diff --git a/nixos/modules/services/databases/postgresql.nix b/nixos/modules/services/databases/postgresql.nix
index 3d2205b63555..1c5de85bf2bc 100644
--- a/nixos/modules/services/databases/postgresql.nix
+++ b/nixos/modules/services/databases/postgresql.nix
@@ -165,6 +165,33 @@ in
               '';
             };
 
+            ensurePermissions = mkOption {
+              type = types.attrsOf types.str;
+              default = {};
+              visible = false; # This option has been deprecated.
+              description = lib.mdDoc ''
+                This option is DEPRECATED and should not be used in nixpkgs anymore,
+                use `ensureDBOwnership` instead. It can also break with newer
+                versions of PostgreSQL (≥ 15).
+
+                Permissions to ensure for the user, specified as an attribute set.
+                The attribute names specify the database and tables to grant the permissions for.
+                The attribute values specify the permissions to grant. You may specify one or
+                multiple comma-separated SQL privileges here.
+
+                For more information on how to specify the target
+                and on which privileges exist, see the
+                [GRANT syntax](https://www.postgresql.org/docs/current/sql-grant.html).
+                The attributes are used as `GRANT ''${attrValue} ON ''${attrName}`.
+              '';
+              example = literalExpression ''
+                {
+                  "DATABASE \"nextcloud\"" = "ALL PRIVILEGES";
+                  "ALL TABLES IN SCHEMA public" = "ALL PRIVILEGES";
+                }
+              '';
+            };
+
             ensureDBOwnership = mkOption {
               type = types.bool;
               default = false;
@@ -441,6 +468,17 @@ in
       }
     ];
 
+    # `ensurePermissions` is now deprecated, let's avoid it.
+    warnings = lib.optional (any ({ ensurePermissions, ... }: ensurePermissions != {}) cfg.ensureUsers) "
+      `services.postgresql.*.ensurePermissions` is used in your expressions,
+      this option is known to be broken with newer PostgreSQL versions,
+      consider migrating to `services.postgresql.*.ensureDBOwnership` or
+      consult the release notes or manual for more migration guidelines.
+
+      This option will be removed in NixOS 24.05 unless it sees significant
+      maintenance improvements.
+    ";
+
     services.postgresql.settings =
       {
         hba_file = "${pkgs.writeText "pg_hba.conf" cfg.authentication}";
@@ -552,7 +590,12 @@ in
             ${
               concatMapStrings
               (user:
-                let
+              let
+                  userPermissions = concatStringsSep "\n"
+                    (mapAttrsToList
+                      (database: permission: ''$PSQL -tAc 'GRANT ${permission} ON ${database} TO "${user.name}"' '')
+                      user.ensurePermissions
+                    );
                   dbOwnershipStmt = optionalString
                     user.ensureDBOwnership
                     ''$PSQL -tAc 'ALTER DATABASE "${user.name}" OWNER TO "${user.name}";' '';
@@ -564,6 +607,7 @@ in
                   userClauses = ''$PSQL -tAc 'ALTER ROLE "${user.name}" ${concatStringsSep " " clauseSqlStatements}' '';
                 in ''
                   $PSQL -tAc "SELECT 1 FROM pg_roles WHERE rolname='${user.name}'" | grep -q 1 || $PSQL -tAc 'CREATE USER "${user.name}"'
+                  ${userPermissions}
                   ${userClauses}
 
                   ${dbOwnershipStmt}