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What Procedure Do Surrogacy Agencies Follow to Shortlist the Right Surrogate Mother?

For all those couples and individuals unable to carry a pregnancy naturally, surrogacy has proved to be a rather popular alternative in every aspect. Whether it is medical issues, infertility, or same-sex couples hoping to have children, surrogacy offers a road to parenthood for everyone. Still, selecting the appropriate surrogate mother is among the most crucial choices a surrogacy procedure involves. On the other side, finding the right person to carry their child is a tedious task and this is where a surrogacy agency comes into the picture. 

In the following post, we will discuss the procedures surrogacy agencies follow to guarantee the most appropriate surrogate mother for the entire journey.


1. Screening and Initial Consultation

Usually starting with an initial consultation, the process involves the intended parents, surrogate and the surrogacy agency. The agency clarifies the surrogacy process, legal issues, medical treatments, and expectations of both sides during this consultation. This is also the time the intended parents should ask questions and voice any preferences they have about the surrogate.


The agency then conducts an initial screening. This is a vital phase in which the agency gains better knowledge of the background and motives of the possible surrogate. They might inquire about her health background, lifestyle, emotional readiness for the process, and personal motivations for wanting to be a surrogate.

2. Medical Check-up

The agency will set up a comprehensive medical screening once the possible surrogate shows interest and passes the first consultation. Since a successful pregnancy depends on the health of the surrogate mother, this is among the most crucial features of the surrogacy process.

Usually, the medical screening comprises:

  • The surrogate gets a complete physical check to make sure she is fit for carrying a pregnancy. This covers looking at her weight, general level of fitness, and any medical history that might complicate pregnancy.
  • The surrogate’s reproductive organs are checked for health and capacity to carry a pregnancy in a gynecological test. Ultrasounds, blood tests, and hormone level checking could come as a part of it.
  • The surrogate is screened for infectious diseases including HIV, Hepatitis B and C, and sexually transmitted infections. This guarantees that no transmission could endanger the pregnancy or the unborn child.
  • Sometimes the surrogate might have genetic testing to look for any hereditary diseases that might compromise the pregnancy.

These tests help decide whether the surrogate is medically fit for the demands of carrying a child. Should health issues surface, the agency will go over the ramifications with the intended parents and surrogate.

3. Counseling and Psychological Screening

Psychological screening is another crucial stage in the process since pregnancy, especially for someone else, can be an emotional journey altogether. Surrogacy agencies will evaluate the surrogate’s emotional readiness for the weight of bearing another person’s child.

The agency might suggest to the possible surrogate a licensed psychologist or counselor. This professional will appraise her mental health and emotional state. They will also look at whether the surrogate has a strong support system in place—which is absolutely vital given the emotional difficulties the pregnancy could present.


Discussions on the surrogate’s expectations, motivations, and feelings on handing over the child once it is born come as a crucial part of the psychological assessment. That said, the surrogate mother should be ready for both ups and downs since surrogacy is an emotional as well as a physical journey.

4. Review of Lifestyle

The lifestyle of a surrogate determines her fitness for the process in great part. Surrogacy agencies evaluate multiple lifestyle choices to make sure the surrogate is ready for the obligations of pregnancy.

The agency might look at, for instance:

  • Surrogates must be free from drugs, alcohol, and smoking as well as other substances since these can be detrimental during pregnancy. To guarantee the surrogate leads a healthy lifestyle, the agency will frequently do a drug test and probe her about her behaviors.
  • The psychological assessment guarantees that the surrogate is psychologically fit, but it also looks for any indicators of anxiety, depression, or stress that might compromise the pregnancy.
  • Strong family and social support system is crucial for the surrogate to help her during the pregnancy. The agency may evaluate her relationship with her family members or boyfriend to make sure she is surrounded by people who will enable her to remain upbeat and healthy.
  • The agency could also ask the surrogate about her daily schedule or employment to be sure she has the time and energy to follow medical advice and concentrate on the pregnancy.

These lifestyle checks help to make sure the surrogate is in a position where she can preserve the emotional and physical condition required to bring a pregnancy to term.

5. Contracts and Legal Screening

The agency will launch the legal process once the surrogate passes the medical, psychological, and lifestyle screenings. Understanding their rights and obligations is crucial for the intended parents as well as the surrogate since surrogacy laws can differ significantly depending on the nation or state.

The agency guarantees the surrogate mother is totally informed about the legal sides of surrogacy before moving forward. This covers rights to parental protection, medical treatment, pay, and more. Both the intended parents and the surrogate have to sign a surrogacy agreement delineating their expectations and legal responsibilities.

As a protection for both sides, the legal contract comprises: 

  • The surrogate will get financial compensation as well as any other expenses paid for during the pregnancy (such as medical bills, maternity clothing, travel expenses).
  • The agreement will state that once the child is born, the intended parents will have complete legal rights to the child.
  • Provisions guaranteeing the surrogate receive the required medical treatment and support help to address health and wellness.

Legal experts specialized in reproductive law handle this process to make sure everything is legally binding and clear.

6. Supporting Intended Parents

At last, the agency moves forward matching the surrogate with the intended parents once all the screenings are finished and the legal issues are resolved. The agency will try to match the surrogate with parents whose tastes fit her personality, values, and lifestyle, thus this is among the most sensitive aspects of the process.

The agency takes into account several elements, like:

  • Certain intended parents could have preferences about the age, color, background, or even lifestyle of the surrogate.
  • Agencies will seek to match surrogates and intended parents with similar values so as to guarantee a better relationship all through the pregnancy.
  • Another crucial consideration is the degree of interaction between the intended parents and the surrogate. While some intended parents might want minimal interaction, others may wish frequent updates.
  • Once a match is identified, both sides can get to know one another and go over the next phases of the procedure.

Final Words

Selecting the appropriate surrogate mother calls for careful, exhaustive medical, psychological, and legal screening. That said, guiding the surrogate and the intended parents through the difficult process ensures that the road to parenthood is as seamless and successful as it could be, thus surrogacy agencies are quite important. The process is meant to ensure the surrogate is legally protected, emotionally ready, and healthy, so optimizing the chances for a good experience for all those engaged. Whether your goal is to find the right surrogate or you are thinking about being one, knowing this process will help to guarantee a successful surrogacy experience.

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