diff --git a/src/CodexElicitationHandler.ts b/src/CodexElicitationHandler.ts
index abbbb70b..1f84f853 100644
--- a/src/CodexElicitationHandler.ts
+++ b/src/CodexElicitationHandler.ts
@@ -217,11 +217,29 @@ export class CodexElicitationHandler implements ElicitationHandler {
                 context.isToolApproval,
                 context.persistOptions,
             );
-            if (correlatedCallId !== undefined && result.action === "accept") {
-                await this.connection.notify(acp.methods.client.session.update, {
-                    sessionId: params.threadId,
-                    update: { sessionUpdate: "tool_call_update", toolCallId: correlatedCallId, status: "in_progress" },
-                });
+            if (correlatedCallId !== undefined) {
+                if (result.action === "accept") {
+                    await this.connection.notify(acp.methods.client.session.update, {
+                        sessionId: params.threadId,
+                        update: { sessionUpdate: "tool_call_update", toolCallId: correlatedCallId, status: "in_progress" },
+                    });
+                }
+            } else {
+                try {
+                    await this.connection.notify(acp.methods.client.session.update, {
+                        sessionId: params.threadId,
+                        update: {
+                            sessionUpdate: "tool_call_update",
+                            toolCallId: request.toolCall.toolCallId,
+                            status: "completed",
+                            title: request.toolCall.title,
+                            content: request.toolCall.content,
+                            rawOutput: { action: result.action },
+                        },
+                    });
+                } catch (error) {
+                    logger.error("Failed to finalize standalone MCP elicitation tool call", error);
+                }
             }
             return result;
         } catch (error) {
diff --git a/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-all-persist.json b/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-all-persist.json
index 93bf950e..30dffbb8 100644
--- a/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-all-persist.json
+++ b/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-all-persist.json
@@ -7,6 +7,7 @@
         "toolCallId": "elicitation:test-session-id:tool-server:1",
         "kind": "execute",
         "status": "pending",
+        "title": "MCP tool call approval",
         "content": [
           {
             "type": "content",
@@ -18,6 +19,7 @@
         ],
         "rawInput": {
           "serverName": "tool-server",
+          "description": "Allow tool call?",
           "schema": {
             "type": "object",
             "properties": {}
@@ -53,4 +55,30 @@
       ]
     }
   ]
+}
+{
+  "method": "sessionUpdate",
+  "args": [
+    {
+      "sessionId": "test-session-id",
+      "update": {
+        "sessionUpdate": "tool_call_update",
+        "toolCallId": "elicitation:test-session-id:tool-server:1",
+        "status": "completed",
+        "title": "MCP tool call approval",
+        "content": [
+          {
+            "type": "content",
+            "content": {
+              "type": "text",
+              "text": "Allow tool call?"
+            }
+          }
+        ],
+        "rawOutput": {
+          "action": "accept"
+        }
+      }
+    }
+  ]
 }
\ No newline at end of file
diff --git a/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-no-persist.json b/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-no-persist.json
index d55ed702..9cb4e04a 100644
--- a/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-no-persist.json
+++ b/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-no-persist.json
@@ -7,6 +7,7 @@
         "toolCallId": "elicitation:test-session-id:tool-server:1",
         "kind": "execute",
         "status": "pending",
+        "title": "MCP tool call approval",
         "content": [
           {
             "type": "content",
@@ -18,6 +19,7 @@
         ],
         "rawInput": {
           "serverName": "tool-server",
+          "description": "Allow tool call?",
           "schema": {
             "type": "object",
             "properties": {}
@@ -41,4 +43,30 @@
       ]
     }
   ]
+}
+{
+  "method": "sessionUpdate",
+  "args": [
+    {
+      "sessionId": "test-session-id",
+      "update": {
+        "sessionUpdate": "tool_call_update",
+        "toolCallId": "elicitation:test-session-id:tool-server:1",
+        "status": "completed",
+        "title": "MCP tool call approval",
+        "content": [
+          {
+            "type": "content",
+            "content": {
+              "type": "text",
+              "text": "Allow tool call?"
+            }
+          }
+        ],
+        "rawOutput": {
+          "action": "accept"
+        }
+      }
+    }
+  ]
 }
\ No newline at end of file
diff --git a/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-session-only.json b/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-session-only.json
index db5ce031..3f509e7f 100644
--- a/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-session-only.json
+++ b/src/__tests__/CodexACPAgent/data/elicitation-tool-approval-session-only.json
@@ -7,6 +7,7 @@
         "toolCallId": "elicitation:test-session-id:tool-server:1",
         "kind": "execute",
         "status": "pending",
+        "title": "MCP tool call approval",
         "content": [
           {
             "type": "content",
@@ -18,6 +19,7 @@
         ],
         "rawInput": {
           "serverName": "tool-server",
+          "description": "Allow tool call?",
           "schema": {
             "type": "object",
             "properties": {}
@@ -47,4 +49,30 @@
       ]
     }
   ]
+}
+{
+  "method": "sessionUpdate",
+  "args": [
+    {
+      "sessionId": "test-session-id",
+      "update": {
+        "sessionUpdate": "tool_call_update",
+        "toolCallId": "elicitation:test-session-id:tool-server:1",
+        "status": "completed",
+        "title": "MCP tool call approval",
+        "content": [
+          {
+            "type": "content",
+            "content": {
+              "type": "text",
+              "text": "Allow tool call?"
+            }
+          }
+        ],
+        "rawOutput": {
+          "action": "accept"
+        }
+      }
+    }
+  ]
 }
\ No newline at end of file
diff --git a/src/__tests__/CodexACPAgent/data/elicitation-url-accept.json b/src/__tests__/CodexACPAgent/data/elicitation-url-accept.json
index c9c4de0a..195f44d9 100644
--- a/src/__tests__/CodexACPAgent/data/elicitation-url-accept.json
+++ b/src/__tests__/CodexACPAgent/data/elicitation-url-accept.json
@@ -7,6 +7,7 @@
         "toolCallId": "elicitation-elicit-789",
         "kind": "fetch",
         "status": "pending",
+        "title": "MCP server requests to open a URL",
         "content": [
           {
             "type": "content",
@@ -18,6 +19,7 @@
         ],
         "rawInput": {
           "serverName": "auth-server",
+          "description": "Please authorize access to your GitHub account",
           "url": "https://example.com/authorize?id=elicit-789"
         }
       },
@@ -43,4 +45,30 @@
       ]
     }
   ]
+}
+{
+  "method": "sessionUpdate",
+  "args": [
+    {
+      "sessionId": "test-session-id",
+      "update": {
+        "sessionUpdate": "tool_call_update",
+        "toolCallId": "elicitation-elicit-789",
+        "status": "completed",
+        "title": "MCP server requests to open a URL",
+        "content": [
+          {
+            "type": "content",
+            "content": {
+              "type": "text",
+              "text": "Please authorize access to your GitHub account"
+            }
+          }
+        ],
+        "rawOutput": {
+          "action": "accept"
+        }
+      }
+    }
+  ]
 }
\ No newline at end of file
diff --git a/src/__tests__/CodexACPAgent/elicitation-events.test.ts b/src/__tests__/CodexACPAgent/elicitation-events.test.ts
index 7a9521db..3c899fa3 100644
--- a/src/__tests__/CodexACPAgent/elicitation-events.test.ts
+++ b/src/__tests__/CodexACPAgent/elicitation-events.test.ts
@@ -227,7 +227,12 @@ describe('Elicitation Events', () => {
             };
             expect(await fixture.sendServerRequest('mcpServer/elicitation/request', params))
                 .toEqual({ action: 'cancel', content: null, _meta: null });
-            expect(fixture.getAcpConnectionEvents([]).filter(event => event.method === 'sessionUpdate')).toEqual([]);
+            const sessionUpdates = fixture.getAcpConnectionEvents([])
+                .filter(event => event.method === 'sessionUpdate')
+                .map(event => event.args[0].update);
+            expect(sessionUpdates).toEqual([
+                expect.objectContaining({ sessionUpdate: 'tool_call_update', status: 'completed', rawOutput: { action: 'cancel' } }),
+            ]);
             completeTurn();
             await promptPromise;
         });
@@ -453,7 +458,10 @@ describe('Elicitation Events', () => {
             };
             expect(await fixture.sendServerRequest('mcpServer/elicitation/request', params))
                 .toEqual({ action: 'cancel', content: null, _meta: null });
-            expect(fixture.getAcpConnectionEvents([]).filter(event => event.method === 'sessionUpdate')).toEqual([]);
+            const toolStatuses = fixture.getAcpConnectionEvents([])
+                .filter(event => event.method === 'sessionUpdate')
+                .map(event => event.args[0].update.status);
+            expect(toolStatuses).not.toContain('in_progress');
             completeTurn();
             await promptPromise;
         });
@@ -526,7 +534,10 @@ describe('Elicitation Events', () => {
             };
             expect(await fixture.sendServerRequest('mcpServer/elicitation/request', params))
                 .toEqual({ action: 'cancel', content: null, _meta: null });
-            expect(fixture.getAcpConnectionEvents([]).filter(event => event.method === 'sessionUpdate')).toEqual([]);
+            const toolStatuses = fixture.getAcpConnectionEvents([])
+                .filter(event => event.method === 'sessionUpdate')
+                .map(event => event.args[0].update.status);
+            expect(toolStatuses).not.toContain('in_progress');
             completeTurn();
             await promptPromise;
         });
diff --git a/src/permissions/mcp.ts b/src/permissions/mcp.ts
index c0f5c3b4..f3d44056 100644
--- a/src/permissions/mcp.ts
+++ b/src/permissions/mcp.ts
@@ -118,8 +118,9 @@ export function buildMcpPermissionRequest(
                     toolCallId: nextStandaloneToolCallId(),
                     kind: context.isToolApproval ? "execute" : "other",
                     status: "pending",
+                    title: context.isToolApproval ? "MCP tool call approval" : "Question from MCP server",
                     content: [messageContent],
-                    rawInput: {serverName: params.serverName, schema: params.requestedSchema},
+                    rawInput: {serverName: params.serverName, description: params.message, schema: params.requestedSchema},
                 },
                 ...(context.isToolApproval ? {_meta: {is_mcp_tool_approval: true}} : {}),
                 options,
@@ -137,8 +138,9 @@ export function buildMcpPermissionRequest(
                 toolCallId: `elicitation-${params.elicitationId}`,
                 kind: "fetch",
                 status: "pending",
+                title: "MCP server requests to open a URL",
                 content: [messageContent],
-                rawInput: {serverName: params.serverName, url: params.url},
+                rawInput: {serverName: params.serverName, description: params.message, url: params.url},
             },
             options,
         },