diff --git a/README.md b/README.md
index 36a6bff..69f1d70 100644
--- a/README.md
+++ b/README.md
@@ -2,28 +2,28 @@
 
 [![Build Status](https://app.travis-ci.com/AmpersandHQ/magento2-disable-stock-reservation.svg?branch=master)](https://app.travis-ci.com/AmpersandHQ/magento2-disable-stock-reservation)
 
-This module disables the inventory reservation logic introduced as part of MSI in Magento 2.3.3 - see 
+This module disables the inventory reservation logic introduced as part of MSI in Magento 2.3.3 - see
 https://github.com/magento/inventory/issues/2269 for more information about the way MSI was implemented, and the issues
 that can happen with external WMS integrations.
 
 ## The Problem
 
-During the order placement and fulfilment processes, Magento's MSI implementation will not decrement stock on order 
+During the order placement and fulfilment processes, Magento's MSI implementation will not decrement stock on order
 placement - it will only do so on order shipment and refund.
 
 ## Our Approach
 
 This module will:
 
-* Prevent all writes to the inventory_reservations table. It does so by using an `around` plugin on `PlaceReservationsForSalesEventInterface`
+* Prevent all writes to the `inventory_reservation` table. It does so by using an `around` plugin on `PlaceReservationsForSalesEventInterface`
 * Trigger stock deductions on order placement. See `inventory_sales_source_deduction_processor` plugin on `Magento\Sales\Model\Service\OrderService`.
 * Prevent stock deductions on order shipment. See disabled `inventory_sales_source_deduction_processor` observer on `sales_order_shipment_save_after` event.
 * Replenish stock for cancelled order items. See `inventory` observer on `sales_order_item_cancel` event.
 * Replenish stock when a credit memo is issued. See `src/Observer/RestoreSourceItemQuantityOnRefundObserver.php`
   * Requires that "Back to stock" is checked or "Automatically Return Credit Memo Item to Stock" is configured
     * https://docs.magento.com/user-guide/configuration/catalog/inventory.html#product-stock-options
+* Truncate (ie, remove all historic entries from) the `inventory_reservation` table upon installation.
 
 ## Additional Notes
 
-* Make sure to truncate any existing reservations after installing this module, see https://github.com/AmpersandHQ/magento2-disable-stock-reservation/issues/41
 * Both the `inventory` and `cataloginventory_stock` should be on the same mode (`Update on Save` or `Schedule`) for this module to work as expected. If you are running this on `Schedule` you should have crons activated.
diff --git a/src/Setup/Patch/Schema/RemoveExistingReservations.php b/src/Setup/Patch/Schema/RemoveExistingReservations.php
new file mode 100644
index 0000000..acaf49e
--- /dev/null
+++ b/src/Setup/Patch/Schema/RemoveExistingReservations.php
@@ -0,0 +1,47 @@
+<?php
+
+namespace Ampersand\DisableStockReservation\Setup\Patch\Schema;
+
+use Magento\Framework\Setup\SchemaSetupInterface;
+use Magento\Framework\Setup\Patch\SchemaPatchInterface;
+
+class RemoveExistingReservations implements SchemaPatchInterface
+{
+    private const INVENTORY_RESERVATION_TABLE_NAME = 'inventory_reservation';
+    private $setup;
+
+    public function __construct(
+        SchemaSetupInterface $setup
+    ) {
+        $this->setup = $setup;
+    }
+
+    /**
+     * {@inheritdoc}
+     */
+    public function apply()
+    {
+        $connection = $this->setup->getConnection();
+        $tableName = $connection->getTableName(self::INVENTORY_RESERVATION_TABLE_NAME);
+
+        if ($connection->isTableExists($tableName)) {
+            $connection->truncateTable($tableName);
+        }
+    }
+
+    /**
+     * {@inheritdoc}
+     */
+    public static function getDependencies(): array
+    {
+        return [];
+    }
+
+    /**
+     * {@inheritdoc}
+     */
+    public function getAliases(): array
+    {
+        return [];
+    }
+}