For any integer $n\geq 1$ a middle levels Gray code is a cyclic listing of all bitstrings of length $2n+1$ that have either $n$ or $n+1$ entries equal to 1 such that any two consecutive bitstrings in the list differ in exactly one bit. The question whether such a Gray code exists for every $n\geq 1$ has been the subject of intensive research during the last 30 years, and has been answered affirmatively only recently [T. Mütze. Proof of the middle levels conjecture. Proc. London Math. Soc., 112(4):677--713, 2016]. In this work we provide the first efficient algorithm to compute a middle levels Gray code. For a given bitstring, our algorithm computes the next $\ell$ bitstrings in the Gray code in time $\mathcal{O}(n\ell(1+\frac{n}{\ell}))$, which is $\mathcal{O}(n)$ on average per bitstring provided that $\ell=Ω(n)$.