diff --git a/src/change_stream.ts b/src/change_stream.ts
index ed847519e8..1076b2f66b 100644
--- a/src/change_stream.ts
+++ b/src/change_stream.ts
@@ -809,7 +809,11 @@ export class ChangeStream<
       while (true) {
         try {
           const change = await this.cursor.tryNext();
-          return change ?? null;
+          if (!change) {
+            return null;
+          }
+          const processedChange = this._processChange(change);
+          return processedChange;
         } catch (error) {
           try {
             await this._processErrorIteratorMode(error, this.cursor.id != null);
diff --git a/test/integration/change-streams/change_stream.test.ts b/test/integration/change-streams/change_stream.test.ts
index b941109048..c6156ab954 100644
--- a/test/integration/change-streams/change_stream.test.ts
+++ b/test/integration/change-streams/change_stream.test.ts
@@ -370,31 +370,76 @@ describe('Change Streams', function () {
     }
   );
 
-  it('should cache the change stream resume token using iterator form', {
-    metadata: { requires: { topology: 'replicaset' } },
+  describe('cache the change stream resume token', () => {
+    describe('using iterator form', () => {
+      context('#next', () => {
+        it('caches the resume token on change', {
+          metadata: { requires: { topology: 'replicaset' } },
 
-    async test() {
-      await initIteratorMode(changeStream);
-      collection.insertOne({ a: 1 });
+          async test() {
+            await initIteratorMode(changeStream);
+            await collection.insertOne({ a: 1 });
 
-      const hasNext = await changeStream.hasNext();
-      expect(hasNext).to.be.true;
+            const change = await changeStream.next();
+            expect(change).to.have.property('_id').that.deep.equals(changeStream.resumeToken);
+          }
+        });
 
-      const change = await changeStream.next();
-      expect(change).to.have.property('_id').that.deep.equals(changeStream.resumeToken);
-    }
-  });
+        it('caches the resume token correctly when preceded by #hasNext', {
+          metadata: { requires: { topology: 'replicaset' } },
+          async test() {
+            await initIteratorMode(changeStream);
+            await collection.insertOne({ a: 1 });
 
-  it('should cache the change stream resume token using event listener form', {
-    metadata: { requires: { topology: 'replicaset' } },
-    async test() {
-      const willBeChange = once(changeStream, 'change');
-      await once(changeStream.cursor, 'init');
-      collection.insertOne({ a: 1 });
+            await changeStream.hasNext();
 
-      const [change] = await willBeChange;
-      expect(change).to.have.property('_id').that.deep.equals(changeStream.resumeToken);
-    }
+            const change = await changeStream.next();
+            expect(change).to.have.property('_id').that.deep.equals(changeStream.resumeToken);
+          }
+        });
+      });
+
+      it('#tryNext', {
+        metadata: { requires: { topology: 'replicaset' } },
+
+        async test() {
+          await initIteratorMode(changeStream);
+          await collection.insertOne({ a: 1 });
+
+          const change = await changeStream.tryNext();
+          expect(change).to.have.property('_id').that.deep.equals(changeStream.resumeToken);
+        }
+      });
+
+      context('#hasNext', () => {
+        it('does not cache the resume token', {
+          metadata: { requires: { topology: 'replicaset' } },
+          async test() {
+            await initIteratorMode(changeStream);
+            const resumeToken = changeStream.resumeToken;
+
+            await collection.insertOne({ a: 1 });
+
+            const hasNext = await changeStream.hasNext();
+            expect(hasNext).to.be.true;
+
+            expect(changeStream.resumeToken).to.equal(resumeToken);
+          }
+        });
+      });
+    });
+
+    it('should cache using event listener form', {
+      metadata: { requires: { topology: 'replicaset' } },
+      async test() {
+        const willBeChange = once(changeStream, 'change');
+        await once(changeStream.cursor, 'init');
+        await collection.insertOne({ a: 1 });
+
+        const [change] = await willBeChange;
+        expect(change).to.have.property('_id').that.deep.equals(changeStream.resumeToken);
+      }
+    });
   });
 
   it('should error if resume token projected out of change stream document using iterator', {
@@ -1816,6 +1861,144 @@ describe('Change Streams', function () {
       });
     });
   });
+
+  describe("NODE-4763 - doesn't produce duplicates after resume", function () {
+    let client: MongoClient;
+    let collection: Collection;
+    let changeStream: ChangeStream;
+    let aggregateEvents: CommandStartedEvent[] = [];
+    const resumableError = { code: 6, message: 'host unreachable' };
+
+    beforeEach(async function () {
+      const dbName = 'node-4763';
+      const collectionName = 'test-collection';
+
+      client = this.configuration.newClient({ monitorCommands: true });
+      client.on('commandStarted', filterForCommands(['aggregate'], aggregateEvents));
+      collection = client.db(dbName).collection(collectionName);
+
+      changeStream = collection.watch([]);
+    });
+
+    afterEach(async function () {
+      await client.db('admin').command({
+        configureFailPoint: is4_2Server(this.configuration.version)
+          ? 'failCommand'
+          : 'failGetMoreAfterCursorCheckout',
+        mode: 'off'
+      } as FailCommandFailPoint);
+
+      await changeStream.close();
+      await client.close();
+      aggregateEvents = [];
+    });
+
+    describe('when using iterator form', function () {
+      it('#next', { requires: { topology: 'replicaset' } }, async function test() {
+        await initIteratorMode(changeStream);
+
+        await collection.insertOne({ a: 1 });
+        const change = await changeStream.next();
+        expect(change).to.containSubset({
+          operationType: 'insert',
+          fullDocument: { a: 1 }
+        });
+
+        await client.db('admin').command({
+          configureFailPoint: is4_2Server(this.configuration.version)
+            ? 'failCommand'
+            : 'failGetMoreAfterCursorCheckout',
+          mode: { times: 1 },
+          data: {
+            failCommands: ['getMore'],
+            errorCode: resumableError.code,
+            errmsg: resumableError.message
+          }
+        } as FailCommandFailPoint);
+
+        await collection.insertOne({ a: 2 });
+        const change2 = await changeStream.next();
+        expect(change2).to.containSubset({
+          operationType: 'insert',
+          fullDocument: { a: 2 }
+        });
+
+        expect(aggregateEvents.length).to.equal(2);
+      });
+
+      it('#tryNext', { requires: { topology: 'replicaset' } }, async function test() {
+        await initIteratorMode(changeStream);
+
+        await collection.insertOne({ a: 1 });
+        const change = await changeStream.tryNext();
+        expect(change).to.containSubset({
+          operationType: 'insert',
+          fullDocument: { a: 1 }
+        });
+
+        await client.db('admin').command({
+          configureFailPoint: is4_2Server(this.configuration.version)
+            ? 'failCommand'
+            : 'failGetMoreAfterCursorCheckout',
+          mode: { times: 1 },
+          data: {
+            failCommands: ['getMore'],
+            errorCode: resumableError.code,
+            errmsg: resumableError.message
+          }
+        } as FailCommandFailPoint);
+
+        await collection.insertOne({ a: 2 });
+        const change2 = await changeStream.tryNext();
+        expect(change2).to.containSubset({
+          operationType: 'insert',
+          fullDocument: { a: 2 }
+        });
+
+        expect(aggregateEvents.length).to.equal(2);
+      });
+    });
+
+    it('in an event listener form', { requires: { topology: 'replicaset' } }, async function () {
+      const willBeChange = on(changeStream, 'change');
+      await once(changeStream.cursor, 'init');
+
+      await collection.insertOne({ a: 1 });
+      const change = await willBeChange.next();
+      expect(change.value[0]).to.containSubset({
+        operationType: 'insert',
+        fullDocument: { a: 1 }
+      });
+
+      await client.db('admin').command({
+        configureFailPoint: is4_2Server(this.configuration.version)
+          ? 'failCommand'
+          : 'failGetMoreAfterCursorCheckout',
+        mode: { times: 1 },
+        data: {
+          failCommands: ['getMore'],
+          errorCode: resumableError.code,
+          errmsg: resumableError.message
+        }
+      } as FailCommandFailPoint);
+
+      // There's an inherent race condition here because we need to make sure that the `aggregates` that succeed when
+      // resuming a change stream don't return the change event.
+      // So we defer the insert until a period of time after the change stream has received the first change.
+      // 2000ms is long enough for the change stream to attempt to resume and fail once before exhausting the failpoint
+      // and succeeding.
+      await sleep(2000);
+      await collection.insertOne({ a: 2 });
+
+      const change2 = await willBeChange.next();
+      expect(change2.value[0]).to.containSubset({
+        operationType: 'insert',
+        fullDocument: { a: 2 }
+      });
+
+      expect(aggregateEvents.length).to.equal(2);
+    });
+  });
 });
 
 describe('ChangeStream resumability', function () {