Surrogacy – Essential Things You Must Know Before Starting the Journey

Home / Blog / Surrogacy – Essential Things You Must Know Before Starting the Journey
FAQs about surrogacy

Surrogacy has become a life-changing opportunity for many individuals and couples who dream of becoming parents.

Whether due to infertility, medical challenges, or family structure, surrogacy offers a unique path to parenthood filled with hope, complexity, and emotion.

In this guide, we’ll explore everything you need to know about surrogacy and the surrogacy process —from its different types to costs, legalities, and emotional aspects —so you can begin your journey with clarity and confidence.

What Is Surrogacy?

Surrogacy is an arrangement where a woman (the surrogate) carries and delivers a baby for another person or couple (the intended parents).

The intended parents become the child’s legal and emotional guardians after birth.

There are two primary types of surrogacy:

  • Traditional Surrogacy: The surrogate’s own egg is used, making her the biological mother of the baby.

  • Gestational Surrogacy: The embryo is created through IVF using the intended parents’ or donors’ eggs and sperm, meaning the surrogate has no genetic link to the baby.

Gestational surrogacy has become the preferred and most widely practiced method because it provides both medical and legal clarity for everyone involved.

Understanding the Surrogacy Process

The surrogacy process involves several essential stages, each requiring careful coordination, legal oversight, and emotional preparation:

  1. Initial Consultation and Matching: Intended parents consult with a clinic or agency, undergo evaluations, and are matched with a compatible surrogate.

  2. Medical Screening: Both parties complete medical and psychological screenings to ensure health and emotional readiness.

  3. Legal Agreements: Before medical treatment begins, a legal contract outlines rights, responsibilities, and financial arrangements.

  4. IVF and Embryo Transfer: Doctors create embryos through IVF and transfer one or more to the surrogate’s uterus.

  5. Pregnancy and Monitoring: The surrogate receives prenatal care, while the intended parents are regularly updated about the pregnancy.

  6. Birth and Parental Rights Transfer: After birth, legal steps are taken to establish parental rights; this process varies by country.

Surrogacy can be a complex process, but with professional guidance, it can be a rewarding and secure path to creating a family.

Types of Surrogacy Arrangements

Gestational Surrogacy

The most common form worldwide. The surrogate carries a baby with no biological connection to her.

This method provides clear legal boundaries and emotional balance.

Traditional Surrogacy

The surrogate uses her own egg, making her genetically related to the child.

It’s less common today due to potential emotional and legal complexities.

Altruistic vs. Commercial Surrogacy

  • Altruistic Surrogacy: The surrogate is reimbursed only for pregnancy-related expenses.

  • Commercial Surrogacy: The surrogate is also compensated for her time, effort, and commitment. This model is allowed in some countries, such as parts of the U.S. and Georgia.

Understanding which arrangements are legally permitted in your chosen country is crucial before proceeding.

Costs of Surrogacy

The cost of surrogacy varies greatly depending on location, clinic, and the complexity of the medical process.

Approximate costs include:

  • UK & Ireland: £40,000–£70,000 (altruistic only)

  • USA: $110,000–$250,000 (commercial model)

  • Canada: CAD 80,000–120,000 (altruistic)

  • Europe (Cyprus, Georgia, etc.): €65,000–€88,000

These costs typically cover:

  • IVF and fertility treatments

  • Surrogate’s compensation or reimbursements

  • Legal and agency services

  • Medical insurance, travel, and living expenses

A clear and transparent financial plan is essential.

Many intended parents find that working with trusted programs helps prevent hidden costs and ensures peace of mind throughout the journey.

Legal Aspects of Surrogacy in Different Regions

Surrogacy laws differ significantly between countries:

  • UK & Ireland: Only altruistic surrogacy is legal. Intended parents must apply for a Parental Order after birth to gain full legal parenthood.

  • USA: Regulations vary by state, but many states allow commercial surrogacy and provide legal parental recognition before birth.

  • Canada: Altruistic surrogacy is legal under federal law, with strong protections for both parties.

  • Europe: A patchwork of laws—countries like Cyprus and Georgia support regulated surrogacy, while others, such as France or Germany, prohibit it entirely.

Before beginning, intended parents should seek expert legal advice to ensure compliance with all relevant jurisdictions.

Who Can Pursue Surrogacy?

Surrogacy can be an option for:

  • Heterosexual couples experiencing infertility or pregnancy risks

  • Same-sex couples looking to build a family

  • Single parents wanting biological children

  • Individuals with medical conditions that prevent a safe pregnancy

Each country has its own eligibility criteria, often requiring medical justifications and psychological readiness assessments.

The emotional commitment is as significant as the financial and legal aspects.

Surrogacy works best when everyone involved is emotionally prepared and supported.

Emotional Aspects of Surrogacy

Surrogacy is as much an emotional commitment as it is a medical process.

For intended parents, the experience often brings feelings of excitement mixed with anxiety, especially when the pregnancy is happening at a distance.


For surrogates, the process can be deeply fulfilling but also emotionally demanding, particularly during and after the birth.

Mutual respect, open communication, and access to counseling ensure that the experience remains positive and empowering for everyone involved.

Many surrogacy programs now include ongoing psychological support to promote emotional well-being throughout the journey.

Choosing the Right Surrogacy Destination

When selecting where to start your surrogacy journey, consider:

  • Legal protections: Parental rights should be recognized clearly.

  • Medical excellence: High-quality IVF centers and obstetric care are essential.

  • Ethical standards: Transparency and respect for surrogates.

  • Cultural comfort: Language and support accessibility.

Destinations such as the USA, Canada, Cyprus, and Georgia are popular because they balance ethical standards, legal structure, and experienced medical teams.

Final Thoughts

Surrogacy is more than just a medical procedure; it’s a shared journey of trust, compassion, and hope.

By understanding the process, laws, costs, and emotional dynamics, intended parents can make informed, confident decisions.

With the proper guidance, surrogacy can be one of the most meaningful experiences of a lifetime.

FAQs

What is the surrogacy process?

Surrogacy is a structured process where a surrogate carries a baby for intended parents through medical and legal coordination.

The surrogacy process begins with consultations and matching, followed by medical and psychological screenings.

Legal contracts are signed to define responsibilities and protect both parties.

After embryo transfer through IVF, the surrogate undergoes pregnancy monitoring until birth.

Finally, parental rights are established legally.

Each country’s procedures may differ, so working with professionals ensures a smooth experience.

How much does surrogacy cost on average?

Costs vary widely from £40,000 in the UK to over $250,000 in the USA, depending on the country and whether it’s altruistic or commercial.

In altruistic surrogacy, countries like the UK or Canada cover only medical and living expenses.

In commercial models (such as in certain U.S. states or Georgia), compensation includes surrogate fees, insurance, and agency services.

The overall budget should also consider IVF cycles, travel, and legal costs.

Planning and comparing destinations helps families find the balance between quality, ethics, and affordability.

Surrogacy is legal in some European countries under regulated conditions, but remains restricted in others.

In the UK, only altruistic surrogacy is allowed, and intended parents must apply for a Parental Order after birth.

Ireland has recently moved toward regulated altruistic surrogacy.

Across Europe, the landscape varies; Georgia and Cyprus permit structured surrogacy programs, while France, Germany, and Italy prohibit it entirely.

Legal guidance is crucial before choosing a destination or signing any agreement.

Who can become a surrogate mother?

Typically, women aged 21–40 who have previously had at least one healthy pregnancy can qualify.

A potential surrogate must be in good physical and mental health, have no history of complicated pregnancies, and possess strong emotional stability.

She must also undergo medical, psychological, and background checks to ensure readiness.

Most programs prefer surrogates who have a strong family or social support system, as the journey requires empathy, resilience, and commitment.

How long does the surrogacy process take?

On average, surrogacy takes between 12 and 24 months from matching to the baby’s birth.

The exact timeline depends on several factors: clinic schedules, surrogate matching, legal procedures, and IVF success rates.

Initial screening and legal contracts may take several months, followed by IVF treatment and a standard nine-month pregnancy.

Delays are common, so patience and flexibility are essential traits for intended parents embarking on this journey.

What is the difference between gestational and traditional surrogacy?

Gestational surrogacy uses an embryo created via IVF, while traditional surrogacy involves the surrogate’s own egg.

In gestational surrogacy, the surrogate carries a baby that has no genetic relation to her, making it the preferred method worldwide for legal and emotional reasons.

Traditional surrogacy, while less expensive, is rarely practiced due to the complexities it creates regarding biological parenthood and legal rights.

Most modern fertility programs now exclusively offer gestational surrogacy to ensure clarity and protection for all parties.

Is surrogacy emotionally difficult for intended parents and surrogates?

It can be emotionally intense but gratifying with proper support.

Intended parents often experience anxiety and anticipation, especially when they can’t be physically present during pregnancy.

Surrogates may face emotional challenges as well, particularly post-delivery when separating from the baby.

Emotional preparation, honest communication, and access to counseling services help manage these feelings.

When approached with compassion and trust, surrogacy often creates lifelong bonds between intended parents and surrogates built on mutual respect and gratitude.

You might also like

Get a free consultation