to Data Sources and click "Show Connection Information" for your new database
+
+  .. image:: images/create-empty-db-4.png
+
+Add the connection information to your local pg_service.conf file
+
+  .. image:: images/db-manager-3.png
+
+
+Add the new connection to QGIS PostgreSQL
+
+
+3. Create Tables from Layers
+-------------------------------
+
+In QGIS, go to DB Manager, select your database and click "Import Layer/File"
+
+ .. image:: images/create-empty-db-5.png
+
+
+Select the layer to input and table name:
+
+ .. image:: images/create-empty-db-6.png
+
+Repeat for any additional layers.
+