Types of Surrogacy
Gestational surrogacy: the surrogate carries an embryo created via IVF using the intended parents' (or donors') egg and sperm — she has no genetic link to the baby. This is by far the most common modern arrangement.
Traditional surrogacy: the surrogate's own egg is used, making her the genetic mother. Less common today due to legal and emotional complexity.
Altruistic surrogacy: the surrogate is reimbursed for expenses only — required by law in countries like the UK and Canada.
Commercial surrogacy: the surrogate receives a fee in addition to expenses — legal in some US states and other countries.
Who Might Consider Surrogacy?
Women without a uterus (born without one or after hysterectomy)
Women with serious medical conditions that make pregnancy dangerous
Women with repeated IVF failure or recurrent pregnancy loss
Same-sex male couples and single men
Couples with serious genetic conditions
The Process and Legal Considerations
Finding a surrogate: through a friend or family member, an agency, or a non-profit organisation
Medical and psychological screening for both surrogate and intended parents
Legal agreements drawn up before any treatment begins
IVF cycle to create embryos, then transfer to the surrogate
Antenatal care throughout pregnancy and birth
Parental order (UK) or pre-birth order (parts of US) to legally transfer parentage
Costs vary enormously: £20,000-£50,000 in the UK, $80,000-$150,000+ in the US
Counselling is essential at every stage for all parties
Getting Started
Speak to a fertility specialist with surrogacy experience
Research the legal framework in your country carefully — laws vary significantly
Connect with reputable surrogacy organisations or agencies
Ensure all parties have independent legal advice
Plan for the emotional journey alongside the practical one